Exogenous lipoid pneumonia (ELP) is an uncommon cause of respiratory distress. The practice of oil massage and oil instillation into the nostrils is common in the Indian subcontinent. Accidental aspiration of baby oil may lead to significant chemical pneumonitis. This presentation may vary from subtle to severe respiratory distress requiring intensive care management. Spontaneous air leaks are rare in acute ELP. We successfully managed a six-month-old girl presenting with mineral oil-induced ELP and air leaks. However, these children require long-term follow-up, as a small proportion may evolve into chronic lung disease.
BalakrishnanS. Lipoid pneumonia in infants and children in South India. Br Med J1973; 4: 329–331.
2.
HaddaVKhilnaniGCBhallaAS, et al.Lipoid pneumonia presenting as non-resolving community acquired pneumonia: a case report. Cases J2009; 2: 9332–9332.
3.
LaughlenGF. Studies on pneumonia following naso-pharyngeal injections of oil. Am J Pathol1925; 1: 407–414.
4.
AnnobilSHel TahirMKameswaranM, et al.Olive oil aspiration pneumonia (lipoid) in children. Trop Med Int Health1997; 2: 383–388.
5.
GondouinAManzoniPRanfaingE, et al.Exogenous lipid pneumonia: a retrospective multicentre study of 44 cases in France. Eur Respir J1996; 9: 1463–1469.
6.
BetancourtSLMartinez-JimenezSRossiSE, et al.Lipoid pneumonia: spectrum of clinical and radiologic manifestations. AJR Am J Roentgenol2010; 194: 103–109.
SiasSMADaltroPAMarchioriE, et al.Clinic and radiological improvement of lipoid pneumonia with multiple bronchoalveolar lavages. Pediatr Pulmonol2009; 44: 309–315.
9.
ModaresiMDadkhahMSayediSJ. Exogenous lipoid pneumonia: dramatic clinical and radiological improvement after multiple segmental bronchoalveolar lavages. Iran J Pediatr2015; 25: e3172–e3172.
