Exogenous Lipoid Pneumonia: An Unexpected Complication of Substance Abuse
Authors: Michael N. Gurell, R. Matthew Kottmann, Haodong Xu, Patricia J. Sime
Journal: Annals of Internal Medicine (2008)

Letters2 September 2008Exogenous Lipoid Pneumonia: An Unexpected Complication of Substance AbuseMichael N. Gurell, MD, R. Matthew Kottmann, MD, Haodong Xu, MD, and Patricia J. Sime, MDMichael N. Gurell, MDFrom the University of Rochester, Rochester, NY 14642.Search for more papers by this author, R. Matthew Kottmann, MDFrom the University of Rochester, Rochester, NY 14642.Search for more papers by this author, Haodong Xu, MDFrom the University of Rochester, Rochester, NY 14642.Search for more papers by this author, and Patricia J. Sime, MDFrom the University of Rochester, Rochester, NY 14642.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-5-200809020-00027 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Exogenous lipoid pneumonia is an uncommon cause of pulmonary infiltrates resulting from aspiration or inhalation of fat-like material. It is often unrecognized because its symptoms and radiographic appearances are nonspecific and mimic many pulmonary diseases. Generally, affected patients use oil-based laxatives and have risk factors for aspiration. It is not classically considered a consequence of substance abuse.Objective: To describe a patient with exogenous lipoid pneumonia caused by inhalation of crack cocaine mixed with petroleum jelly.Case Report: A 42-year-old black man was evaluated for a 6-month history of progressively worsening dyspnea on exertion. He denied associated symptoms, including ...References1. Spickard A, Hirschmann JV. Exogenous lipoid pneumonia. Arch Intern Med. 1994;154:686-92. [PMID: 8129503] CrossrefMedlineGoogle Scholar2. Baron SE, Haramati LB, Rivera VT. Radiological and clinical findings in acute and chronic exogenous lipoid pneumonia. J Thorac Imaging. 2003;18:217-24. [PMID: 14561906] CrossrefMedlineGoogle Scholar3. Gondouin A, Manzoni P, Ranfaing E, Brun J, Cadranel J, Sadoun D, et al. Exogenous lipid pneumonia: a retrospective multicentre study of 44 cases in France. Eur Respir J. 1996;9:1463-9. [PMID: 8836660] CrossrefMedlineGoogle Scholar4. Russo R, Chiumello D, Cassani G, Maiocchi G, Gattinoni L. Case of exogenous lipoid pneumonia: steroid therapy and lung lavage with an emulsifier. Anesthesiology. 2006;104:197-8. [PMID: 16394707] CrossrefMedlineGoogle Scholar5. Vethanayagam D, Pugsley S, Dunn EJ, Russell D, Kay JM, Allen C. Exogenous lipid pneumonia related to smoking weed oil following cadaveric renal transplantation. Can Respir J. 2000;7:338-42. [PMID: 10980460] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Michael N. Gurell, MD; R. Matthew Kottmann, MD; Haodong Xu, MD; Patricia J. Sime, MDAffiliations: From the University of Rochester, Rochester, NY 14642.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPresenting Clinicoradiologic Features, Causes, and Clinical Course of Exogenous Lipoid Pneumonia in AdultsE-cigarettes: What evidence links vaping to acute lung injury and respiratory failure?A Case of Autopsy-Proven Exogenous Lipoid Pneumonia in a 100-Year-Old Woman: An Unexpected Complication of Sputum SuctionStudy of Acute Exogenous Lipoid PneumoniaHigh-Resolution Computed Tomographic Findings of Cocaine-Induced Pulmonary Disease: A State of the Art ReviewStimulants and the LungAn Unexpected Consequence of Electronic Cigarette UseAcute respiratory distress associated with inhaled hydrocarbonDrugs of abuseLipoid pneumonia: an overviewImagerie de la pneumopathie huileuseOf Lungs, Lipids, and Lollipops 2 September 2008Volume 149, Issue 5Page: 364-365KeywordsBiopsyCocaineLipidsLungsPneumoniaPneumonitisSteroidsSubstance abuseSurgeryThorax ePublished: 2 September 2008 Issue Published: 2 September 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...