Pulmonary protection
- Resource Type
- Authors
- Michael Bridgett
- Source
- Case Reports. 2010:bcr0820092203-bcr0820092203
- Subject
- medicine.medical_specialty
Male clients
medicine.diagnostic_test
business.industry
media_common.quotation_subject
General surgery
General Medicine
medicine.disease
Article
Surgery
law.invention
Pneumonia
Oral sex
Condom
Bronchoscopy
law
medicine
Girl
business
media_common
Right upper lobe bronchus
- Language
- ISSN
- 1757-790X
This report describes the case of a 23-year-old woman who presented with symptoms, signs and radiology suggesting pneumonia. Despite courses of antibiotics, her condition did not improve. Bronchoscopy was eventually performed which revealed a membranous object in her right upper lobe bronchus. The object was easily removed and discovered to be a condom. Retrospective questioning found that the women was currently working as an escort girl and often performed oral sex on male clients. The patient remembered coughing very violently during a recent session which is presumably when the condom was inhaled. She had not volunteered this information initially as she was sensitive about her occupation, and also because she had not been directly asked. This case illustrates the importance of taking a detailed occupational history from a patient presenting with respiratory symptoms as this may have led to a quicker diagnosis and spared the patient courses of antibiotics.