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Medical Care for the Elderly
Aspiration and Aspiration Pneumonia
JMAJ 46(1): 12–18, 2003
Tsuyoshi NAGATAKE
Professor, Department of Internal Medicine,
Institute of Tropical Medicine, Nagasaki University
Abstract: It is not rare for aspiration to occur in association with a severe parox-
ysm of coughing in elderly people. In such cases, a depressed cough reflex may
result in severe aspiration pneumonia. Aspiration becomes clinically evident when
the patient chokes or has a fit of coughing during a meal. In co
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