{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:10Z","timestamp":1756285810378,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,4]]},"abstract":"<jats:p>A toddler presented with a 5-month history of recurrent episodes of cough, wheezing and fever. Before referral, the toddler had been initially diagnosed as having bronchial asthma and later as having pulmonary tuberculosis. On examination, the patient was febrile and had severe respiratory distress. Chest radiograph and high-resolution CT of the chest revealed collapse of the entire left lung with diffuse bronchiectasis along with a grossly hyperinflated right lung. CT virtual bronchoscopy did not reveal any foreign body. The parents denied any history suggestive of foreign body aspiration and refused consent for rigid bronchoscopy. Nine days after admission, chest physiotherapy was inadvertently prescribed to the patient. Within an hour, the patient experienced acute respiratory deterioration and died. Autopsy revealed a piece of betel nut in the right main bronchus; it had got dislodged from its initial site in the left main bronchus following the chest physiotherapy session.<\/jats:p>","DOI":"10.1136\/bcr-2015-212919","type":"journal-article","created":{"date-parts":[[2015,11,23]],"date-time":"2015-11-23T12:01:48Z","timestamp":1448280108000},"page":"bcr2015212919","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Muddy clinical waters: a missed betel nut in the bronchus"],"prefix":"10.1136","volume":"2015","author":[{"given":"Sunil","family":"Karande","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Vaideeswar","sequence":"additional","affiliation":[{"name":"Department of Pathology (Cardiovascular & Thoracic Division), Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamta","family":"Muranjan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,11,23]]},"reference":[{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.4414\/smw.2006.11459","article-title":"Tracheobronchial foreign body aspiration in children\u2014diagnostic value of symptoms and signs","volume":"136","author":"Tomaske","year":"2006","journal-title":"Swiss Med Wkly"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10094"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.07.026"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.4","unstructured":"WHO, UNICEF. WHO child growth standards and the identification of severe acute malnutrition in infants and children. A Joint Statement by the World Health Organization and the United Nations Children's Fund. Geneva: World Health Organization and United Nations Children's Fund, 2009."},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.5","first-page":"247","article-title":"Endobronchial tuberculosis","volume":"45","author":"Kashyap","year":"2003","journal-title":"Indian J Chest Dis Allied Sci"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.6","doi-asserted-by":"publisher","DOI":"10.1007\/BF02724023"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.7","first-page":"429","article-title":"Atelectasis in children","volume":"35","author":"Raman","year":"1998","journal-title":"Indian Pediatr"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2009.10.007"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.9","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2012.12s009"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.10","unstructured":"WHO. Guideline: updates on the management of severe acute malnutrition in infants and children. Geneva: World Health Organization, 2013."},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.11","doi-asserted-by":"crossref","first-page":"pii: bcr2012006640","DOI":"10.1136\/bcr-2012-006640","article-title":"All that wheezes is not asthma: a 6-year-old with foreign body aspiration and no suggestive history","volume":"2012","author":"Maguire","year":"2012","journal-title":"BMJ Case Rep"},{"issue":"(Suppl 1)","key":"2025082701462739000_2015.nov23_1.bcr2015212919.12","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1017\/S0022215114002862","article-title":"Reducing the number of rigid bronchoscopies performed in suspected foreign body aspiration cases via the use of chest computed tomography: is it safe? A literature review","volume":"129","author":"Tuckett","year":"2015","journal-title":"J Laryngol Otol"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.13","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-006-0331-y"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1567-1"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110000769"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.16","doi-asserted-by":"crossref","first-page":"22","DOI":"10.5604\/00306657.1131145","article-title":"A study of clinical presentations and complications of foreign body in the bronchus\u2014our experience","volume":"69","author":"Halwai","year":"2015","journal-title":"Otolaryngol Pol"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.17","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181ef3e9c"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.06.016"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.19","doi-asserted-by":"publisher","DOI":"10.1179\/2046904714Z.000000000218"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.20","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-006-0296-x"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.21","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1177\/0310057X0903700601","article-title":"Intraoperative airway foreign body migration in a child","volume":"37","author":"Sharma","year":"2009","journal-title":"Anaesth Intensive Care"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.22","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318267ec6b"},{"key":"2025082701462739000_2015.nov23_1.bcr2015212919.23","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.298.6676.826"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-212919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:46:36Z","timestamp":1756284396000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-212919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,23]]},"references-count":23,"alternative-id":["10.1136\/bcr-2015-212919"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-212919","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,11,23]]}}}