CASE REPORT article
Front. Med.
Sec. Pulmonary Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1596160
Exogenous lipoid pneumonia due to medical aspiration of paraffin oil：A case report and literature review
Provisionally accepted
- Taizhou Traditional Chinese Medicine Hospital, Taizhou, China
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TheThis case report describes a case of exogenous lipoid pneumonia (ELP) due to medical aspiration of paraffin oil. The patient in this case report was An 87-year-old male who had been usingwas hospitalized with bedridden, dysphagic dysphagia. Two days after being given nasal paraffin oil for laxative purposes. Two days later, the patient developed high fever and respiratory distress. Blood gas analysis showed a PaCO2 of 33 mmHg in the room air. CT scan of the chest showed multiple ground glass opacity with solid lesions. The patient then underwent bronchoscopy, and large quantities of oily turbid fluid was found in the bronchoalveolar lavage fluid (BALF).Further cytological analysis of the BALF showed 35% phagocytes, 60% neutrophils, and 5% lymphocytes. The patient was diagnosed with ELP based on a history of paraffin oil exposure, CT imaging of the chest, and cytological examination. Despite our aggressive anti-inflammatory and anti-infective treatment, the patient eventually passed away due to advanced age and multiple complications. Aspiration of oily substances is the most important risk factor for ELP. As the clinical presentation For people at high risk of ELPmisadministration, a suitable naso-intestinal tube is varied, its diagnosis requires a combination of risk factor exposure history, radiographic imaging, cytologicalmore appropriate for feeding and histopathological examinationmedication.
Keywords: case report, Paraffin Oil, Respiratory Aspiration, nasogastric tubeintubation, gastrointestinal, exogenous lipoid pneumonia 40 41
Received: 21 Mar 2025; Accepted: 18 Jun 2025.
Copyright: © 2025 Li, Ren and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Conglin Ren, Taizhou Traditional Chinese Medicine Hospital, Taizhou, China
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