Lipoid Pneumonia Due to Mexican Folk Remedies

Hoffman, Lucas R.; Yen, Elizabeth H.; Kanne, Jeffrey P.; Effmann, Eric L.; Gibson, Ronald L.; Niel, Cornelius W. Van

doi:10.1001/archpedi.159.11.1043

Cited by 29 publications

(25 citation statements)

References 14 publications

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“…For example, Hispanic parents tend to use herbal remedies to treat their children's asthma 18 and to use oil and tea for common ailments. 19,20 We also found that longer breastfeeding, a characteristic that has not previously been studied, was related to giving the infant DBS and teas. Studies have shown that infants could receive lead from breast milk indirectly if mothers are regular Chinese herb consumers.…”

Section: Discussionsupporting

confidence: 56%

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Zhang

Fein

2011

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT:Dietary botanical supplement and tea use among infants as a separate group from children has not been studied. WHAT THIS STUDY ADDS:Our study is the first to examine prevalence of dietary botanical supplement and tea use among US infants. We found that ϳ9% of infants were given these supplements in their first year of life, although usually only for short periods. abstract OBJECTIVES:To describe the use of dietary botanical supplements and teas among infants, the characteristics of mothers who give them the specific botanical supplements and teas used, reasons for use, and sources of information. METHODS:We used data from the Infant Feeding Practices Study II, a longitudinal survey of women studied from late pregnancy through their infant's first year of life conducted by the US Food and Drug Administration and the Centers for Disease Control and Prevention between 2005 and 2007. The sample was drawn from a nationally distributed consumer opinion panel and was limited to healthy mothers with healthy term or near-term singleton infants. The final analytical sample included 2653 mothers. Statistical techniques include frequencies, 2 tests, and ordered logit models. RESULTS:Nine percent of infants were given dietary botanical supplements or teas in their first year of life, including infants as young as 1 month. Maternal herbal use (P Ͻ .0001), longer breastfeeding (P Ͻ .0001), and being Hispanic (P ϭ .016) were significantly associated with giving infants dietary botanical supplements or teas in the multivariate model. Many supplements and teas used were marketed and sold specifically for infants. Commonly mentioned information sources included friends or family, health professionals, and the media. CONCLUSIONS:A substantial proportion of infants in this sample was given a wide variety of supplements and teas. Because some supplements given to infants may pose health risks, health care providers need to recognize that infants under their care may be receiving supplements or teas.

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Section: Discussionsupporting

confidence: 56%

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Zhang

Fein

2011

Pediatrics

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“…ELP has been reported with inhalation or ingestion of petroleum jelly, mineral oils, "nasal drops," and even intravenous injection of olive oil. [1][2][3][4][5][6][7][8][9][10] Although it is an unusual cause of chronic lung disease, it is an important consideration in the differential diagnosis of several pulmonary syndromes because progression appears to be halted, or at least slowed, by stopping exposure to the offending lipid substance.…”

Section: Introductionmentioning

confidence: 99%

Not Your Typical Pneumonia: A Case of Exogenous Lipoid Pneumonia

2007

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The constellation of chronic cough, dyspnea, and hemoptysis can include a broad range of differential diagnoses. Although uncommon, exogenous lipoid pneumonia (ELP) should be considered when patients present with this symptom complex. We report a case of a 72-year-old female who presented with hemoptysis, cough, and dyspnea. The admission computed tomography scan of the chest revealed progressive interstitial infiltrates. Bronchoscopy revealed diffuse erythema without bleeding. Culture and cytology of lavage fluid were negative. Open-lung biopsy revealed numerous lipid-laden macrophages and multinucleated foreign-body giant cells. On further questioning, the patient admitted to the daily use of mineral oil for constipation. The diagnosis of ELP was made. The literature review revealed that many cases typically present with chronic cough with or without dyspnea. Our case illustrates an unusual presenting symptom of hemoptysis and the need to identify patients who can be at risk of developing this rare condition.

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“…Cellularity was determined using a Neubauer chamber. The cell suspension was centrifuged Of the 28 children investigated, 20 were treated with multiple BALs (mean = 9.35; variation: [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] and became asymptomatic after the treatment; 18 children had normal CT scan results immediately after the treatment, 1 child presented a cystic image in the right lung and 1 child had a discrete area of segmented atelectasis 12 months after the treatment. Treatment abandonment occurred in 6 cases.…”

Section: Bronchoscopy and Bronchoalveolar Lavagementioning

confidence: 99%

“…(3)(4)(5) The cultural practice, in certain countries (Mexico, Arabia, India and Guatemala), of using oily substances for the body hygiene of suckling infants and for nasal clearance might also be associated with the development of LP. (4,(6)(7)(8) In Brazil, mineral oil is still often used for the treatment of intestinal constipation and partial bowel obstruction caused by severe ascariasis. (9) The clinical manifestations of LP range from asymptomatic cases to severe pulmonary involvement, with respiratory failure and death, according to the quantity, quality and duration of the aspiration.…”

Section: Introductionmentioning

confidence: 99%

Evolução da pneumonia lipoide exógena em crianças: aspectos clínicos e radiológicos e o papel da lavagem broncoalveolar

et al. 2009

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Objective: To present aspects of the evolution of lipoid pneumonia in children, based on clinical, radiological and bronchoalveolar lavage fluid findings, emphasizing the importance of bronchoalveolar lavage for the diagnosis and treatment. Methods: We included 28 children, with a mean age of 20 months (range, 1-108 months), diagnosed with chronic pneumonia refractory to antimicrobial therapy, with TB or with a combination of the two. Most of the children had at least one risk factor for aspiration, and all of them had a history of mineral oil ingestion for intestinal constipation (23/28) or complicated ascaridiasis (5/28). Clinical evaluations, tomographic evaluations and analyses of bronchoalveolar lavage fluid were carried out at the beginning of treatment and throughout a follow-up period of 24 months. Results: Tachypnea and cough were the most common symptoms. The most common radiological alterations were areas of consolidation (23/28), perihilar infiltrates (13/28) and hyperinflation (11/28). Chest CT scans showed areas of consolidation with air bronchogram (24/28), decreased attenuation in the areas of consolidation (16/28), ground-glass opacities (3/28) and crazy-paving pattern (1/28). In the analysis of the bronchoalveolar lavage fluid, Sudan staining revealed foamy macrophages, confirming the diagnosis of lipoid pneumonia. After treatment with multiple bronchoalveolar lavages (mean = 9.6), 20 children became asymptomatic, 18 of those presenting normal tomographic images. Conclusions: A diagnosis of lipoid pneumonia should be considered in patients with chronic refractory pneumonia or TB, especially if there is a history of mineral oil ingestion. Bronchoscopy with multiple bronchoalveolar lavages was an efficient treatment for the clearance of mineral oil from the lung parenchyma and the prevention of fibrosis. This strategy contributed to reducing the morbidity of lipoid pneumonia, which remains a rare diagnosis.Keywords: Pneumonia, lipid; Bronchoalveolar lavage; Treatment outcome. ResumoObjetivo: Descrever os aspectos da evolução da pneumonia lipoide em crianças, com base em aspectos clínicos, radiológicos e de achados no lavado broncoalveolar, enfatizando a importância diagnóstica e terapêutica da lavagem broncoalveolar. Métodos: Foram incluídas 28 crianças, com idade média de 20 meses (1-108 meses) e diagnóstico de pneumonia crônica refratária a antimicrobianos e/ou TB. A maioria apresentava um fator de risco para aspiração, e todas apresentavam história de ingestão de óleo mineral para o tratamento de constipação intestinal (23/28) ou de ascaridíase complicada (5/28). A avaliação clínica e tomográfica e análises do lavado broncoalveolar foram realizadas no início do tratamento e em até 24 meses. Resultados: Os sintomas mais frequentes foram taquipneia e tosse. As principais alterações radiológicas foram consolidações (23/28), infiltrado peri-hilar (13/28) e hiperinsuflação (11/28). A TC de tórax mostrou consolidações com broncograma aéreo (24/28), diminuição de atenuação nas áreas de consol...

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Lipoid Pneumonia Due to Mexican Folk Remedies

Cited by 29 publications

References 14 publications

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Feeding of Dietary Botanical Supplements and Teas to Infants in the United States

Not Your Typical Pneumonia: A Case of Exogenous Lipoid Pneumonia

Evolução da pneumonia lipoide exógena em crianças: aspectos clínicos e radiológicos e o papel da lavagem broncoalveolar

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