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Hydrocarbon pneumonitis with abscess formation following diesel siphoning
  1. Akhilesh Rajpoot,
  2. Prakhar Sharma,
  3. Arjun Kumar and
  4. Suyash Singh Rathore
  1. Pulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Prakhar Sharma; drprakhar2009{at}gmail.com

Abstract

A man in his early 40s presented with a 1-month history of fever after accidental diesel aspiration. He had received treatment with intravenous antibiotics, steroids and supportive care. Contrast-enhanced CT of the thorax revealed a right middle lobe lung abscess and bronchoscopy revealed hyperaemia around the middle lobe bronchus. The abscess was initially managed by drainage using a pigtail catheter and intravenous antibiotics. However, only partial drainage of the abscess was achieved and fever persisted. The cardiothoracic surgery team performed drainage of lung abscess through a right posterolateral thoracotomy. Postprocedure, the patient’s symptoms improved and the patient was discharged in good health. This case demonstrates a rare complication of hydrocarbon aspiration pneumonitis and lung abscess. Post acute management of diesel aspiration, patients should be advised to return for medical assessment immediately, should symptoms like persistent fever and chest pain recur or persist as these symptoms may herald the development of post-hydrocarbon-aspiration lung abscess.

  • Infections
  • Respiratory system
  • Poisoning
  • Exposures

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Footnotes

  • Twitter @suyash1096

  • Contributors AR: Data collection and manuscript preparation. PS: Manuscript drafting, editing and correction. AKN: Data collection and manuscript preparation. SSR: Data collection and manuscript preparation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.