Curr Health Sci J, vol. 42, no. 3, 2016
Fatal Evolution in the Pneumonia Caused by Diesel Fuel Aspiration - Case Report
[Case report]
ILEANA OCTAVIA PETRESCU(1), CARMEN SIMONA COSOVEANU(1), ADRIANA POPA(2), LILIANA STANCA(3), F. PETRESCU(4), RODICA DIANA TUDORASCU(4), M.V. BOLDEANU(5), MARIA FORTOFOIU(6)
(1)Discipline of Pediatrics, University of Medicine and Pharmacy of Craiova, Romania,
(2)Department of Anaesthesiology and Intensive Care, Craiova, Romania,
(3)Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, Romania,
(4)Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, Romania,
(5)Discipline of Immunology, University of Medicine and Pharmacy of Craiova, Romania,
(6)Department of Emergency Medicine, University of Medicine and Pharmacy of Craiova, Romania
Abstract:
Aspiration pneumonia in infants emerges as a result of deglutition disorders, congenital malformations and severe gastroesophageal reflux. Hydrocarbon pneumonitis is caused by the accidental ingestion and aspiration of hydrocarbons into the body. In children, it can be seen as a result of both the lack of monitoring and the tendency for the exploration of the environment. The accidental ingestion of a large quantity is quite rare due to the bad taste of hydrocarbons. Initially, the central nervous system is the one affected, followed by the respiratory system, causing the chemical pneumonia (through direct injury of the lung). Furthermore, we shall present the case of an 18 month infant with severe trauma as a result of the accidental ingestion of diesel, followed by vomiting and who was brought late to the hospital. The pneumothorax that emerged as a complication was remitted after the treatment, but the initially chemical and then mixed pneumonia through bacterial overinfection led to the infant’s death after 12 days of medical attention in the Anesthesia and Intensive Care Unit. The histopathological examination of the analyzed lung fragments did not point out any lipid or foam cells that are characteristic to this type of pathology, but which are not mentioned by the majority of toxicology textbooks and those of pathological anatomy, through the low rate of mortality and numerous factors that can lead to negative false results
Keywords: pneumonia, aspiration, children
Corresponding: Associate Professor Ileana Petrescu, M.D., Ph.D., Discipline of Pediatrics, University of Medicine and Pharmacy Craiova, 2nd Pediatric Clinic, Emergency County Hospital Craiova, Romania, 1, Tabaci Street, Craiova, Dolj County; e-mail: petrescu_ileana@yahoo.com
DOI 10.12865/CHSJ.42.03.10 - Download PDF Fatal Evolution in the Pneumonia Caused by Diesel Fuel Aspiration - Case Report PDF
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