Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A case of Chemical Pneumonitis Induced by Ingestion of Hydrocarbon

탄화수소물 섭취에 의한 화학성 폐렴 1예

  • Lee, Chang-Youl (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Choi, Sung-Woo (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Kim, Young (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Chung, Byung-Chun (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Kim, Hyung-Joong (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Ahn, Chul-Min (Department of Internal Medicine Yonsei University, College of Medicine) ;
  • Kim, Sang-Jin (Department of Radiology Yonsei University, College of Medicine)
  • 이창률 (연세대학교 의과대학 내과학교실) ;
  • 최성우 (연세대학교 의과대학 내과학교실) ;
  • 김영 (연세대학교 의과대학 내과학교실) ;
  • 정병천 (연세대학교 의과대학 내과학교실) ;
  • 김현중 (연세대학교 의과대학 내과학교실) ;
  • 안철민 (연세대학교 의과대학 내과학교실) ;
  • 김상진 (연세대학교 의과대학 진단방사선과학교실)
  • Published : 2000.11.30
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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 lipid-laden macrophages. After intensive medical care with mechanical ventilation, her symptoms and radiological findings improved.

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