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Medicine (Baltimore). 2018 Oct;97(41):e12786. doi: 10.1097/MD.0000000000012786.

Lipoid pneumonitis in a patient with an accidental ingestion of kerosene successfully treated with bronchoscopic segmental lavage and systemic steroid: Case report.

Author information

1
Department of Internal Medicine, Haeundae Paik Hospital, INJE University College of Medicine, Busan, Korea.

Abstract

RATIONALE:

Standard treatment of lipoid pneumonitis remains unclear. This study reports a case of kerosene pneumonitis successfully treated with systemic steroid and segmental bronchoalveolar lavage (BAL).

PATIENT CONCERNS:

A 30-year-old woman referred to our hospital because of worsening of respiratory symptoms and fever despite antibiotic therapy following accidental ingestion of kerosene. She had no underlying disease.

DIAGNOSES:

Chest CT scan showed necrotic consolidation, ground glass opacity (GGO), bronchial wall thickening in the right middle/lower lobe (RML/RLL) and right pleural effusion. The lipoid pneumonitis was confirmed by identification of a lipid laden macrophage in bronchoalveolar lavage fluid.

INTERVENTIONS:

The patient was treated with systemic corticosteroid and segmental BAL.

OUTCOMES:

The patient's symptoms rapidly improved after treatment and she was discharged one week after admission. A follow-up CT scan a week after discharge revealed marked resolution of consolidation. No recurrence was reported for 8 months.

LESSONS:

This is the first case of kerosene pneumonitis successfully treated with systemic steroid and bronchoscopic segmental lavage therapy in Korea. Very few cases have been reported worldwide.

PMID:
30313102
PMCID:
PMC6203505
DOI:
10.1097/MD.0000000000012786
[Indexed for MEDLINE]
Free PMC Article

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