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MARLENE MELZER-LANGE, MD; ROBERT VAN HOWE, MD; JOSEPH D. LOSEK, MD
Department of Pediatrics Medical College of Wisconsin Children's Hospital of Wisconsin 1700 W Wisconsin Ave MS 756 Milwaukee, WI 53233

Am J Dis Child. 1988;142(9):915-916.

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

Sir.—We noted the occurrence of altered consciousness as a presenting symptom in three patients with lodged foreign bodies. When a patient with altered consciousness presents, a lodged esophageal foreign body should be considered.

Patient Reports.—PATIENT 1.—An 8-month-old male infant presented with a choking episode that was immediately followed by 15 minutes of unresponsiveness. Paramedics found the infant unresponsive and limp. Pulse rate was 126 beats per minute, and respirations were 44/min. During transport, the patient choked, coughed up a large amount of sputum, and became more responsive.

On physical examination, the infant preferred to sleep but was easily aroused. Pulse rate was 160 beats per minute, respirations were 20/min, blood pressure was 90/54 mm Hg, and rectal temperature was 37.3°C. The remainder of examination yielded normal results.

A lateral neck roentgenogram revealed a coin-shaped foreign body in the cervical esophagus. A penny was removed by rigid endoscopy . . . [Full Text PDF of this Article]

Footnotes
Frances Sommer assisted in the preparation of the manuscript.

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