Liquid hydrocarbons derived from petroleum are widely used in industry and in households. Aspiration of massive amounts may lead to an acute and fatal form of exogenous lipoid pneumonia (fire-eater's pneumonia). We present a rare case of chemical pneumonitis following accidental lamp oil aspiration characterized by pneumatocele formation and spontaneous resolution. Initial findings on posteroan...

Chemical pleurodesis is widely recommended in the treatment of pulmonary air leak of different etiologies as well as malignant pleural effusions and chylothorax. Conventional chemical pleurodesis using erythromycin, tetracycline, hydrophilic fumed silica, autologous blood and talc slurry has been standardized, and its complications, including high fever, intractable chest pain, and acute lung i...

Hydrocarbon aspiration (HA) can cause significant lung disease by inducing an inflammatory response, hemorrhagic exudative alveolitis, and loss of surfactant function. The most serious side effect of HA is aspiration pneumonia. Pneumothorax, pneumatocele, acute respiratory distress syndrome (ARDS), pulmonary abscess, bronchopleural fistula, bilateral hemorrhagic pleural effusion and pyopneumoth...

The first description of oil aspiration pneumonia in man was by Laughlen in 1925. He described 4 cases diagnosed at necropsy: 3 of the patients were infants and 1 was an adult. In 2 cases the administration of liquid paraffin by mouth was incriminated and in the other 2 oily nasal drops had been used. Pinkerton (1927) described 6 cases diagnosed at necropsy, 5 were infants and 1 was a 6-year-ol...

SPIRATION is defined as the inhalation of oropharyngeal or gastric contents into the larynx and lower respiratory tract. 1,2 Several pulmonary syndromes may occur after aspiration, depending on the amount and nature of the aspirated material, the frequency of aspiration, and the host's response to the aspirated material. 2 Aspiration pneu-monitis (Mendelson's syndrome) is a chemical injury caus...

BACKGROUND Early identification of treatment failure for nosocomial pneumonia remains a major challenge. The goal of this study was to test whether procalcitonin kinetics can be used to assess the clinical efficacy in older critically ill patients with nosocomial pneumonia. METHODS A prospective observational study was conducted with 60 subjects (≥ 65 y old) admitted to the ICU with severe no...

A 28-year-old patient is described who presented with progressive dyspnoea and jaundice due to interstitial pneumonia and hepatitis. The most likely cause is a drug-related reaction to minocycline. We discuss the different kinds of drug-related reactions that are most likely involved.

pneumonia is the leading cause of mortality in young children worldwide. early diagnosis and empiric antibacterial therapy is an important strategy to improve outcome. the world health organization (who) has developed case management guidelines to reduce pneumonia-related deaths through early diagnosis and antibiotic treatment. for management purpose, pneumonia is subclassified by its severity....