[Aspiration of petroleum by a "fire-eater"].
A 21-year-old man suffered from cough, dyspnoea and hemoptysis following accidental aspiration of petroleum. Chest x-ray and computerized tomography one day after the aspiration showed infiltrates in the lower fields. Fiberbronchoscopy revealed severe bronchitis without any signs of necrosis. Flunisolide inhalation (200 micrograms/d) and intravenous application of prednisolone (50 mg/d) and clindamycine (600 mg/d) improved pulmonary function within a few days. The infiltrates resolved over the following two weeks. This favourable result clearly shows that conservative treatment has a role in petroleum aspiration.
Ewert
R
R
Medizinische Klinik I, Universitätsklinikum Charité der Humboldt Universität zu Berlin.
Kern
F
F
Mutze
S
S
Witt
Ch
Ch
D000287:Administration, Topical; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001999:Bronchoscopy; D002057:Burns, Chemical / Q000188:drug therapy / Q000473:pathology*; D002059:Burns, Inhalation / Q000188:drug therapy / Q000473:pathology*; D002981:Clindamycin / Q000008:administration & dosage; D005390:Fires; D005446:Fluocinolone Acetonide / Q000008:administration & dosage / Q000031:analogs & derivatives; D006801:Humans; D008168:Lung / Q000187:drug effects / Q000473:pathology; D055370:Lung Injury; D008297:Male; D010578:Petroleum / Q000009:adverse effects*; D011239:Prednisolone / Q000008:administration & dosage
D000893:Anti-Inflammatory Agents; D010578:Petroleum; D005446:Fluocinolone Acetonide; D002981:Clindamycin; C007734:flunisolide; D011239:Prednisolone
Die Aspiration von Petroleum be einem "Feuerpsucker".