Unresolved wheeze in a child: A rare case of misdiagnosed chronic airway obstruction

Authors

  • Jenu Suwal Dongol Department of Otorhinolaryngology Head and Neck Surgery, Grande International Hospital, Kathmandu, Nepal
  • Anand Ghimire Department of Otorhinolaryngology Head and Neck Surgery, Grande International Hospital, Kathmandu, Nepal
  • Amrit Ghimire Department of Pediatrics, Grande International Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/gmj.v5i1.82039

Keywords:

Aspiration, Foreign body, chronic wheeze, misdiagnosis, pediatric airway obstruction

Abstract

Foreign body aspiration (FBA) in children can often present with subtle symptoms that closely resemble common respiratory conditions such as asthma or pneumonia, leading to potential misdiagnosis. This case report is about a four-year-old boy who had ongoing breathing problems and was treated for almost a year before the real cause was diagnosed: a yak bone stuck in his airway. The diagnosis was ultimately made at Grande International Hospital, a year after the initial aspiration. This case underscores the diagnostic challenges in resource-limited settings and highlights the importance of maintaining a high index of suspicion when standard treatments fail to resolve symptoms.

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Published

2025-07-21

How to Cite

Dongol, J. S., Ghimire, A., & Ghimire, A. (2025). Unresolved wheeze in a child: A rare case of misdiagnosed chronic airway obstruction. Grande Medical Journal, 5(1), 79–82. https://doi.org/10.3126/gmj.v5i1.82039

Issue

Section

Case Reports