OBJECTIVES/HYPOTHESIS We describe management of an infant with chronic aspiration as a result of severe and rarely described laryngeal dysgenesis. RESULTS A neonate with severe maldevelopment of the laryngeal structures required tracheostomy for respiratory distress on day-of-life 1, but the patient continued to have aspiration pneumonias. After failing to improve with conservative measures, ...

trauma. In this report, we present a remarkable case of multiple lung and brain lesions caused by aspergillosis after a falling incident. A 54-year-old male was admitted with multiple trauma (brain contusion, aspiration pneumonitis with pulmonary contusion, right humerus fracture and right scapular fracture) due to a 6-m fall and aspiration of slops. In view of aspiration pneumonitis (Figure 1,...

Non-resolving or slowly resolving pneumonia in adults represents a diagnostic challenge for chest physicians. We present an interesting case with a forgotten foreign body as a rare cause of slowly resolving pneumonia. A 47-year-old woman was admitted for right-sided chest pain of three months' duration. The patient had chronic cough for years, and was misdiagnosed as suffering from chronic bron...

INTRODUCTION There is mounting evidence that injury to one organ causes indirect damage to other organ systems with increased morbidity and mortality. The aim of this study was to determine the effects of acid aspiration pneumonitis (AAP) on extrapulmonary organs and to test the hypothesis that these could be due to circulatory depression or hypoxemia. METHODS Mechanically ventilated anesthet...

This paper is concerned with the pulmonary -aspiration phenomena associated with mechanical dysphagia, and the term "dysphagia pneumonitis" is used for the syndrome. Lesions due to central dysphagia and secondary to bronchooesophageal fistulae have been excluded. In 1927 Vinso"n reported a case of achalasia vhich was complicated by a lung abscess, and since then 38 others have been described. T...

BACKGROUND Paediatric procedural sedation (PPS) is a common procedure in most general EDs. Many departmental guidelines suggest mandatory fasting times for children undergoing PPS, in an attempt to decrease the incidence of postoperative vomiting and (theoretically) aspiration pneumonitis, despite there being little or no evidence in the literature to support these mandatory fasting times. OB...

BACKGROUND Lipoid pneumonia is a pneumonitis resulting from the aspiration of lipids, and is commonly associated with the use of mineral oil as a laxative. LP is relatively unfamiliar to clinicians and is probably underdiagnosed. OBJECTIVES To increase physicians' awareness of LP, its diagnosis and prevention. METHODS We present two illustrative cases of LP and review the literature. RESU...

BACKGROUND Despite the common occurrence of intrauterine meconium passage and resultant meconium aspiration syndrome (MAS), controversies regarding the pathophysiology and use of appropriate preventive strategies abound. METHODS Databases from MEDLINE, MD Consult, and the Science Citation Index were searched from 1964 to the present to find relevant sources of information. RESULTS AND CONCL...