Endobronchial foreign body is a well-known but rare diagnosis when encountering adult patients with unexplained recurring pneumonias. Often, the symptoms are subtle and can be mistaken for other more common conditions. A high degree of clinical suspicion is essential in diagnosing these patients. In the presented case of recurrent pneumonia and prolonged coughing, an endobronchial foreign body was revealed several months after the aspiration when a thorough medical history was taken. An almond was found by flexible bronchoscopy and removed by emergency rigid bronchoscopy; the symptoms later resolved. We discuss the importance of taking a thorough medical history, which in many cases is the clue to correct diagnosis and treatment. In addition, we discuss the diagnostic workup and therapy in cases of endobronchial foreign bodies.
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