{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T10:16:25Z","timestamp":1756635385040,"version":"3.41.2"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Adult foreign body aspiration is rare and represents only 15%\u201325% of all foreign body aspirations and 1 in 400 bronchoscopy procedures. Typically, adults present non-emergently and exhibit non-specific symptoms, which makes the diagnosis of foreign body aspiration especially difficult when a history of aspiration cannot be elicited. We present a 63-year-old male with a past medical history of chronic obstructive pulmonary disease hospitalized for left thoracic empyema caused by the aspiration of a grass bur. Our patient did not recall the aspiration event and the diagnosis was further obfuscated by a lack of radiographic evidence and other distracting disease processes. Thus, this case exemplifies the rationale for maintaining a suspicion of foreign body aspiration even for patients with little historical or radiographic evidence to support the presence of a foreign body. This is particularly salient for patients with a tumultuous hospital course or those who fail to respond to treatment. <\/jats:p>","DOI":"10.1177\/2050313x241274970","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T18:13:40Z","timestamp":1724350420000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Unexpected spontaneous expectoration of a grass bur: A case report"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9402-0680","authenticated-orcid":false,"given":"Jacob A.","family":"Alaniz","sequence":"first","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peyton","family":"Armstrong","sequence":"additional","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4831-2460","authenticated-orcid":false,"given":"Alexander","family":"Bosley","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilis","family":"Mavratsas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randal","family":"Reinertson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"bibr1-2050313X241274970","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-5231(05)70046-0"},{"issue":"9","key":"bibr2-2050313X241274970","doi-asserted-by":"crossref","first-page":"3398","DOI":"10.21037\/jtd.2017.06.137","volume":"9","author":"Hewlett JC","year":"2017","journal-title":"J Thorac Dis"},{"key":"bibr3-2050313X241274970","first-page":"1613","volume":"9","author":"Lin L","year":"2014","journal-title":"Clin Interv Aging"},{"issue":"6","key":"bibr4-2050313X241274970","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1007\/s00464-008-0181-9","volume":"23","author":"Mise K","year":"2009","journal-title":"Surg Endosc"},{"key":"bibr5-2050313X241274970","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03976"},{"key":"bibr6-2050313X241274970","doi-asserted-by":"crossref","first-page":"245","DOI":"10.2147\/TCRM.S30639","volume":"8","author":"Umesan UK","year":"2012","journal-title":"Ther Clin Risk Manag"},{"key":"bibr7-2050313X241274970","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.917608","volume":"21","author":"Al Maary J","year":"2020","journal-title":"Am J Case Rep"},{"issue":"18","key":"bibr8-2050313X241274970","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.2169\/internalmedicine.51.7672","volume":"51","author":"Dong YC","year":"2012","journal-title":"Intern Med"},{"issue":"3","key":"bibr9-2050313X241274970","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.21037\/jtd.2018.12.130","volume":"11","author":"Ng J","year":"2019","journal-title":"J Thorac Dis"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241274970","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X241274970","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241274970","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:31:51Z","timestamp":1740961911000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X241274970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":9,"alternative-id":["10.1177\/2050313X241274970"],"URL":"https:\/\/doi.org\/10.1177\/2050313x241274970","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"2050313X241274970"}}