Entwicklung einer lipoiden Pneumonie als Folge einer intravenösen Injektion von Lampenöl in suizidaler Absicht View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-11

AUTHORS

Stefan M. Perings, Marcus Hennersdorf, Jens-Albrecht Koch, Christian Perings, Malte Kelm, Matthias P. Heintzen, Bodo E. Strauer

ABSTRACT

Background: Pneumonic complications after intoxication with mineral oils have been described before in the contents of accidental aspiration and oral ingestion. However, intoxication following an intravenous injection leading to a lipoid pneumonia after an attempted suicide is a rare finding.Case Report: A case report is presented of an attempted suicide by intravenously self-injection of 20 ml lamp oil (liquid paraffin). Immediately after injection the patient suffered from dry coughing which changed in the course of the next hours into a productive cough with white thick mucous sputum accompanied by hemoptysis. Additionally, he developed a mild disseminated intravascular coagulation with a fall of thrombocytes, an INR of 1.6 and a rise of D-dimeres. Under a therapy with hydrocortisone, ascorbic acid, ambroxol, acetylcysteine, heparin, antibiotics and oxygen, the patient improved without the need of mechanical ventilation. Initially seen signs of right heart dilatation diminished 3 days after onset of therapy. Apart from pulmonal manifestation no relevant organ damage was observed. The patient was discharged from the intensive care unit 9 days after intoxication and was submitted to psychiatric therapy.Conclusion: Lipoid pneumonia caused by intoxication with a mineral oil is a severe disease, whereas in the presented case a relative bland course of the disease has been seen. The employed therapy in this patient might be encouraging for a comparable treatment of pneumological complications resulting from similar clinical pictures. More... »

PAGES

685-688

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/pl00002161

DOI

http://dx.doi.org/10.1007/pl00002161

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010767074

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11760657


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