Fatal Hydrocarbon Lipoid Pneumonia and Pneumonitis Secondary to Automatic Transmission Fluid Ingestion

Perrot, Linda J.; Palmer, Hal E.

doi:10.1520/jfs13334j

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Lip balm, lip-gloss, olive oil, and sesame oils are also risk factors despite being less common. In adults some cases of lipoid pneumonia [ 14 ] have been reported due to nasal instillation of oils or occupational inhalation/aspiration of fatty substances such as Parafilm, transmission fuel, machine oil, and spray paint [ 15 – 17 ].…”

Section: Discussionmentioning

confidence: 99%

Mineral Oil Aspiration Related Juvenile Idiopathic Arthritis

Nelson

Fischer

Reed

et al. 2015

Case Reports in Pulmonology

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We describe the development of rheumatoid factor-positive migratory polyarthritis in a 5-year-old male who had been administered bidaily oral mineral oil as a laxative since birth. Minor respiratory symptoms, radiographic and bronchoscopic findings were consistent with chronic lipoid pneumonia. We speculate that immune sensitization to mineral oil promoted the clinical syndrome of juvenile idiopathic arthritis.

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Section: Discussionmentioning

confidence: 99%

Mineral Oil Aspiration Related Juvenile Idiopathic Arthritis

Nelson

Fischer

Reed

et al. 2015

Case Reports in Pulmonology

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Aspiration hazard and consumer products:a review.

Craan

1996

International Journal for Consumer and Product Safety

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Hydrocarbon ingestions among individuals younger than 20 years old reported to United States Poison Centers, 2000–2021

Palmer,

Spiller,

Kistamgari

et al. 2023

Inj. Epidemiol.

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Background Hydrocarbon-based products have many household and commercial uses and exposure to these substances is common. Severe clinical effects can occur if these products are ingested. This study investigated the characteristics and trends of hydrocarbon ingestions reported to United States Poison Centers. Methods Data from the National Poison Data System were analyzed for cases of hydrocarbon ingestion among individuals < 20 years old reported to United States Poison Centers from January 1, 2000 through December 31, 2021. Results There were 284,085 hydrocarbon ingestions reported during the 22-year study period in which a hydrocarbon was the first-ranked substance. Most of these cases occurred among children < 6 years old (83.2%), males (64.6%), at a residence (96.5%), were single-substance exposures (98.3%), and were managed on-site rather than in a health care facility (74.9%). However, 4.5% of cases were associated with a serious medical outcome, including 34 deaths. Thirty-two deaths were among children < 6 years old and most were associated with aspiration. Gasolines accounted for 24.6% of total cases, followed by lubricating oils and/or motor oils (19.9%), other types of hydrocarbons (14.9%), lamp oils (11.3%), and lighter fluids and/or naphtha (10.3%). The rate of hydrocarbon ingestions among United States youth < 20 years old decreased significantly (p < 0.0001) by 66.5% from 2000 to 2021. The greatest rate decrease was observed among lamp oils (− 78.4%, p < 0.0001), followed by gasolines (− 75.9%, p < 0.0001). Conclusions Although the rate of hydrocarbon ingestions decreased during the study period and most reported cases resulted in non-serious outcomes, the number of cases remains high with a non-trivial minority (4.5%) of cases associated with a serious medical outcome, including death. Most deaths were among children < 6 years old. This underscores the need to increase primary prevention efforts, especially for young children.

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Fatal Hydrocarbon Lipoid Pneumonia and Pneumonitis Secondary to Automatic Transmission Fluid Ingestion

Abstract: This is the first reported case of an unusual exogeneous lipoid pneumonia with marked interstitial pneumonitis and fibrosis along with generalized diffuse omental oozing developing in a 14-month-old child following ingestion of automatic transmission fluid.

Cited by 3 publications

References 17 publications

Mineral Oil Aspiration Related Juvenile Idiopathic Arthritis

Mineral Oil Aspiration Related Juvenile Idiopathic Arthritis

Aspiration hazard and consumer products:a review.

Hydrocarbon ingestions among individuals younger than 20 years old reported to United States Poison Centers, 2000–2021

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