From: Chronic stridor in a toddler after ingestion of a discharged button battery: a case report
Month | Symptoms / Progress | Management / Findings |
---|---|---|
0 | Symptom onset with coughing, rhinitis similar to a mild respiratory infection Subsequently, occasionally recurring fever, cough, and rhinitis | / |
+ 1 month | Development of mild feeding problems (impaired swallowing, crying when eating) as well as development of an inspiratory stridor | / |
Presentation of stridor during routine check-up with resident pediatric | - Prescription of inhalation therapy with Salbutamol - Referral to ENT for further assessment | |
+ 2 months | Appointment at ENT Stable condition, symptoms unchanged | - Visualization of upper laryngo-pharynx without any suspicious findings - Inability to visualize epiglottis level - Referral to ENT clinic |
Appointment at ENT hospital department Stable condition, symptoms unchanged | - Endoscopic examination of airway tract up to the epiglottis without any suspicious findings - Recommendation to continue therapy with inhalatives and corticosteroid suppositories - Recommendation for bronchoscopy | |
+ 3 months | Inpatient stay at our pediatric university clinic for further assessment Stable condition, symptoms unchanged | - Diagnostic bronchoscopy reveals airway obstruction, subsequent esophagoscopy shows unidentifiable FB - Chest X-ray identifies FB as button battery - First endoscopic salvage attempt, unsuccessful due to complexly lodged position - Second endoscopic salvage attempt with ENT colleagues and rigid esophagoscope, successful removal |
+ 5 months | Follow-up esophagoscopy in our clinic Child in good condition but with occasional swallowing difficulties | Visualization of moderate stenosis Bougienage due to feeding difficulties |
+ 6,5 months & + 8 months | Follow-up esophagoscopy in our clinic Child in good, asymptomatic condition, thriving | - Visualization of moderate stenosis - No bougienage due to asymptomatic child - biannual controls since |