Acute unintentional intoxication with paraffin in a 25-year old patient – Clinical case report

Chibishev, Andon; Simonovska, Natasa

doi:10.1016/j.jflm.2014.04.023

Cited by 2 publications

(7 citation statements)

References 10 publications

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“…This route of poisoning is different from other cases commonly seen in cases of hydrocarbon pneumonitis, such as occupational exposure faced by World J Emerg Med, Vol 10, No 2, 2019 fi re eaters, accidental ingestion by children, and choking by aged or disabled patients. [1][2][3][4] We present the case of a patient with severe hydrocarbon pneumonitis after fuel siphonage, and we review the relevant literature for a better understanding of its clinical features and possible management strategies.…”

Section: Introductionmentioning

confidence: 99%

Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review

Chen

Hsu

Chen

2019

World Journal of Emergency Medicine

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BACKGROUND: People sometimes siphon fuel to fill their tanks. However, this is a potentially dangerous procedure and may cause hydrocarbon pneumonitis. We present the case of a patient with severe hydrocarbon pneumonitis after siphoning fuel. The patient underwent artifi cial ventilation and was admitted to hospital for 97 days. METHODS:We review the relevant literature for a better understanding of clinical features and management strategies for hydrocarbon pneumonitis following fuel siphonage. RESULTS:We reviewed 15 articles, which included 3 original articles and 12 case reports that reported the clinical features of fuel siphonage. In addition, we added our presented case for data analysis. A total of 40 cases were included in this review. The literature review found that hydrocarbon pneumonitis caused by fuel siphonage occurs worldwide and that most patients (80%) became symptomatic within 1 day of aspiration. Cough (70%), chest pain (62.5%), dyspnoea (55%), and fever (52.5%) presented in more than half of all patients. The right middle lobe (80%) was the predominantly involved lung fi eld; more than one-third of patients (36.7%) showed the involvement of two lobes.CONCLUSION: Patient history, computed tomographic scans of the chest, and bronchoalveolar lavage are the commonly used diagnostic tools. Supportive care remains the foundation of treatment, whereas antibiotics, steroids, and bronchoalveolar lavage are practical therapies. Patients' clinical improvement precedes the resolution of lesions on chest X-ray. Most complications arise from pulmonary lesions. The prognosis of patients suffering from hydrocarbon pneumonitis following fuel siphonage might be improved by accurate diagnosis and appropriate care.

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Section: Introductionmentioning

confidence: 99%

Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review

Chen

Hsu

Chen

2019

World Journal of Emergency Medicine

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“…18 Catharsis is contraindicated. Early discharge for patients who are asymptomatic after six hours of observation has been suggested, [11][12][13][14][15][16][17][18][19] even if respiratory symptoms develop slowly. Patients with symptoms require admission to hospital, given the possibility of rapid deterioration.…”

Section: Discussionmentioning

confidence: 99%

“…17 Use of systemic corticosteroids in uncomplicated chemical pneumonitis is still debated: they might be helpful in reducing inflammation and subsequent fibrosis, but could, in theory, favour superinfections. [11][12][13][14][15][16][17][18][19][20][21] Inhaled bronchodilators might be used safely in patients with wheeze. 18 Differentiating bacterial superinfection from acute chemical pneumonia is challenging, and routine use of antimicrobial agents is controversial.…”

Section: Discussionmentioning

confidence: 99%

“…18 Differentiating bacterial superinfection from acute chemical pneumonia is challenging, and routine use of antimicrobial agents is controversial. Some case reports showed full recovery without steroids or antibiotics 21 ; however, broad spectrum antibiotics can be used, even as prophylaxis, 11 if clinical conditions worsen after 48-72 hours. 1 13 Evidence suggests clinical outcome and length of hospital stay are similar, irrespective of prophylactic antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

“…8 Pneumothorax, bronchiopleural fistula, 9 and pneumomediastinum 10 have also been described. Fibrosis and restrictive pulmonary disease might develop in later stages, 11 although most patients recover without sequelae. Development of acute respiratory distress syndrome is rare.…”

Section: What Does the Ct Scan Show And What Is The Diagnosis?mentioning

confidence: 99%

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