A case of chronic paraffin pneumonitis

Salm, R.; Hughes, E. W.

doi:10.1136/thx.25.6.762

Cited by 34 publications

(14 citation statements)

References 18 publications

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“…The incidence is higher in older patients with In the absence of clinical information, the radiographic findings are nonspecific, and, in the nodular form of the disease, the diagnosis of malignancy is almost always made [2,6,10,24]. Finding oil droplets in the sputum of bronchial washings combined with a history of oil ingestion strongly suggests the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Exogenous lipoid pneumonia

Kennedy¹,

Costello²,

Balikian³

et al. 1981

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 99%

Exogenous lipoid pneumonia

Kennedy¹,

Costello²,

Balikian³

et al. 1981

American Journal of Roentgenology

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“…Patients may be hypoxemic depending on the extent of involvement [16,25]. Pulmonary function test may be normal, or may have a restrictive pattern [9,16,[26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Case Report of Lipoid Pneumonia: An Unusual Etiology of a Lung Cavity

Nandavaram¹,

Manta²

2018

Int J Respir Pulm Med

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Lipoid pneumonia is an uncommon non-infectious condition that results from the accumulation of lipids of animal, vegetable or mineral origin, in the lungs [1,2]. Most often it is a result of aspiration from altered swallowing or cough mechanism. Children with palatal abnormalities debilitated older adults or adults with neurological or gastrointestinal disorders are commonly affected [1,3,4]. Lipoid pneumonia should be considered as a differential for a lung cavity lesion, especially in patients at risk for aspiration. Such lesions can persist on long-term follow up. However, infection and malignancy should be ruled out.Here, we present an atypical and rare radiographic presentation of lipoid pneumonia, where in patient presented with complaints of shortness of breath and productive cough. Chest imaging showed air space disease in the RUL with a central cavity lesion. Transbronchial biopsy of the lesion demonstrated features of lipoid pneumonia and was felt to be secondary to his chronic aspiration. Infectious work up was negative. Despite being on strict aspiration precautions, follow up CT thorax remonstrated the cavity in the right upper lobe. Repeat biopsy of the lesion showed the features of lipoid pneumonia.Lipoid pneumonia is believed to be secondary to aspiration given his history of mental retardation and altered mental status. Patient was deemed to be a high-risk candidate for lung resection surgery given the altered mental status and contractures and is being clinically monitored.

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“…Oil aspiration in the lungs has been encountered in patients who use mineral oils, such as liquid paraffin for constipation and in nose drops; animal oils, such as cod liver oil given to children; and vegetable oils, such as sesame oil used in medicinal suspensions [1][2][3][4][5][6]. While oil aspiration was more commonly encountered years ago, it is now less frequently seen and is often unrecognized and neglected in differential diagnosis [7,8]. The mineral Kerosene oil is a very commonly used commodity in the Indian subcontinent, being used for cooking, in oil lamps and lanterns and as an adjuvant in paints.…”

Section: Introductionmentioning

confidence: 99%

Kerosene oil lung injury in adults in the Kashmir valley of Indian Subcontinent: Unusual modes of exposure

Koul

Ahmad

et al. 2008

Journal of Nutritional & Environmental Medicine

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Background. Four adult patients presented with fever and chest symptoms following accidental aspiration of kerosene oil while siphoning (n53) and use as an analgesic mouthwash (n51). Results. The patients developed clinical pneumonia with effusion and one patient developed empyema. All the patients were managed with antibiotics and routine measures with uneventful recovery. Conclusion. Sucking by mouth for siphoning the potential lung irritant needs to be seriously deprecated.

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A case of chronic paraffin pneumonitis

Cited by 34 publications

References 18 publications

Exogenous lipoid pneumonia

Exogenous lipoid pneumonia

Case Report of Lipoid Pneumonia: An Unusual Etiology of a Lung Cavity

Kerosene oil lung injury in adults in the Kashmir valley of Indian Subcontinent: Unusual modes of exposure

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