
"Diesel siphoner′s lung": Exogenous lipoid pneumonia following hydrocarbon aspiration
Author(s) -
Kavitha Venkatnarayan,
Karan Madan,
Ritika Walia,
Jaya Kumar,
Deepali Jain,
Randeep Guleria
Publication year - 2014
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.125986
Subject(s) - medicine , pneumonia , parenchyma , aspiration pneumonia , lung , pneumonitis , intensive care medicine , diesel fuel , pathology , waste management , engineering
Lipoid pneumonia is an unusual and uncommon form of pneumonia caused by aspiration of fatty substances. Hydrocarbon pneumonitis following aspiration of diesel is a form of exogenous lipoid pneumonia wherein, aspirated diesel reaches the alveoli rapidly without evoking any significant cough, but initiates an intense inflammatory reaction in the pulmonary parenchyma. This is a rarely described clinical scenario, although the practice of diesel siphonage from automobiles is a common practice in developing countries. We herein describe a 40-year-old male patient, in whom the diagnosis of lipoid pneumonia was delayed for a long duration and highlight the importance of taking a detailed occupational exposure history in patients with non-resolving pneumonia to rule out the underlying possibility of this rare clinical entity.