Medicina Fluminensis, Vol. 47 No. 3, 2011.
Kratko priopćenje
Exogenous lipoid pneumonia after petroleum aspiration: a case report
Dubravka Pelicarić
; Klinika za plućne bolesti “Jordanovac”, KBC Zagreb, Zagreb
Bojana Butorac Petanjek
; Klinika za plućne bolesti “Jordanovac”, KBC Zagreb, Zagreb
Sanja Grle Popović
; Klinika za plućne bolesti “Jordanovac”, KBC Zagreb, Zagreb
Zoran Janevski
; Klinika za torakalnu kirurgiju “Jordanovac”, KBC Zagreb, Zagreb
Sažetak
Aim: To report the case of a 42-year old patient, who was was reffered because of non resolving middle lobe aspiration pneumonia caused by petroleum aspiration. Case report:
Fiberopticbronchoscopy and chest radiograph were performed to evaluate the non resolving
pneumonia. Chest radiography and bronchoscopy revealed consolidation in the middle
lobe. Computerized tomography scan revealed the same consolidation in the middle lobe with cavitation and necrosis, and toracotomy was indicated. Histological analysis revealed
chronic lipoid pneumonia. Conclusion: Lipoid pneumonia is a rare condition, which represents a diagnostic and therapeutic challenge. Therefore, physicians should be aware of this disease, which can present in an acute, as well as a chronic respiratory illness. Once diagnosed,
it can be progressive, causing necrosis and cavitation, which may require thoracotomy
as the best solution for the patient.
Ključne riječi
exogenous lipoid peumonia; petroleum aspiration; thoracotomy
Hrčak ID:
71767
URI
Datum izdavanja:
5.9.2011.
Posjeta: 3.651 *