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  Vol. 154 No. 3, March 2000 TABLE OF CONTENTS
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  The Pediatric Forum
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Foreign Body Aspiration: An Unusual Complication of Antibiotic Therapy

Arch Pediatr Adolesc Med. 2000;154:313-314.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Foreign body aspiration into the larynx or trachea may cause life-threatening airway obstruction. Urgent evaluation and endoscopic removal is necessary to restore ventilation. We describe an infant with an unusual laryngeal foreign body that was aspirated during administration of an oral antibiotic dose.

Report of a Case

A 5-month-old infant was diagnosed with acute otitis media, and the combination drug trimethoprim-sulfamethoxazole was prescribed with an age- and size-appropriate dose. The 18-year-old mother was given a syringe by the primary care practitioner for dosing and administering purposes. After administration with the syringe of the second oral dose of antibiotic, the infant coughed and became cyanotic. An urgent 911 emergency telephone call was made, and the infant was transferred to our institution by helicopter.

On arrival, the infant was bag-mask ventilated, and arterial oxygen saturation was only 90%. Marked biphasic stridor was audible, and sternovertebral, supraclavicular, and intercostal retractions were present. The patient was immediately transported . . . [Full Text of this Article]


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