J Korean Pediatr Soc.  1997 Dec;40(12):1745-1749.

A Case of Lipoid Pneumonia with Hypercalcemia Caused by Squalelne Intake by Force

• Kim YK
• Kang HS
• Lee SC
• Lee CG
• Kim SW

Abstract

Lipoid pneumonia is a chronic, interstitial, proliferative inflammation resulting from aspiration of lipoid material and occurs principally in debilated infants. We experienced a case of lipoid pneumonia with hypercalcemia in a 15 month-old boy who showed irritability, poor weight gain, cough, dyspnea, fatigue, diarrhea and pale face after ingestion of Squalene (shark liver oil : 20-30 cap/day) by force for 2 months. Calcium preparation was also given for 5 months.Lipoid pneumonia was suspected from history and simple chest X-ray. Chest CT showed mixed interstitial reticular density in portions of affective lung fields and the density of the lesion is slightly lower than that of muscle. Although diagnosis was confirmed by tracheal aspiration cytology, chest CT findings could be used as a non-invassive diagnostic tool in lipoid pneumonia.

Keyword

Lipoid pneumonia; Squalene; Hypercalcemia; Chest CT

MeSH Terms

Calcium
Cough
Diagnosis
Diarrhea
Dyspnea
Eating
Fatigue
Humans
Hypercalcemia*
Infant
Inflammation
Liver
Lung
Male
Pneumonia*
Squalene
Thorax
Tomography, X-Ray Computed
Weight Gain
Calcium
Squalene