{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T05:13:18Z","timestamp":1771045998103,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,25]]},"abstract":"<jats:p>Foreign body aspiration (FBA) into the airways is a potentially life-threatening event, and more frequent in children younger than 3\u2005years of age; it can mimic other diseases by its frequently non-specific clinical and radiological presentation. The commonest misdiagnoses in children are asthma and recurrent respiratory tract infections with wheezing. This often makes it particularly difficult for a timely and proper diagnosis, especially when there is a silent history of FBA (not a rare occurrence in the age group at highest risk). We report a case of a 2-year-old boy who arrived at the emergency department at the Hospital of Ferrara, with dyspnoea, fever and wheezing, which had started 12\u2005h after aspiration of a pistachio. The asymptomatic period after the pistachio aspiration, a history of recurrent wheezing during respiratory infections and the non-specificity of clinical and radiological findings, delayed the right diagnosis of FBA.<\/jats:p>","DOI":"10.1136\/bcr-2015-211946","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T07:39:17Z","timestamp":1441697957000},"page":"bcr2015211946","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department"],"prefix":"10.1136","volume":"2015","author":[{"given":"Laura","family":"Colavita","sequence":"first","affiliation":[{"name":"Department of Genetics and Pediatric Immunology, University Hospital of Messina, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Gelli","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital \u201cSant'Anna\u201d of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Pecorari","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital \u201cSant'Anna\u201d of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Giampietro","family":"Peroni","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital \u201cSant'Anna\u201d of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,9,8]]},"reference":[{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.02.004"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.2","unstructured":"National Safety Council. Report on injuries in America . 2005."},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.3","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0416-2"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.03.014"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.5","doi-asserted-by":"crossref","unstructured":"Adramerina A , Xatzigeorgiou S , Spanou C , et al . How parents\u2019 lack of awareness could be associated with foreign body aspiration in children. Pediatr Emerg Care 2015. PMID 25853718.","DOI":"10.1097\/PEC.0000000000000372"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.6","first-page":"265","article-title":"The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration inchildren","volume":"19","author":"Yang","year":"2015","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.7","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez H , Cuestas G , Botto H , et al . Complications in children from foreign bodies in the airway. Acta Otorrinolaringol Esp 2015. doi:10.1016\/j.otorri.2015.01.003 doi:10.1016\/j.otorri.2015.01.003","DOI":"10.1016\/j.otorri.2015.01.003"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.04.001"},{"key":"2025082802491727000_2015.sep07_2.bcr2015211946.9","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.151104"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211946","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:49:23Z","timestamp":1756374563000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,8]]},"references-count":9,"alternative-id":["10.1136\/bcr-2015-211946"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211946","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,8]]}}}