Faculty of Medicine
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Item type:Publication, UNEXPECTED FOREIGN BODY AS A REASON OF LOBAR PNEUMONIA IN A 6,5 YEARS OLD BOY – CASE REPORT(Macedonian Association of Anatomists, 2022); ; Spasova, OlgaWe present a case of a foreign body as a reason for right lobar pneumonia in 6,5 years old boy. He was admitted in our hospital because of 6 day high fever (up to 40 Cͦ), malaise, cough, stomach ache. Clinically he had impaired breathing in the basis of the right lung, and laboratory findings were with elevated inflammatory markers. The radiogram of the chest showed round consolidation in the right low lung lobus. Microbiologicaly, we isolated Mycoplasma pneumonia (IgM) from pneumoslide, and also Staphylococcus aureus – MRSA from the sputum. Additional immunology tests like immunoelectrophoresis ( IgA, IgG, IgM) were done, all of them with results in normal ranges. After one week of therapy with parenteral rehydration, wide spectral antibiotics (according to antibiogram), inhalatory bronchodilatator and systemic corticosteroid, the child presented with scarce haemoptysis, with consecutive clear haemoptysis on the 10-th day. This set for bronchoscopy and Mx-test with PPD5, which was negative. Flexibile bronchoscopy was made at 11th day of the stay, with visualized foreign body- grass like structure in the openings of the arm of middle and lower right bronchus. We continued with rigid bronchoscopy, with successfully removed grass- Hordeum murinum. After the intervention we observed completely clinical recovery of the lung findings, as well as radiological improvement - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Complication of ignored Foreign body in the respiratory tract(Macedonian Otorhinolaryngology society, 2022-06-01); ; Complications of ignored foreign body in the respiratory tract Introduction: Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. Objective: This study evaluated the association between complication of delayed treatment and complications during the procedure of extracting. Materials and methods: Foreign bodies are not normally found in the respiratory tract. The complications of delayed treatment could be: obstructive emphysema, atelectasis, tracheoesophageal fistula, bronchiectasis, haemoptysis, lung abscess, bronchopleural fistula, pneumonia, persistent coughing. Complications during treatment could be: coughing, dyspnoea, wheezing, stridor, haemoptysis, asphyxia, laryngeal oedema, pneumothorax, pneumomediastinitis, tracheobronchial rupture, cardiac arrest. The analysis is to be executed for the period 2016- 2021 year and the data for the survey were obtained from the records of the Department of Ear, Nose and Throat at the University Clinical Centre in Skopje. Results: All entities that can be aspirated, it can be said that organic, vegetal foreign bodies cause the biggest problems are the most dangerous and life treating conditions, given their unique nature and specific physical and chemical properties. Conclusion: A history of sudden-onset choking and cough, plus abnormal auscultation and radiological findings, are leading signs in the profile of foreign body aspiration. In these patients bronchoscopy is indicated. As time passes after aspiration the risk of complications is higher. The high prevalence of foreign bodies of vegetal origin is seen in children younger than 3 years of age. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Acute pancreatitis case associates with the use of valproic acid(2016); ;