Lipoid Pneumonia Caused by Diesel Aspiration: A Case Report and Literature Review

Fei Tian, Fei Jiang, Xingguang Qu, Jinglan Liu, Shengmin Gui, Liu Min, Chaxiang Li, Zhaohui Zhang, Zuyang Xi
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Abstract

Diesel poisoning is a rare clinical condition. On September 27, 2021, a 55-year-old male who mistakenly inhaled 20 mL of diesel through a siphon was admitted to our hospital. The main symptoms were cough and asthma. Chest computed tomography (CT) showed both lungs scattered with patchy consolidation, ground-glass shadow, exudation, and pleural effusion. After 61 days of lung rehabilitation training and other supportive treatment, including oxygen therapy, postural drainage, ventilator support, bronchoalveolar lavage, hemoperfusion, continuous renal replacement therapy (CRRT), hormones, and antibiotics, the patient’s condition improved, and the patient was discharged. Through literature review, we found that lung consolidation, ground-glass shadow, nodular lesions, and pleural effusion can be observed on chest images of patients with lipoid pneumonia, with severe cases showing diffuse lesions involving both lungs, possibly secondary to respiratory failure. Children with acute critical illness deteriorates rapidly and have poor prognosis, whereas adults or patients with chronic poisoning have better prognosis after active treatment.
柴油机吸入性脂蛋白肺炎1例报告及文献复习
柴油中毒是一种罕见的临床疾病。2021年9月27日,一名55岁男性通过虹吸管误吸入20ml柴油入院。主要症状为咳嗽、哮喘。胸部电脑断层扫描显示双肺散在片状实变、磨玻璃影、渗出及胸腔积液。经过61天的肺部康复训练及其他支持治疗,包括氧疗、体位引流、呼吸机支持、支气管肺泡灌洗、血液灌流、持续肾替代治疗(CRRT)、激素、抗生素等,患者病情好转,出院。通过文献回顾,我们发现脂质性肺炎患者的胸部图像可见肺实变、磨玻璃影、结节性病变和胸腔积液,严重者表现为双肺弥漫性病变,可能继发于呼吸衰竭。急性危重症患儿病情恶化快,预后差,而成人或慢性中毒患者积极治疗后预后较好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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