title: Acute respiratory distress following intravenous injection of an oil-steroid solution.
abstract: A case of acute respiratory distress and hypoxemia following accidental intravenous injection of an oil-steroid solution in a body builder is presented. Chest roentography at the time of presentation showed diffuse bilateral opacities, and computed tomography revealed predominantly peripheral ground-glass opacifications. The patient's symptoms gradually improved over 48 h and imaging of the chest was unremarkable one week later. The pathophysiology, diagnosis and treatment of this rare but potentially lifethreatening complication of intravenous oil injection are discussed.
authors: Department of Medicine, University of Calgary, Calgary, Alberta, Canada. michael.russell@albertahealthservices.ca
authors: Michael
authors: M
authors: Russell
authors: Aric
authors: A
authors: Storck
authors: Martha
authors: M
authors: Ainslie
mesh_terms: D000059:Accidents; D045930:Anabolic Agents / Q000008:administration & dosage; D001808:Blood Vessels / Q000293:injuries; D003937:Diagnosis, Differential; D004620:Embolism, Fat / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D008168:Lung / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D009821:Oils / Q000008:administration & dosage / Q000009:adverse effects; D010102:Oxygen Inhalation Therapy / Q000379:methods; D019999:Pharmaceutical Solutions; D011655:Pulmonary Embolism / Q000175:diagnosis*; D011859:Radiography; D012646:Self Administration / Q000009:adverse effects*; D013256:Steroids / Q000008:administration & dosage; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D045930:Anabolic Agents; D009821:Oils; D019999:Pharmaceutical Solutions; D013256:Steroids