Journal List > Tuberc Respir Dis > v.67(2) > 1001407

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Noh, Kim, Cho, Kim, Shin, Shin, Song, Hwang, Kim, Kim, Yang, and Jeong: Two Cases of Chemical Pneumonitis Induced by Hydrocarbon Aspiration
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2009; 67(2): 148-153.

Published online: 31 August 2009

DOI: https://doi.org/10.4046/trd.2009.67.2.148

Two Cases of Chemical Pneumonitis Induced by Hydrocarbon Aspiration

Dong-Hyo Noh, M.D., Hak-Ryul Kim, M.D., Kyung-Hwa Cho, M.D., Dong Kim, M.D., Seong-Nam Shin, M.D., Jeong-Hyun Shin, M.D., Jung-Sub Song, M.D., Ki-Eun Hwang, M.D., So-Young Kim, M.D., Hwi-Jung Kim, M.D., Sei-Hoon Yang, M.D., Eun-Taik Jeong, M.D.

Division of Pulmonary, Department of Internal Medicine, College of Medicine, Wonkwang University, Iksan, Korea.

Address for correspondence: Hak-Ryul Kim, M.D. Department of Internal Medicine, College of Medicine, Wonkwang University, 344-2, shinyong-dong, Iksan 570-180, Korea. Phone: 82-63-859-2583, Fax: 82-63-855-2025, kshryj@wonkwang.ac.kr

Received 29 July 2009       Accepted 7 August 2009

Copyright©2009. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Chemical pneumonitis induced by hydrocarbon aspiration is rare in Korea. Kerosene is a petroleum distillate with low viscosity and high volatility. We report two adult cases of chemical pneumonitis caused by the accidental aspiration of kerosene. They were treated successfully with antibiotics and systemic corticosteroids, and recovered without complications.

Keywords: Hydrocarbon aspiration, Kerosene, Chemical pneumonitis

Figures and Tables

Figure 1
(A) Chest X-ray shows consolidation on right lower lung field at admission. (B) Chest CT shows wedge-shaped inhomogenous consolidation on right middle lobe at admission. (C, D) Bronchoscopic findings demonstrates erythematous mucosal swelling on trachea and right middle lobar bronchus at admission.
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Figure 2
Follow-up chest radiography shows improved lesion.
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Figure 3
(A) Chest X-ray shows mass-like density with distinct margin on right lower lung field at admission. (B) Chest CT shows air bronchogram and consolidation on right middle lobe at admission. (C) On the 2nd hospital day, Bronchoscopic finding demonstrates fresh red blood on right middle lobe lateral segment.
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Figure 4
(A) On the 9th hospital day, follow-up chest radiography shows improved lesion. (B) Bronchoscopic finding demonstrates no bleeding and newly detected mucosal elevated lesion on right middle lobar bronchus.
trd-67-148-g004

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