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The aspiration of a peanut kernel usually causes a severe reaction of the tracheal and bronchial mucous membrane, with edema and purulent exudate within twenty-four hours, and the patient becomes acutely ill. Death may soon follow unless the kernel is removed by bronchoscopy. Several observers, particularly Jackson, have called attention to this reaction and have attributed it to an intrinsic chemical irritant.
The following case is not reported in justification of awaiting the spontaneous expulsion of a foreign body, but to show that it is possible for a peanut kernel to remain in the bronchus for a long time without producing disability.
History.—A boy, aged 2, was examined on Dec. 17, 1924. In August, while eating peanuts, he fell and apparently aspirated a portion of a nut. He was dyspneic for half an hour, and there was a peculiar gurgling sound on respiration. For two weeks before examination
VINSON PP. SPONTANEOUS EXPULSION OF A PEANUT KERNEL ONE YEAR AFTER ASPIRATION. Arch Otolaryngol. 1926;3(1):59. doi:10.1001/archotol.1926.00580010067007
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