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Dental prosthesis aspiration : an uncommon cause of respiratory distress

(2016) ACTA CLINICA BELGICA. 71(6). p.444-447
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Abstract
We present a case of a 66-year-old Caucasian man with acute respiratory distress. The patient had a history of multiple cerebrovascular accidents which resulted in left hemiplegia, swallowing problems, and aphasia. He was tentatively diagnosed with aspiration pneumonia. However, because of clinical deterioration further investigations concluded to the aspiration of a dental prosthesis. After intubation and stabilization, the prosthesis could be manually extracted. However, the patient developed a Staphylococcus epidermidis sepsis and despite adequate antibiotic therapy, he eventually died. Dental prosthesis aspiration is a medical situation associated with a higher morbidity and mortality rate compared to ingested foreign bodies. It requires a high level of suspicion to ensure a timely diagnosis and life-saving treatment. Thorough history taking is of great importance in case of tracheobronchial aspiration, which is in the adult population mostly secondary to an underlying disorder. In impaired adults with missing dental prostheses there should be extra awareness for this problem. This case report illustrates the importance of a detailed history in case of tracheobronchial aspiration and shows the limitations in the diagnostic usefulness of bedside chest radiography.
Keywords
Foreign body aspiration, Dental prosthesis, Staphylococcus epidermidis sepsis, STAPHYLOCOCCUS-EPIDERMIDIS, CHEST RADIOGRAPHY, MANAGEMENT, ADULTS, SEPSIS

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MLA
De Wilde, Belphine, et al. “Dental Prosthesis Aspiration : An Uncommon Cause of Respiratory Distress.” ACTA CLINICA BELGICA, vol. 71, no. 6, 2016, pp. 444–47, doi:10.1080/17843286.2016.1153213.
APA
De Wilde, B., Malfait, T., Bonte, K., & Malfait, T. (2016). Dental prosthesis aspiration : an uncommon cause of respiratory distress. ACTA CLINICA BELGICA, 71(6), 444–447. https://doi.org/10.1080/17843286.2016.1153213
Chicago author-date
De Wilde, Belphine, Thomas Malfait, Katrien Bonte, and Thomas Malfait. 2016. “Dental Prosthesis Aspiration : An Uncommon Cause of Respiratory Distress.” ACTA CLINICA BELGICA 71 (6): 444–47. https://doi.org/10.1080/17843286.2016.1153213.
Chicago author-date (all authors)
De Wilde, Belphine, Thomas Malfait, Katrien Bonte, and Thomas Malfait. 2016. “Dental Prosthesis Aspiration : An Uncommon Cause of Respiratory Distress.” ACTA CLINICA BELGICA 71 (6): 444–447. doi:10.1080/17843286.2016.1153213.
Vancouver
1.
De Wilde B, Malfait T, Bonte K, Malfait T. Dental prosthesis aspiration : an uncommon cause of respiratory distress. ACTA CLINICA BELGICA. 2016;71(6):444–7.
IEEE
[1]
B. De Wilde, T. Malfait, K. Bonte, and T. Malfait, “Dental prosthesis aspiration : an uncommon cause of respiratory distress,” ACTA CLINICA BELGICA, vol. 71, no. 6, pp. 444–447, 2016.
@article{8500515,
  abstract     = {{We present a case of a 66-year-old Caucasian man with acute respiratory distress. The patient had a history of multiple cerebrovascular accidents which resulted in left hemiplegia, swallowing problems, and aphasia. He was tentatively diagnosed with aspiration pneumonia. However, because of clinical deterioration further investigations concluded to the aspiration of a dental prosthesis. After intubation and stabilization, the prosthesis could be manually extracted. However, the patient developed a Staphylococcus epidermidis sepsis and despite adequate antibiotic therapy, he eventually died. Dental prosthesis aspiration is a medical situation associated with a higher morbidity and mortality rate compared to ingested foreign bodies. It requires a high level of suspicion to ensure a timely diagnosis and life-saving treatment. Thorough history taking is of great importance in case of tracheobronchial aspiration, which is in the adult population mostly secondary to an underlying disorder. In impaired adults with missing dental prostheses there should be extra awareness for this problem. This case report illustrates the importance of a detailed history in case of tracheobronchial aspiration and shows the limitations in the diagnostic usefulness of bedside chest radiography.}},
  author       = {{De Wilde, Belphine and Malfait, Thomas and Bonte, Katrien and Malfait, Thomas}},
  issn         = {{1784-3286}},
  journal      = {{ACTA CLINICA BELGICA}},
  keywords     = {{Foreign body aspiration,Dental prosthesis,Staphylococcus epidermidis sepsis,STAPHYLOCOCCUS-EPIDERMIDIS,CHEST RADIOGRAPHY,MANAGEMENT,ADULTS,SEPSIS}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{444--447}},
  title        = {{Dental prosthesis aspiration : an uncommon cause of respiratory distress}},
  url          = {{http://doi.org/10.1080/17843286.2016.1153213}},
  volume       = {{71}},
  year         = {{2016}},
}

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