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Article ; Online: Severe airway injury due to alendronate aspiration.

Maceachern, Paul R / Brazil, Aiden / Tremblay, Alain / Stather, David R / Chee, Alex C / Chou, Julie

Canadian respiratory journal

2013  Volume 20, Issue 6, Page(s) 410–412

Abstract: Sequelae of foreign body aspiration can range from clinically silent and asymptomatic to immediate asphyxiation and death. Only two previous cases of bisphosphonate tablet aspiration have been reported. Ulcerative esophagitis, a known adverse effect of ... ...

Abstract Sequelae of foreign body aspiration can range from clinically silent and asymptomatic to immediate asphyxiation and death. Only two previous cases of bisphosphonate tablet aspiration have been reported. Ulcerative esophagitis, a known adverse effect of oral bisphosphonate formulations, occurs primarily with prolonged exposure of esophageal mucosa to the medication. Little is known about the effects of bisphosphonates on the airway mucosa. The authors present a case involving an 84-year-old woman who required multiple bronchoscopic debridements, intubation for airway protection and intensive care unit admission following airway injury believed to be due to delayed recognition of aspiration of an alendronate tablet.
MeSH term(s) Acute Lung Injury/diagnosis ; Acute Lung Injury/etiology ; Aged, 80 and over ; Alendronate/adverse effects ; Bone Density Conservation Agents/adverse effects ; Bronchi ; Female ; Foreign Bodies/diagnosis ; Foreign Bodies/etiology ; Humans ; Respiratory Aspiration/complications
Chemical Substances Bone Density Conservation Agents ; Alendronate (X1J18R4W8P)
Language English
Publishing date 2013-10-17
Publishing country Egypt
Document type Case Reports ; Journal Article
ZDB-ID 1213103-9
ISSN 1916-7245 ; 1198-2241
ISSN (online) 1916-7245
ISSN 1198-2241
DOI 10.1155/2013/753906
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