title: Pulmonary complications of chemical pneumonía: a case report.
abstract: Hydrocarbon aspiration (HA) can cause significant lung disease by inducing an inflammatory response, hemorrhagic exudative alveolitis, and loss of surfactant function. The most serious side effect of HA is aspiration pneumonia. Pneumothorax, pneumatocele, acute respiratory distress syndrome (ARDS), pulmonary abscess, bronchopleural fistula, bilateral hemorrhagic pleural effusion and pyopneumothorax were previously reported. Hereby we report a patient hospitalized due to aspiration pneumonia who developed pleurisy and pneumothorax after drinking paint thinner. It is presented as it was seldom reported in children to cause distinct pulmonary complications. Patients with complaints associated withhydrocarbon poisoning must be fully evaluated. They must not be discharged from the hospital early and must be followed for at least 48 hours even if they don't have respiratory symptoms. It should be kept in mind that severe pulmonary complications can develop in patients with chemical pneumonia.
authors.affiliation: Department of Pediatric Allergy, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
authors.forename: Semiha
authors.initials: S
authors.lastname: Bahceci Erdem
authors.affiliation: Department of Pediatric Allergy, Dr. Behcet Uz Children's Hospital, Izmir, Turkey. tekin212@gmail.com.
authors.forename: Hikmet T
authors.initials: HT
authors.lastname: Nacaroglu
authors.affiliation: Department of Intensive Care, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
authors.forename: Rana
authors.initials: R
authors.lastname: Isgüder
authors.affiliation: Department of Pediatric Allergy, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
authors.forename: Canan S
authors.initials: CS
authors.lastname: Unsal Karkiner
authors.affiliation: Department of Radiology, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Hüdaver
authors.initials: H
authors.lastname: Alper
authors.affiliation: Department of Pediatric Allergy, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
authors.forename: Demet
authors.initials: D
authors.lastname: Can
mesh_terms: D002648:Child; D006801:Humans; D006838:Hydrocarbons / Q000506:poisoning*; D008297:Male; D010998:Pleurisy / Q000139:chemically induced* / Q000150:complications; D011014:Pneumonia / Q000139:chemically induced* / Q000150:complications; D011030:Pneumothorax / Q000139:chemically induced* / Q000150:complications; D012720:Severity of Illness Index; D012997:Solvents / Q000506:poisoning*
chemical_list: D006838:Hydrocarbons; D012997:Solvents
keywords: Aspiration pneumonia; Hydrocarbons; Pleural effusion; Pneumothorax; Poisoning