title: [Acute form of eexogenous lipoid pneumonia caused by inhalation of liquid paraffin in a fire-eater].
abstract: We report a case of acute exogenous lipoid pneumonia in a 34-year-old-fire-eater. Six hours after inhalation of liquid paraffin, dyspnea, cough, fever, hemoptysis, and chest pain developed in this patient. Chest computed tomography showed nodular infiltrations with ground glass opacities (GGO) in the right middle lobes, GGO alone in the right lower lobes, and consolidations with GGO in the left lower lobes. Lipid-laden alveolar macrophages in bronchoalveolar lavage fluid were detected by lipid staining (Sudan III stain, oil-red-O stain) and transmission electron microscopy. The symptoms and lung infiltrations were improved by treatment with predonisolone, together with antibiotics and urinastatin.
authors.affiliation: First Department of Medicine, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Yokohori
authors.forename: Manako
authors.initials: M
authors.lastname: Taira
authors.forename: Shinkichi
authors.initials: S
authors.lastname: Kameyama
authors.forename: Toshinori
authors.initials: T
authors.lastname: Kanemura
authors.forename: Mituko
authors.initials: M
authors.lastname: Kondo
authors.forename: Jun
authors.initials: J
authors.lastname: Tamaoki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nagai
mesh_terms: D000208:Acute Disease; D000328:Adult; D015984:Causality; D005390:Fires; D006801:Humans; D001239:Inhalation; D008297:Male; D010232:Paraffin / Q000008:administration & dosage / Q000009:adverse effects*; D011017:Pneumonia, Lipid / Q000209:etiology*
chemical_list: D010232:Paraffin