title: Exogenous lipoid pneumonia - a case report of a fire-eater.
abstract: BACKGROUND
  Exogenous lipoid pneumonia is an uncommon condition caused by inhalation or aspiration of a fatty substance. It usually presents as chronic respiratory illness mimicking interstitial lung diseases. Acute exogenous lipoid pneumonia is uncommon and typically is caused by an episode of aspiration of a large quantity of a petroleum-based product. Radiological findings vary and may imitate many other diseases.
  
  
  METHODS
  We present a rare case of acute exogenous lipoid pneumonia in a fire-eater who aspirated liquid paraffin during his flame-blowing show (fire-eater's lung). He was admitted to the hospital with productive cough, fever, hemoptysis, chest pain and dyspnea. Diagnosis was made on the basis of history of exposure to fatty substance, characteristic findings in CT examination and presence of lipid-laden macrophages in bronchoalveolar lavage fluid.
  
  
  CONCLUSIONS
  Acute exogenous lipoid pneumonia is a very rare disease that typically occurs in fire-eaters and is called a fire-eater's lung. The diagnosis is made on the basis of typical history and radiological, as well as histopathological findings.
authors.affiliation: Department of Radiology, CMKP (Postgraduate Medical Education Center), Warsaw, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Pielaszkiewicz-Wydra
authors.forename: Bożena
authors.initials: B
authors.lastname: Homola-Piekarska
authors.forename: Ewa
authors.initials: E
authors.lastname: Szcześniak
authors.forename: Monika
authors.initials: M
authors.lastname: Ciołek-Zdun
authors.forename: Andrzej
authors.initials: A
authors.lastname: Fall