경유 흡인에 의한 급성 외인성 지질폐렴: 증례 보고 = Acute Exogenous Lipoid Pneumonitis Following Siphoning of Diesel Fuel: A Case Report

다국어 초록 (Multilingual Abstract)

Acute exogenous lipoid pneumonitis is a kind of chemical pneumonitis following the aspiration of volatile hydrocarbon compounds. The clinical and radiological findings are nonspecific. However, it can be diagnosed by the presence of lipid-laden macrophages in bronchoalveolar lavage fluid on the basis of a history of petroleum-based product aspiration. Herein, we report acute exogenous lipoid pneumonitis after unintentional aspiration of diesel fuel during siphonage in a 31-year-old male. Initially the patient had cough, chest pain, and blood-tinged sputum. The purpose of this case report is to review the radiologic manifestations and the previous literatures.

국문 초록 (Abstract)

급성 외인성 지질폐렴은 화학폐렴 중 한 종류로서 휘발성 탄화수소 복합체를 흡인함으로써 발생한다. 임상적 소견 및 영상의학적 소견은 비특이적일 수 있으나, 석유 관련 산물을 흡인했다는 과거력과 함께 기관지폐포세척으로 얻은 검체에서 지질 함유 대식세포를 확인하면 진단이 가능하다. 저자들은 31세 남자가 중장비 수리 도중 경유를 흡인(siphonage)한 후 기침 및 가슴통증, 혈액 흔적 가래를 주소로 내원하여 진단된 급성 외인성 지질폐렴 증례를 보고하고 관련 문헌을 고찰하고자 한다.

참고문헌 (Reference)

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• 6 Marchiori E, "Exogenous lipoid pneumonia. Clinical and radiological manifestations" 105 : 659-666, 2011
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• 8 Yi MS, "CT findings in hydrocarbon pneumonitis after diesel fuel siphonage" 193 : 1118-1121, 2009