Investigation of focal necrotizing pneumonia after diesel fuel ingestion

Krystian Ciechański
ID
Email src
Agnieszka Radzka
ID
Email src
Klaudia Brożyna
ID
Jędrzej Tkaczyk
ID
Aleksandra Kędziora
ID
Michał Tchórz
ID
Student’s Scientific Group at the Toxicology Clinic of Medical University of Lublin, Lublin, Poland
Student’s Scientific Group at the Toxicology Clinic of Medical University of Lublin, Lublin, Poland
Student’s Scientific Group at the Toxicology Clinic of Medical University of Lublin, Lublin, Poland
Student’s Scientific Group at the Toxicology Clinic of Medical University of Lublin, Lublin, Poland
Student’s Research Group at Chair and Departament of Epidemiology and Clinical Research Metodology Medical University of Lublin, Lublin, Poland
Toxicology Clinic of Medical University of Lublin Lublin, Poland
Received: 21 April 2018 / Accepted: 22 May 2018 / Published: 30 June 2018

Abstract

Introduction. Diesel oil is a mixture of hydrocarbons. These compounds are widely used in  everyday life. Oral exposures are most often accidental and affect mainly children, but they also happen in adults. Oral ingestion may lead to aspiration of pulmonary alveoli which may cause necrotizing pneumonia.

Aim. The aim of the study is to assess te severity of diesel oil intoxication on an example of a presented case.

Material and methods. The analysis of the clinical patient history and review of available literature.

Results. A 27 year old patient was admitted to the toxicology department due to accidental diesel poisoning. Patient drank a small amount diesel oil, then suffered nausea and vomiting, which resulted in aspiration of diesel to respiratory system. During hospitalization focal necrotizing pneumonia was diagnosed. Patient was treated with intensive specific pharmacotherapy. On the 11th day of stay, the patient was discharged with recommendation of control in the pulmonological and toxicological clinic and chest x-ray examination in order to diagnose the suspicious oval change discovered in the right lobe during hospitalization.

Conclusion. First toxicity symptoms  are non-specific, so well collected anamnesis is crucial. Complications of hydrocarbon ingestion can be a threat to patient’s life. Due to rarity of the problem, there are no clearly defined treatment guidelines.
 

Cite

Ciechański K, Radzka A, Brożyna K et al. Investigation of focal necrotizing pneumonia after diesel fuel ingestion. Eur J Clin Exp Med. 2018;16(2):159–162. doi: 10.15584/ejcem.2018.2.13

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited