A Case of Chemical Pneumonitis Induced by Ingestion of Hydrocarbon.

Lee, Chang Youl; Choi, Sung Woo; Kim, Young; Chung, Byung Chun; Kim, Hyung Joong; Ahn, Chul Min; Kim, Sang Jin

doi:2000.49.5.639

Tuberc Respir Dis > Volume 49(5); 2000 > Article

Case Report

Tuberculosis and Respiratory Diseases 2000;49(5):639-643.
DOI: https://doi.org/10.4046/trd.2000.49.5.639 Published online November 1, 2000.

A Case of Chemical Pneumonitis Induced by Ingestion of Hydrocarbon.

Chang Youl Lee, Sung Woo Choi, Young Kim, Byung Chun Chung, Hyung Joong Kim, Chul Min Ahn, Sang Jin Kim

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.

Key Words: Hydrocarbon, Chemical pneumonitis, Transbronchial lung biopsy