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March 16, 1984

The Jet-Propelled `Dime'

Author Affiliations

Geisinger Medical Center Danville, Pa

JAMA. 1984;251(11):1431. doi:10.1001/jama.1984.03340350025016

To the Editor.—  Chevalier Jackson1 wrote the first article on the inhalation of foreign bodies in 1905, and, since that time, an astounding array of objects have been extracted from the respiratory tract. These objects have included food particles, safety pins (both open and closed), buttons, and bony substances.This is a report of a metallic foreign body being jet propelled into the lungs.

Report of a Case.—  A 62-year-old man with a long-standing history of chronic obstructive pulmonary disease was seen in the emergency room, having inhaled a foreign body. The patient, during an episode of bronchospasm, reached into his pocket and took out his Bronkometer (isoetharine mesylate inhalation aerosol), fully assembled. During the inhalation of the aerosol spray, he coughed and spluttered several times and thought he had swallowed something, but he was unsure in this regard.In the emergency room, auscultation of his chest disclosed some mild