ArticleCureus2025
Missed Foreign Body Aspiration: Fentanyl Patch Leading to Severe Pneumonia and Empyema.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Delayed Intrathoracic Textile Foreign Body Following Penetrating Shrapnel Injury Presenting with Expectoration of Fabric-Like Material and Chronic Middle-Lobe Destruction: A Case Report.International medical case reports journal · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Empyema, defined as a purulent pleural effusion within the pleural cavity, typically results from severe infections and presents significant diagnostic and therapeutic challenges. This case report details the intricate clinical journey of a 44-year-old male with a complex medical history, including chronic substance abuse, significant tobacco use, and untreated hepatitis C, who presented with acute respiratory failure, hypoxia, and right-sided chest pain. Despite initial management with antibiotics and chest tube drainage, the patient's condition necessitated advanced surgical intervention due to persistent sanguineous output. A right thoracoscopy converted to open thoracotomy with decortication was performed due to dense adhesions. Intraoperatively, bronchoscopy revealed a hidden fentanyl patch in the right lower lobe, which was removed, leading to a significant release of purulent material and marked improvement in the patient's condition. Postoperatively, the patient steadily recovered with decreased oxygen requirements and improved ambulation. However, he developed acute tubular necrosis, likely due to nephrotoxic medications, which was managed appropriately. The patient was discharged with instructions for pulmonary function tests and lifestyle modifications, including cessation of tobacco use. This case emphasizes the importance of considering foreign body aspiration in patients with persistent or unexplained pulmonary symptoms, especially those with a history of substance abuse or unexplained recurrent respiratory infections. The multidisciplinary approach, comprehensive diagnostics, and collaborative care were pivotal in achieving a successful outcome, offering valuable insights for similar future cases.
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Registered trials
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