喉頭ヂフテリーと誤診された喉頭異物の1例

　緒言

　喉頭異物はその症状が極めて喉頭ヂフテリーに類似しており，殊に小兒に於ては喉頭檢査はかなり困難であるから一層その異物発見は容易でなく喉頭ヂフテリーと誤診される事も少くないので臨床医家は大いに注意すべきであるとは成書にも記載してある処である．私は最近5歳の男兒で，5名の小兒科医により風邪と云われ，又3名の専門医に依つても仮性クループ或は喉頭ヂフテリーと誤診されて血清注射を受けたのみならず，危く傳染病院へ隔離されようとした臨床上極めて注意す可き喉頭異物の1例を経驗したので茲にその犬要を報告する．

Kawaoka reports that a boy 5 years of age, who suffered from a laryngeal foreign body, was erroneously diagnosed as an acute cold, croup, or laryngeal diphtheria, by eight physicians, five of whom were pediatricians and the three oto-laryngologists, who previously saw the patient. For 20 days the patient was treated by various means without relief. In author's hands ex-amination under direct laryngescopy revealed a fishbone (Tai) in the larynx and it was removed immediately. Calling attention to other similar cases of erroneous diagnesis in that of foreign body and diphtheria reported in the literature, the author discusses the cause of such errors and stresses the necessity of careful history taking in cases of laryngeal affections.