A Case of Severe Lipoid Pneumonia Faunctionally Improved While Long Term Follow-up

Keimyung Medical Journal 2011;30(2):260-269.

장기간의 추적관찰 중 환기 정상화가 이루어진 중증 지방성 폐렴 1례

최진혁; 금동윤; 이희정; 안강모; 황진복

Abstract

Lipoid pneumonia is an exogenous pneumonia caused by the aspiration of oil. The therapeutic options include the following: use of steroids; bronchoalveloar lavage; whole lung lavage; surgical resection; antibiotics; and oxygen support. However; the only proven therapy is discontinuation of the insulting material. In pediatric patients the lungs are still developing; thus they can recover from the damage caused by chronic; severe lipoid pneumonia. We report the case of a 23-month-old boy diagnosed with lipoid pneumonia; who had growth retardation and a history of squalene ingestion daily for 20 months. He was unresponsive to conservative therapy; but improved progressively; having gained weight via nutritional support during 28 months follow-up

Key Words: Lipid, Nutritional support, Pneumonia, Squalene