Lipoid Pneumonia in a Gas Station Attendant
The exogenous lipoid pneumonia, uncommon in adults, is the result of the inhalation and/or aspiration of lipid material into the tracheobronchial tree. This is often confused with bacterial pneumonia and pulmonary tuberculosis due to a nonspecific clinical and radiologic picture. It presents acutely...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2014/358761 |
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| author | Gladis Isabel Yampara Guarachi Valeria Barbosa Moreira Angela Santos Ferreira Selma M. De A. Sias Cristovão C. Rodrigues Graça Helena M. do C. Teixeira |
| author_facet | Gladis Isabel Yampara Guarachi Valeria Barbosa Moreira Angela Santos Ferreira Selma M. De A. Sias Cristovão C. Rodrigues Graça Helena M. do C. Teixeira |
| author_sort | Gladis Isabel Yampara Guarachi |
| collection | DOAJ |
| description | The exogenous lipoid pneumonia, uncommon in adults, is the result of the inhalation and/or aspiration of lipid material into the tracheobronchial tree. This is often confused with bacterial pneumonia and pulmonary tuberculosis due to a nonspecific clinical and radiologic picture. It presents acutely or chronically and may result in pulmonary fibrosis. We describe here a case of lipoid pneumonia in a gas station attendant who siphoned gasoline to fill motorcycles; he was hospitalized due to presenting with a respiratory infection that was hard to resolve. The patient underwent bronchoscopy with bronchoalveolar lavage, which, on cytochemical (oil red O) evaluation, was slightly positive for lipid material in the foamy cytoplasm of alveolar macrophages. Due to his occupational history and radiographic abnormalities suggestive of lipoid pneumonia, a lung biopsy was performed to confirm the diagnosis. The patient was serially treated with segmental lung lavage and showed clinical, functional, and radiological improvement. |
| format | Article |
| id | doaj-art-9ad7480c1d8f4c33841b506d3eabd2cc |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-9ad7480c1d8f4c33841b506d3eabd2cc2025-02-03T06:10:50ZengWileyCase Reports in Pulmonology2090-68462090-68542014-01-01201410.1155/2014/358761358761Lipoid Pneumonia in a Gas Station AttendantGladis Isabel Yampara Guarachi0Valeria Barbosa Moreira1Angela Santos Ferreira2Selma M. De A. Sias3Cristovão C. Rodrigues4Graça Helena M. do C. Teixeira5Department of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilDepartment of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilDepartment of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilDepartment of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilDepartment of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilDepartment of Pulmonology, Faculty of Medicine, Fluminense Federal University, Pedro Antonio University Hospital, Rua Marques de Paraná, 303 Center, 24033-900 Niterói, RJ, BrazilThe exogenous lipoid pneumonia, uncommon in adults, is the result of the inhalation and/or aspiration of lipid material into the tracheobronchial tree. This is often confused with bacterial pneumonia and pulmonary tuberculosis due to a nonspecific clinical and radiologic picture. It presents acutely or chronically and may result in pulmonary fibrosis. We describe here a case of lipoid pneumonia in a gas station attendant who siphoned gasoline to fill motorcycles; he was hospitalized due to presenting with a respiratory infection that was hard to resolve. The patient underwent bronchoscopy with bronchoalveolar lavage, which, on cytochemical (oil red O) evaluation, was slightly positive for lipid material in the foamy cytoplasm of alveolar macrophages. Due to his occupational history and radiographic abnormalities suggestive of lipoid pneumonia, a lung biopsy was performed to confirm the diagnosis. The patient was serially treated with segmental lung lavage and showed clinical, functional, and radiological improvement.http://dx.doi.org/10.1155/2014/358761 |
| spellingShingle | Gladis Isabel Yampara Guarachi Valeria Barbosa Moreira Angela Santos Ferreira Selma M. De A. Sias Cristovão C. Rodrigues Graça Helena M. do C. Teixeira Lipoid Pneumonia in a Gas Station Attendant Case Reports in Pulmonology |
| title | Lipoid Pneumonia in a Gas Station Attendant |
| title_full | Lipoid Pneumonia in a Gas Station Attendant |
| title_fullStr | Lipoid Pneumonia in a Gas Station Attendant |
| title_full_unstemmed | Lipoid Pneumonia in a Gas Station Attendant |
| title_short | Lipoid Pneumonia in a Gas Station Attendant |
| title_sort | lipoid pneumonia in a gas station attendant |
| url | http://dx.doi.org/10.1155/2014/358761 |
| work_keys_str_mv | AT gladisisabelyamparaguarachi lipoidpneumoniainagasstationattendant AT valeriabarbosamoreira lipoidpneumoniainagasstationattendant AT angelasantosferreira lipoidpneumoniainagasstationattendant AT selmamdeasias lipoidpneumoniainagasstationattendant AT cristovaocrodrigues lipoidpneumoniainagasstationattendant AT gracahelenamdocteixeira lipoidpneumoniainagasstationattendant |