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Case Reports
July 1940

PULMONIC INTERSTITIAL AND MEDIASTINAL EMPHYSEMA: REPORT OF A FATAL CASE IN WHICH THE EMPHYSEMA OCCURRED IN A CHILD AS A RESULT OF THE ASPIRATION OF PEANUT FRAGMENTS

Author Affiliations

LONDON, ONTARIO, CANADA
From the Departments of Pathology and Bacteriology and of Histology and Embryology, University of Western Ontario Medical School.

Am J Dis Child. 1940;60(1):102-115. doi:10.1001/archpedi.1940.02000010111008
Abstract

Although interstitial emphysema of the lungs and mediastinum ha,s been known for a long time, there has recently been a revival of interest in it. Many of the papers on that condition, however, have dealt with its occurrence among adults and with instances in which it promptly cleared up. We here describe the condition as it occurred in a young child in whom it rapidly progressed to a fatal ending and in whom the initial cause was the impaction of peanut fragments in the right main bronchus.

REPORT OF CASE  J. B., a white girl of 22 months, previously healthy, was admitted to the Children's Hospital on Nov. 23, 1937. Three days before, on November 20, while chewing a mouthful of peanuts, she took a sudden deep breath and aspirated a number of the fragments. She immediately choked, coughed and became blue. She continued to have coughing spells and on

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