[Lipoid pneumonia in patients after laryngectomy].

Abstract

Three patients with exogenous lipoid pneumonia are presented. All of them had laryngectomy because of the cancer of larynx. In a period of time ranging from a few months up to a few years after the operation they started to have dyspnoea, cough, sometimes hemoptysis and slightly elevated temperature. The chest X-ray revealed massive opacities in the lower zones of both lungs suggesting lung cancer or metastases of the laryngeal cancer. HRCT showed ground glass lesions. Histological examination of the lungs detected accumulation of multiple macrophages with vacuolated foamy cytoplasms in the alveoli. Neoplastic disease was excluded. Additional data from the patients history revealed that all of them were inhaling or administering mineral oil-containing products through the tracheostomy. Exogenous lipoid pneumonia was diagnosed. Patients were asked to stop inhalations with the mineral oil.

• Authors: Jolanta Załeska, Beata Ptaszek, Przemysław Malong, Jacek Zych, Dariusz Dziedzic, Barbara Burakowska, Jakub Ptak, Renata Langfort, Elzbieta Wiatr, Kazimierz Roszkowski-Sliz
• Journal: Otolaryngologia polska = The Polish otolaryngology (Otolaryngol Pol) Vol. 61 Issue 6 Pg. 1004-10 ( 2007) ISSN: 0030-6657 [Print] Poland
• Vernacular Title: Tluszczowe zapalenie płuc u chorych po laryngektomii.
• PMID: 18546953 (Publication Type: Case Reports, Journal Article)

Chemical References

• Emollients
• Mineral Oil

Topics

• Aged
• Emollients (adverse effects)
• Humans
• Laryngeal Neoplasms (surgery)
• Laryngectomy
• Male
• Middle Aged
• Mineral Oil (adverse effects)
• Pneumonia, Lipid (chemically induced, diagnostic imaging, pathology)
• Tomography, X-Ray Computed