{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T17:10:05Z","timestamp":1745773805676,"version":"3.40.4"},"reference-count":3,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 75-year-old man presented with a non-resolving pneumonia, malaise and weight loss. His medical history included a squamous cell carcinoma of the larynx and a non-small cell carcinoma of the lung. Chest CT showed right lower lobe collapse and consolidation. Bronchoscopy identified a foreign body in the right main bronchus and was subsequently removed with rigid bronchoscope. The removed foreign body was identified as a Blom-Singer speaking valve which had been aspirated 3\u2005months previously. This is a rare complication of a speaking valve aspiration. This case illustrates the potential differential diagnoses of retained foreign bodies in the lung and that the symptoms can mimic neoplastic disease. Once removed, patients can have a dramatic improvement in quality of life and it is important to remember that a speaking valve may be aspirated, even if one present on the initial examination!<\/jats:p>","DOI":"10.1136\/bcr-2013-008572","type":"journal-article","created":{"date-parts":[[2013,11,29]],"date-time":"2013-11-29T10:29:42Z","timestamp":1385720982000},"page":"bcr2013008572","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["An unusual cause of pneumonia: seen but not heard"],"prefix":"10.1136","volume":"2013","author":[{"given":"Kathryn","family":"Quinn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Alan","family":"Rowan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Rendall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,11,29]]},"reference":[{"key":"2025042709431478000_2013.nov29_1.bcr2013008572.1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/0310057X1003800131","article-title":"\u2018Speaking valve\u2019 aspiration in a laryngectomy patient","volume":"38","author":"Rao Kadam","year":"2010","journal-title":"Anaesth Intensive Care"},{"key":"2025042709431478000_2013.nov29_1.bcr2013008572.2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.47102\/annals-acadmedsg.V39N7p565","article-title":"Complications following tracheoesophageal puncture: a tertiary hospital experience","volume":"39","author":"Dayangku Norsuhazenah","year":"2010","journal-title":"Ann Acad Med Singapore"},{"key":"2025042709431478000_2013.nov29_1.bcr2013008572.3","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411301009"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008572","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:43:23Z","timestamp":1745772203000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,29]]},"references-count":3,"alternative-id":["10.1136\/bcr-2013-008572"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008572","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,11,29]]}}}