Open Journal of Respiratory Diseases

Volume 3, Issue 3 (August 2013)

ISSN Print: 2163-940X   ISSN Online: 2163-9418

Google-based Impact Factor: 0.5  Citations  

Do Not Play with Fire

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DOI: 10.4236/ojrd.2013.33018    3,626 Downloads   5,258 Views  Citations

ABSTRACT

We report a case of exogenous lipoid pneumonia caused by inhalation of liquid paraffin in a fire eater young man. The patient was admitted to the Emergency Department because of acute retrosternal pain, dry cough and dyspnea. Chest radiograph showed multiple bilateral basal alveolar opacities associated to left pleural effusion; CT chest scan showed multiple bilateral areas of consolidation with cavity areas. BAL cytologic examination revealed abundant lipid-laden macrophages. Clinical symptoms resolved after corticosteroid treatment. Lipoid pneumonia is a rare and often underdiagnosed entity. The presence of lipid-laden macrophages in sputum or BAL fluid helps to confirm the diagnosis.

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Villa, A. , Kostihova, A. , Cattaneo, S. , Croce, A. and Luperto, M. (2013) Do Not Play with Fire. Open Journal of Respiratory Diseases, 3, 116-118. doi: 10.4236/ojrd.2013.33018.

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