Tuberc Respir Dis.  2010 Jun;68(6):354-357. 10.4046/trd.2010.68.6.354.

A Case of Lipid Pneumonia by Green Perilla Oil

• Kim HJ
• Jeong DJ
• Kim KH
• Kim SH
• Lee SJ
• Kim WJ
• Han SS

• KMID: 1458045
• DOI: http://doi.org/10.4046/trd.2010.68.6.354

Abstract

Exogenous lipid pneumonia is a rare disease resulting from the aspiration or inhalation of vegetable, animal, or mineral oils. In Korea, the most frequently implicated agent is squalen, which can be obtained from shark liver oil. Lipid pneumonia by aspiration of the vegetable oil is very rare. We experienced a 77-year-old man with a history of ingestion of green perilla oil. His clinical course was favorable; after exposure to the oil was stopped, the patient's symptoms improved.

Keyword

Pneumonia, Lipid; Oil, Perilla Seed; Bronchoalveolar Lavage

MeSH Terms

Aged
alpha-Linolenic Acid
Animals
Bronchoalveolar Lavage
Eating
Humans
Inhalation
Korea
Liver
Mineral Oil
Perilla
Plant Oils
Pneumonia, Lipid
Rare Diseases
Sharks
Vegetables
Mineral Oil
Plant Oils
alpha-Linolenic Acid

Figure

• 

  Figure 1 Simple chest radiograph shows ground glass appearance in right lower lung field at admission (A) and almost complete resolution after exposure stopped (B).

• 

  Figure 2 Computed tomography scan of the chest shows multifocal ground glass opacity in right middle and lower lobe.

• 

  Figure 3 Bronchoalveolar lavage fluid from right lower lobe shows yellowish lipid layer on the surface (arrow).

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