A case report of kerosene-induced chemical pneumonia with pleural effusion and abnormal pulmonary function
10.3760/cma.j.cn101070-20191214-01244
- VernacularTitle:煤油致儿童化学性肺炎并胸腔积液、肺功能异常1例
- Author:
Bangtao LI
;
Hongai LI
;
Yuanping HAI
;
Qi WANG
;
Meijiao HUANG
;
Wei XIANG
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(8):628-630
- CountryChina
- Language:Chinese
-
Abstract:
The clinical data of a child with chemical pneumonia caused by kerosene in Hainan Maternal and Children′s Medical Center in June 2019 were retrospectively analyzed.The patient was a 2 years and 1 month old boy with a history of kerosene inhalation and fever.The clinical features included low breath sounds in the left lung and dry and wet rales in both lungs.The white blood cells (WBC) level, C-reactive protein (CRP) level, and erythrocyte se-dimentation rate (ESR) were significantly increased.Chest CT showed inhalation pneumonia.Chest ultrasound suggested medium pleural effusion on the left side.The patient was given antibiotics, nebulization and other treatment.On the 12 th day of the course of the disease, his temperature returned to normal, and breath sounds on the left side were stronger than before.The WBC level, CRP level and ESR were improved according to the re-check results, but pulmonary ventilation was still obstructed mildly to moderately.Fourteen days after hospital discharge, the patient coughed less.Reexamination of chest CT prompted the lesions were further absorbed, but the mild to moderate obstructive lesions were still observed.With the reduction of kerosene use in daily life, kerosene-induced chemical pneumonia is rare, but due to its diverse and complex clinical manifestations and slow absorption of pulmonary inflammation, attention should be paid to its progression into chronic cough.
