Journal List > Tuberc Respir Dis > v.65(3) > 1001279

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Yoon, Moon, Kim, Kim, Ha, Lee, Lee, Hur, Kang, Jung, Lee, Kim, Lee, Shin, Shim, In, Kang, and Yoo: Bilateral Pulmonary Infiltrate with Milky BAL Fluid
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Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2008; 65(3): 239-242.

Published online: 30 September 2008

DOI: https://doi.org/10.4046/trd.2008.65.3.239

Bilateral Pulmonary Infiltrate with Milky BAL Fluid

Gi Chol Yoon, M.D., Jae Young Moon, M.D., Hye Ok Kim, M.D., Jung Ha Kim, M.D., Eun Sil Ha, M.D., Kyung Ju Lee, M.D., Eun Joo Lee, M.D., Ph.D., Gyu Young Hur, M.D., Ph.D., Eun Hae Kang, M.D., Ph.D., Ki Hwan Jung, M.D., Ph.D., Sung Yong Lee, M.D., Ph.D., Je Hyeong Kim, M.D., Ph.D., Sang Yeub Lee, M.D., Ph.D., Chol Shin, M.D., Ph.D., Jae Jeong Shim, M.D., Ph.D., Kwang Ho In, M.D., Ph.D., Kyung Ho Kang, M.D., Ph.D., Se Hwa Yoo, M.D., Ph.D.

Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Address for correspondence: Se Hwa Yoo, M.D., Ph.D. Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, 126-1, Anam-dong 5-ga, Seongbuk-gu, Seoul 136-705, Korea. Phone: 82-2-920-5314, Fax: 82-2-929-2045, yoosh47@unitel.co.kr

Received 29 April 2008       Accepted 25 August 2008

Copyright © 2008 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Exogenous lipoid pneumonia is an uncommon disease that's caused by aspirating lipid formulations. Squalene, obtained from shark liver oil, is one of the causative agent and this is commonly used by some Koreans as a health promoting medication. We report here on a case of exogenous lipoid pneumonia that developed after ingestion of squalene capsules. The case showed milky BAL fluid and multiple pulmonary consolidations.

Keywords: Pneumonia, Lipid, Bronchoalveolar lavage fluid, Squalene

Figures and Tables

Figure 1
Chest radiograph on admission reveals the patchy consolidation on RML and LLL.
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Figure 2
Chest CT demonstrates the relatively low-attenuating consolidation with multifocal patchy ground glass opacity in RML, lingular segment, and LLL.
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Figure 3
Gross appearance of the bronchoalveolar lavage fluid demonstrates "milky appearance with yellowish supernatant material."
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Figure 4
BAL fluid (A) and lung tissue specimen from video-assisted thoracic biopsy (B) show diffuse collection of foamy alveolar macrophages in the alveolar spaces and bronchiolar lumina with severe inflammation (Sudan III stain, ×100).
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