A 14 year old male was diagnosed with asthma but didn't improve with appropriate inhalation therapy. Rigid bronchoscopy revealed a food fragment, almost completely occluding the lower-left bronchus lumen. Based on the reported history, it had been likely there for several years.
Keywords: Foreign body aspiration; adolescent; asthma; bronchoscopy; cough; differential diagnosis.
© Alessandro Bodini et al.