{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T21:30:57Z","timestamp":1781040657422,"version":"3.54.1"},"reference-count":9,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Bronchial foreign body obstruction is common in all clinical settings. Obstruction of the airway due to foreign bodies and foreign body aspiration are major causes of childhood mortality and morbidity, which are a big challenge to manage. Occasionally, bronchial obstruction may be due to mucus plugs or other endogenous factors. Here we describe a case of bronchial obstruction caused by mucus plug formation that was managed conservatively in a one-year old boy. The patient was suffering from a cough and noisy breathing for 2 days prior to coming to our hospital, when he experienced sudden onset of difficulty in breathing and a severe cough. At the time of presentation his vital sign readings were:- HR 186 bpm, RR 46\/min, BP 78\/40 MmHg, temp 36.9\u00b0C and SPO2 68%. He was given oxygen immediately and nebulization was started. Chest CT scan was performed that suggested the presence of a right bronchial foreign body with right sided obstructive emphysema. The patient was stable with oxygenation and nebulization with ipratropium bromide, albuterol, normal saline and budesonide before the CT scan. Therefore, we conclude that symptoms resembling foreign body obstruction are not always aspirated or inhaled, and sometimes secreted sputum forms a plug, which mimics the symptoms of foreign body obstruction.<\/ns4:p>","DOI":"10.12688\/f1000research.12495.1","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T11:10:07Z","timestamp":1506337807000},"page":"1749","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Case Report: Mucus plug in bronchus mimicking a bronchial solid foreign body obstruction"],"prefix":"10.12688","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7352-7127","authenticated-orcid":false,"given":"Kiran","family":"Devkota","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"You Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2017,9,25]]},"reference":[{"key":"ref-1","article-title":"Injury, Death and Fatality Statistics","year":"2013"},{"key":"ref-2","article-title":"Accident Facts","volume":"32","year":"1992"},{"key":"ref-3","doi-asserted-by":"publisher","first-page":"121","DOI":"10.4172\/2161-105X.1000121","article-title":"Foreign Body Aspiration in Children; Analysis of 42 Cases.","volume":"2","author":"T Yetim","year":"2012","journal-title":"J Pulmon Resp Med."},{"key":"ref-4","doi-asserted-by":"publisher","first-page":"5-12","DOI":"10.5847\/wjem.j.1920-8642.2016.01.001","article-title":"Airway foreign bodies: A critical review for a common pediatric emergency","volume":"7","author":"A Sahil","year":"2016","journal-title":"World J Emerg Med."},{"key":"ref-5","first-page":"5-6","article-title":"Aspirated foreign body.","volume":"7","author":"I Alfageme","year":"2007","journal-title":"Int J Pulmon Med."},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"39-51","DOI":"10.1016\/S0016-5107(95)70274-1","article-title":"Management of foreign bodies of the upper gastrointestinal tract: update.","volume":"41","author":"W Webb","year":"1995","journal-title":"Gastrointest Endosc."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"242-244","DOI":"10.1007\/s12070-008-0049-2","article-title":"Bronchial cast: a case report.","volume":"60","author":"S Somani","year":"2008","journal-title":"Indian J Otolaryngol Head Neck Surg."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"612-614","DOI":"10.1183\/09031936.96.09030612","article-title":"Plastic bronchitis.","volume":"9","author":"J Park","year":"1996","journal-title":"Eur Respir J."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"e00214","DOI":"10.1002\/rcr2.214","article-title":"Bronchial tree-shaped mucous plug in cystic fibrosis: imaging-guided management.","volume":"5","author":"I Salamone","year":"2017","journal-title":"Respirol Case Rep."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T08:19:37Z","timestamp":1544084377000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,25]]},"references-count":9,"URL":"https:\/\/doi.org\/10.12688\/f1000research.12495.1","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.13529.r32198","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.13529.r31882","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.13529.r31882","asserted-by":"object"},{"id-type":"doi","id":"10.5256\/f1000research.13529.r32198","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,25]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.13529.r32198, Francesco Menzella, Department of Medical Specialties, Pneumology Unit, Arcispedale Santa Maria Nuova - IRCCS, Reggio Emilia, Italy, 23 Mar 2018, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1#referee-response-32198","order":0,"name":"referee-response-32198","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Kiran Devkota<\/b>; \n<i>Posted: 23 Mar 2018<\/i>; Respected&nbsp;Francesco MenzellaI am very grateful to you. Thank you so much for reveiw and valuable suggestion.&nbsp;My best regardsKiran Devkota","URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1#referee-comment-3545","order":1,"name":"referee-comment-3545","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.13529.r31882, Peng Hu, Department of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, China, 23 Mar 2018, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1#referee-response-31882","order":2,"name":"referee-response-31882","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Kiran Devkota<\/b>; \n<i>Posted: 23 Mar 2018<\/i>; Respected Hu PengThank you so much for your review and valuable suggestion.&nbsp;&nbsp;My best regardsKiran Devkota","URL":"https:\/\/f1000research.com\/articles\/6-1749\/v1#referee-comment-3546","order":3,"name":"referee-comment-3546","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}