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Thursday, March 22, 2018

Medical Cases from Africa


A four year old presented who aspirated a tamarind seed two weeks before. Every time we tried to remove the large, swollen seed through the vocal cords it would fall off the forceps. Breaking the hard seed into smaller pieces to allow passage was also unsuccessful. Even by paralyzing the patient we could not extract the seed. Keeping the patient sufficiently oxygenated was a problem. An incision was made in his trachea and the seed was removed directly from the wider trachea. The child was discharged healthy in four days.

A 60 year old man presented septic, with a deep neck abscess. He had had a tooth removed six years ago. His x-ray showed a dense object in his peritonsillar region and examination of the oral cavity showed a partially visible object. His neck was drained of 150 milliliters of exudate and removal of the object revealed it to be a round piece of wood with a ceramic base. It looked like a prosthetic crown or the broken end of an oral clamp. The patient denies having had a prosthetic crown put in after his tooth removal; however, it will be shown to the maxillary surgeon for further clarification.

                                          Tamarind Seed

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