Chronic Lipoid Pneumonia in a 9-Year-Old Child Revealed by Recurrent Chest Pain

Hochart, Audrey; Thumerelle, C.; Petyt, L; Mordacq, C.; Deschildre, A.

doi:10.1155/2015/402926

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…One study reported oil ingestion in a child with a behavioural disorder who drank large amounts of oil when frustrated [39]. Regarding duration of oil use, majority of the studies reported on prolonged/repeated administration.…”

Section: Oil Use and Rationalementioning

confidence: 99%

“…These included Mycobacterium fortuitum [10,40,41], M. fortuitum/chelonei [42], Mycobacterium smegmatis [31] and Mycobacterium abscessus complex [24]. Other infections described in the selected studies included Branhamella catarrhalis [35]; Pseudomonas, Acinetobacter, Klebsiella [20]; respiratory viruses including Adenovirus, Human Metapneumovirus, Human Bocavirus, Human Rhinovirus, Parainfluenza, Respiratory Syncytial virus A and B, Coronavirus and various bacteria and fungi [24]; Chlamydia on serology [39]; and Enterococcus, Escherichia coli, Klebsiella, coagulase positive Staphylococcus and Clostridium from peritoneal exudate [29] (Appendix C).…”

Section: Microbiologymentioning

confidence: 99%

“…Diffuse airspace/ground glass opacities were noted in most studies with basal/lower lobe predominance. Less frequent findings on CT were fatty attenuation [23,24,26,27,33,35,39,[43][44][45], interstitial septal thickening/crazy-paving appearance [23,24,26,27,35,38,46], expansile pneumonia [7,19,24] and nodules [26]. Magnetic resonance imaging (MRI) of the chest was performed in one study that utilized the fat saturation technique and showed fat depressed signal in the middle of the lobe not identified on prior chest CTs [19] ( Fig.…”

Section: Radiological Imagingmentioning

confidence: 99%

“…Corticosteroid use was reported in 20 studies and administered by different routes; intravenous dexamethasone at 0.3 mg/kg was given for two weeks [45], prednisone was administered at 1-2 mg/kg/day from 2 weeks to 14 months [10,18,19,24,28,31,47], and inhaled beclomethasone was given at 250 mcg 12 hourly for 6 months [47]. Therapeutic partial or whole lung lavage [12,24,25,27,39,43,46] and surgical resection were additional treatment modalities reported in children with ELP [7,10,11,22,42,44].…”

Section: Treatment and Clinical-radiological Outcomesmentioning

confidence: 99%

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Exogenous lipoid pneumonia in children: A systematic review

Marangu

Gray

Vanker

et al. 2020

Paediatric Respiratory Reviews

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Educational aimsTo recognize that exogenous lipoid pneumonia (ELP) in children resulting from cultural and medical practices is a rare albeit preventable interstitial lung disease. To review the clinical-radiological patterns of paediatric ELP which vary widely making this diagnosis indistinguishable from other causes of persistent pneumonia. To describe the association of non-tuberculous mycobacteria (NTM) infections and paediatric ELP resulting in significant comorbidity. To rank studies on ELP in children in the existing literature based on diagnostic certainty and propose standardized case definitions and consistent reporting of treatment outcomes and efficacy. a b s t r a c tObjectives: To describe the clinical-radiological-pathological characteristics and treatment outcomes of children with suspected exogenous lipoid pneumonia (ELP). Design: Systematic review. We searched electronic databases and reference lists published between 1967 and 2018, restricted to non-accidental cases. Results: Forty-four studies including 489 participants aged 1 day to 17 years from 13 countries were included. Cultural, medical, and behavioural rationale for oil-use was described. The clinicalradiological presentation varied widely. Diagnostic certainty was deemed highest if ELP was confirmed on bronchoalveolar lavage/frozen section lung biopsy with documented extracellular lipid on cytological staining and/or fat analysis. Non-tuberculous mycobacteria infection was identified in six studies: Mycobacterium fortuitum/chelonei, Mycobacterium smegmatis and Mycobacterium abscessus. Treatment comprised supportive therapy, corticosteroids, stopping oil, therapeutic lung-lavage and surgical resection. Outcomes were reported inconsistently. Conclusion: Paediatric ELP resulting from cultural and medical practices continues to be described globally. Preventive interventions, standardized reporting, and treatment efficacy studies for cases not averted, are lacking.Protocol registration: PROSPERO CRD42017068313.

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Section: Oil Use and Rationalementioning

confidence: 99%

Section: Microbiologymentioning

confidence: 99%

Section: Radiological Imagingmentioning

confidence: 99%

Section: Treatment and Clinical-radiological Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Exogenous lipoid pneumonia in children: A systematic review

Marangu

Gray

Vanker

et al. 2020

Paediatric Respiratory Reviews

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Exogenous lipoid pneumonia caused by repeated sesame oil pulling: a report of two cases

et al. 2015

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BackgroundExogenous lipoid pneumonia is a rare disease caused by aspiration or inhalation of oily substances.Case presentationA 66-year-old male with dry cough (Case 1) and a 38-year-old female with shortness of breath (Case 2) demonstrated ground-glass opacities on chest computed tomography and were diagnosed with lipoid pneumonia based on the confirmation of lipid-laden alveolar macrophages. Both patients habitually performed sesame oil pulling via nasal or mouth washing for several months prior to the diagnosis.ConclusionSteroid therapy and bronchoalveolar lavage resulted in improvement in Case 1, and no intensive therapy was required for Case 2. Sesame oil pulling has been rarely been reported to cause lipoid pneumonia.

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Makine Yağı İçimi Sonrası Görülen Bir Lipoid Pnömoni: Nadir Bir Olgu Sunumu

AYSAN

Satıcı

YİĞİTBAŞ

et al. 2022

Batı Karadeniz Tıp Dergisi

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Aim: Lipoid pneumonia is a clinical and radiological disease that occurs after aspiration of oil-based fluid into the lung. In this case, it is aimed to present a case of exogenous lipoid pneumonia due to accidental machine oil ingestion as a cause of unresolved pneumonia. Case: A 62-year-old male patient presented to the chest disease polyclinic for control because of the aspiration of the machine oil 20 days ago. It was learned that antibiotics were started on an outpatient with a preliminary diagnosis of pneumonia, but there was no radiological improvement. He had a history of benign prostatic hyperplasia and hypothyroidism. In addition, 38% polymorphous core leukocytes, 27% lymphocytes, 29% alveolar macrophages were detected in the bronchoalveolar lavage sample. Methylprednisolone 32 mg/day peroral was started, with the diagnosis of lipoid pneumonia. After treatment, he had radiological improvement in the control chest X-ray and was followed up as an outpatient. Conclusion: The diagnosis of lipoid pneumonia can be missed because of its clinical and radiological confusion with other pneumonia types. In conclusion, the patient’s anamnesis, clinic and imaging should be carefully evaluated and followed up while making the differential diagnosis of non-healing pneumonia.

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Chronic Lipoid Pneumonia in a 9-Year-Old Child Revealed by Recurrent Chest Pain

Cited by 3 publications

References 8 publications

Exogenous lipoid pneumonia in children: A systematic review

Exogenous lipoid pneumonia in children: A systematic review

Exogenous lipoid pneumonia caused by repeated sesame oil pulling: a report of two cases

Makine Yağı İçimi Sonrası Görülen Bir Lipoid Pnömoni: Nadir Bir Olgu Sunumu

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