title: Acute exogenous lipoid pneumonia caused by accidental kerosene ingestion in an elderly patient with dementia: a case report.
abstract: Acute exogenous lipoid pneumonia is an uncommon condition caused by aspiration of oil-based substances, occurring mainly in children. Here, we report the case of an 83-year-old patient with Alzheimer's disease who presented with coughing and hypoxia. The diagnosis of acute exogenous lipoid pneumonia caused by accidental kerosene ingestion was made on the basis of the patient's clinical history, and typical radiological and cytological findings. The patient's cognitive impairment and an unsafe environment, in which the patient's 91-year-old husband stored kerosene in an old shochu bottle, were responsible for the accidental ingestion. Acute exogenous lipoid pneumonia should be considered in the differential diagnosis for acute respiratory disorders in the rapidly aging population.
authors.affiliation: Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Gotanda
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kameyama
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yamaguchi
authors.forename: Masaki
authors.initials: M
authors.lastname: Ishii
authors.forename: Yoko
authors.initials: Y
authors.lastname: Hanaoka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Sumito
authors.initials: S
authors.lastname: Ogawa
authors.forename: Katsuya
authors.initials: K
authors.lastname: Iijima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Akishita
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Ouchi
mesh_terms: D000061:Accidents, Home; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000523:psychology*; D005260:Female; D016330:Frail Elderly; D006801:Humans; D007648:Kerosene / Q000506:poisoning*; D011017:Pneumonia, Lipid / Q000139:chemically induced* / Q000628:therapy
chemical_list: D007648:Kerosene