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Published on: May 21, 2018
[Exogenous lipoid pneumonia]
P Garzón Lorenzo1, A Torrent Vernetta, L Server Salvà
1Unidad de Neumología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, España. paula_garzon@hotmail.com
Insights
Accidental ingestion of lipid formulations can cause exogenous lipoid pneumonia in children. Suspect this condition in pediatric patients with respiratory symptoms and a history of lipid substance intake and vomiting.
Area of Science:
- Pediatric Pulmonology
- Radiology
- Toxicology
Background:
- Exogenous lipoid pneumonia in children is frequently caused by the aspiration of lipid substances.
- Accidental ingestion of lipid formulations is a common route for this aspiration.
Observation:
- Clinical presentation can vary, including cough, dyspnea, and chest pain.
- Radiographic findings often show alveolar infiltrates.
- A history of lipid substance ingestion and vomiting is a key indicator.
Findings:
- Two pediatric cases of aspiration lipoid pneumonia are presented.
- One case demonstrated the development of pneumatoceles secondary to aspiration.
- Clinical and radiological outcomes differed between the two cases.
Implications:
- Highlights the importance of considering aspiration lipoid pneumonia in pediatric respiratory distress.
- Emphasizes the diagnostic role of clinical history and chest imaging.
- Illustrates potential complications such as pneumatoceles in aspiration lipoid pneumonia.
Abstract:
The aspiration of lipoid material following the accidental ingestion of lipid formulations is the most frequent cause of exogenous lipoid pneumonia in paediatrics. The presence of cough, increasing dyspnea and chest pain, together with alveolar infiltrates in the chest radiography and the previous accidental intake of a lipid substance and vomiting should make us suspect this diagnosis. We present two cases of aspiration lipoid pneumonia in paediatric patients, with a different clinical presentation and radiological outcome, pointing out in one of them the appearance of pneumatoceles as a consequence of aspiration.
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