Pneumonia when antibiotics are not the answer

Juan Lemos-Ramirez, Ekie Vázquez-Maldonado, Gloria Soto-Pillich, Eduardo Acosta Pumarejo, Rafael Gonzalez Alonso, Ose Cumba-Bermudez, Glenda Gonzalez-Claudio

Research output: Contribution to journalArticle

Abstract

Lipoid pneumonia is a rare noninfectious pneumonia, which can usually be misdiagnosed because of its broad presentation, which can range from asymptomatic to respiratory findings such as cough, dyspnea, and hemoptysis. Lipoid pneumonia can be confused with other conditions including bacterial pneumonia, lung malignancy, and tuberculosis. We present the case of an 88-year-old bedridden man, with hypertension, multiple myeloma, coronary artery disease, ischemic stroke, seizures, dysphagia, and constipation under treatment with mineral oil. He was brought to the emergency department after 3 days of cough, dysphagia, and dyspnea, following a recent hospitalization, due to a health care-associated pneumonia. A chest computed tomography scan obtained showed bilateral multifocal opacities with consolidates described as Hounsfield units of -62, consistent with fat. A diagnosis of lipoid pneumonia was done, and mineral oil was discontinued. Given the patient's history of dysphagia, it was suspected that the mineral oil was aspirated and triggered an inflammatory response.

Original languageEnglish (US)
Pages (from-to)359-361
Number of pages3
JournalInfectious Diseases in Clinical Practice
Volume22
Issue number6
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Dysphagia
  • Hounsfield unit
  • Lipoid pneumonia
  • Mineral oil
  • pneumonia

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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  • Cite this

    Lemos-Ramirez, J., Vázquez-Maldonado, E., Soto-Pillich, G., Pumarejo, E. A., Gonzalez Alonso, R., Cumba-Bermudez, O., & Gonzalez-Claudio, G. (2014). Pneumonia when antibiotics are not the answer. Infectious Diseases in Clinical Practice, 22(6), 359-361.