A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia

A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia

A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-fi...

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Veröffentlicht in:JIM - high impact case reports 2022-01, Vol.10, p.23247096211055334-23247096211055334
Hauptverfasser: Quan, Michelle A., Hoerger, Joshua L., Mullins, Elizabeth H., Kuhn, Brooks T.
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Case Report
Case reports
Cough
COVID-19
Dyspnea
Humans
Male
Pneumonia
Pneumonia, Lipid
SARS-CoV-2
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Zusammenfassung:A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-filled vacuoles and negative periodic acid-Schiff (PAS) stain. Further history obtained from the patient and family was notable for daily application of commercially available vapor rub to nares and intentional deep inhalation of nebulized fluids containing scented oils. The patient was diagnosed with exogenous lipoid pneumonia through an unusual route of lipid administration.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096211055334