One case of severe exogenous lipoid pneumonia complicated with lung abscess caused by diesel inhalation

VernacularTitle:柴油吸入致重症外源性类脂性肺炎并发肺脓肿1例
Author: Jinxia WANG ¹ ; Binbin WANG ; Honggang CHEN ; Shengliang HE ; Rongjia YANG ; Fengfeng LEI
Author Information

1. 甘肃中医药大学第一临床医学院，兰州　730000
Keywords: Pneumonia; Diesel oil; Exogenous lipoid pneumonia; Bronchoalveolar lavage; Klebsiella pneumonia; Lung abscess
From: Chinese Journal of Industrial Hygiene and Occupational Diseases 2023;41(9):695-699
CountryChina
Language:Chinese
Abstract: Exogenous lipoid pneumonia is an inflammatory response to the lungs caused by inhaled lipid substances, which is prone to secondary bacterial infection, resulting in the formation of local abscesses, which can be life-threatening in severe cases. This paper reports a case of a 55-year-old patient with diesel aspiration, secondary to Klebsiella pneumoniae (ESBL positive) and Candida glabrata infection resulting in lung abscess formation. He was treated with a variety of antibacterial drugs for anti-infection, non-invasive ventilator ventilation, bronchoalveolar lavage, glucocorticoids, phlegm and other medical treatments. Finally, he underwent middle lobectomy for improvement and was discharged from the hospital, and he recovered well with regular follow-up.