Tuberc Respir Dis.  2000 Nov;49(5):639-643. 10.4046/trd.2000.49.5.639.

A Case of Chemical Pneumonitis Induced by Ingestion of Hydrocarbon

• Lee CY
• Choi SW
• Kim Y
• Chung BC
• Kim HJ
• Ahn CM
• Kim SJ

• KMID: 2160299
• DOI: http://doi.org/10.4046/trd.2000.49.5.639

Abstract

A 33-year-old woman was presented with dyspnea and chest discomfort after indigesting approximately 500ml of oil paint brush washing fluid. Hypoxic symptoms and radiographic infiltrates rapidly progressed. The patient was intubated and received mechanical ventilation. Bronchoalveolar lavage and transbronchial lung biopsies were performed. The CT scan of the lung showed bilateral extensive pneumonitis with necrosis and the lung tissue pathologic findings showed diffuse alveolar damage with extensive necrosis and numerous lipidladen macrophages. After intensive medical care with mechanical ventilation, her symptoms and radiological findings improved.

Keyword

Hydrocarbon; Chemical pneumonitis; Transbronchial lung biopsy

MeSH Terms

Adult
Biopsy
Bronchoalveolar Lavage
Dyspnea
Eating*
Female
Humans
Lung
Macrophages
Necrosis
Paint
Pneumonia*
Respiration, Artificial
Thorax
Tomography, X-Ray Computed