Neumonía lipoidea en relación con una aspiración accidental de gasóleo

Arregui, Miguel Ángel Aibar; Ezquerra, K. Laborda; López, F. Conget

doi:10.4321/s0212-71992007000400008

Cited by 2 publications

(3 citation statements)

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“…This is uncommon presentation of LP. However, acute presentation with respiratory failure is reported with accidental/suicidal massive exposure to mineral oil but not with submassive exposure or inhalation [2,3,12]. …”

Section: Discussionmentioning

confidence: 99%

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Lipoid pneumonia presenting as non resolving community acquired pneumonia: a case report

et al. 2009

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IntroductionLipoid pneumonia is a rare form of pneumonia caused by inhalation or aspiration of fat containing substances like, petroleum jelly, mineral oils, few laxatives etc. It usually presents as insidious onset chronic respiratory illness simulating interstitial lung diseases. Rarely, it may present as an acute respiratory illness, specially, when exposure to fatty substance is acute and/or massive. Radiologically, it may mimic carcinoma, acute or chronic pneumonia, ARDS, or a localized granuloma. Diagnosis of LP requires demonstration of lipid laden macrophages in sputum, bronchoalveolar lavage fluid or fine needle aspiration cytology/biopsy from lung lesion. Treatment of this illness is poorly defined and constitutes supportive therapy and corticosteroids.Case presentationA 20-year old Indian farmer was referred to us with a diagnosis of non resolving community acquired pneumonia. Respiratory examination revealed signs of consolidation. Chest radiograph revealed findings suggestive of bilateral consolidation. Sputum and blood culture were sterile. He was treated with prolonged course of various antibiotics without any significant response. For evaluation of non resolving pneumonia fibreoptic bronchoscopy was done. Bronchoalveolar lavage fluid and biopsy from lung lesion showed lipid laden macrophages. Hence diagnosis of lipoid pneumonia was made. Patient was treated with course of corticosteroids with good response. Literature on this rare entity is discussed.ConclusionLipoid pneumonia is a rare form of pneumonia which rarely present acutely resembling community acquired pneumonia and requires high degree of suspicion for diagnosis. Its treatment is difficult and poorly defined. However, prolonged corticosteroids may be effective.

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Section: Discussionmentioning

confidence: 99%

“…It usually presents as a chronic respiratory disease with symptoms of shortness of breath and cough. However, it may present as acute respiratory illness when exposure is to large quantity of mineral oil [2,3]. This entity does not have characteristic clinical or radiological features.…”

Section: Introductionmentioning

confidence: 99%

Lipoid pneumonia presenting as non resolving community acquired pneumonia: a case report

et al. 2009

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“…Chronic diseases are a very important limitation in the quality of life and functional state of many people, aside from being the source of increases in healthcare costs (Fernández Bono et al, 2008). Within the diseases that are considered to be the most incapacitating, we find chronic obstructive pulmonary disease (COPD) and stroke (Aibar Arregui et al, 2007;Durán, Valderrama, Uribe, onzález, & Molina, 2010). The dependence level of the population was 51.84%, produced mainly by both diseases in old people groups (>65 years) in Murcia region (Spain).…”

Section: Introductionmentioning

confidence: 99%

Quality of life of patients and caregivers in southern Spain: Living with the Obstructive pulmonary disease and after a stroke

Ibáñez‐Davó

Balanza-Galindo

Gómez‐Díaz

et al. 2022

Health Social Care Comm

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Chronic diseases show a significant limitation on the quality of life and functional status, as patients as also their caregivers. The objective of this study is to analyse the quality of life of patients diagnosed with chronic obstructive pulmonary disease and stroke and their caregivers, and to find out if there is a relationship between the caregiver's overload and the quality of life of the patient, as well as to determine whether the functional status of the patients is related to the quality of life of the caregiver. Quantitative, observational, descriptive, cross-sectional and prospective study, performed at Primary Health Care Centres of the northwest Area of Murcia Region (Spain), between January and May 2018, with 131 patients, 79 with stroke, 48 with chronic obstructive pulmonary disease (4 of them with both diseases), and 110 caregivers. The EuroQol scale, Zarit's questionnaire and Barthel's index and an ad hoc questionnaire of sociodemographic variables developed for this study were used.We found a positive and significant correlation between the scores of the caregiver's overload scale and those of the caregiver's health status (r = −0.425; p = 0.001), and a negative and also significant correlation between the overload and quality of life of the patients (r = −0.297; p = 0.002) and their inability (r = 0.189; p = 0.048). The more the overload we find the worse quality of life of the caregiver, but better quality of life of the patient. The physical inability of the patients also influences on the caregiver's level of overload, but not in his health status. Intervention programmes are needed to improve the quality of life of family members as they are the best patient support and the best help for healthcare professionals.

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Neumonía lipoidea en relación con una aspiración accidental de gasóleo

Cited by 2 publications

References 5 publications

Lipoid pneumonia presenting as non resolving community acquired pneumonia: a case report

Lipoid pneumonia presenting as non resolving community acquired pneumonia: a case report

Quality of life of patients and caregivers in southern Spain: Living with the Obstructive pulmonary disease and after a stroke

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