Hydrocarbon aspiration from fire-eating can result in severe necrotising pneumonia with complex cyst formation and large pleural effusions. Despite this, there is usually minimal persistent lung injury. We report the progress of two clinical cases, one of whom is the first reported case of citronella oil aspiration.
BrushwoodB.The professional's guide to fire eating.Austin, Texas: Bizarre Magic2002.
2.
ShustermanE.M., WilliamsS.R., ChildersB.J.Soft tissue injection of hydrocarbons: a case report and review of the literature.J Emerg Med1999; 17: 63–65.
MickiewiczM., GomezH.F.Hydrocarbon toxicity: General review and management guidelines.Air Med J2001; 20: 8–11.
9.
PressE.Co-operative kerosene poisoning study: evaluation of gastric lavage and other factors in the treatment of accidental ingestion of petroleum distillation products.Pediatrics1962; 29: 648–674.
ReeseE., KimbroughR.D.Acute toxicity of gasoline and some additives.Environ Health Perspect1993; 101: 115S–131S.
12.
GentinaT., Tillie-LeblondI., BirolleauS., SaidiF., SaelensT., BoudouxL.Fire-eater's lung. Seventeen cases and a review of the literature.Medicine2001; 80: 291–297.
13.
BurkhardtO., MerkerH-J, ShakibaeiM., LodeH.Electron microscopic findings in BAL of a fire-eater after petroleum aspiration.Chest2003; 124: 398–400.
EwertR., LindemannI., RombergB., PetriF., WittC.The accidental aspiration and ingestion of petroleum in a “fire eater”.Deutsche Medizinische Wochenschrift1992; 117: 1594–1598.
19.
SegevD., SzoldO., FiremanE., KlugerY., SorkineP.Kerosene-induced severe respiratory failure in near drowning: Reports of four cases and review of the literature.Crit Care Med1999; 27: 1437–1440.
20.
YuM-C, LinJ-L, WuC-T, HsiaS-H, LeeF.Multiple organ failure following lamp oil aspiration.Clin Toxicol (Phila)2007; 45: 304–306.
NogueS., SanzP., BorondoJ.C., PiconM., de la RedG., MestreG.Fatal lipoid pneumonia due to bronco-aspiration of isopar-affin after ingestion of an organophosphate insecticide.Acta Anaesthesiol Scand2003; 47: 777–779.
27.
YokohoriN., TairaM., KameyamaS., KanemuraT., KondoM., TamaokiJ.Acute form of exogenous lipoid pneumonia caused by inhalation of liquid paraffin in a fire-eater.Nihon Kokyuki Gakkai Zasshi2002; 40: 588–593.
28.
DongayG., LevadeT., CarateroA., SalvayreR., LauqueD., CarlesP.Alveolar paraffinosis: cytologic and biochemical study of bronchiolo-alveolar lavage fluid.Rev Mal Respir1985; 2: 231–237.
29.
HeckersH., MelcherF.W., DittmarK., KalinowskiH.O.Paraffin oil pneumonia. Analysis of saturated hydrocarbons in different human tissue.J Chromatogr1978; 146: 91–102.
30.
SteeleR.W., ConklinR.H., MarkH.M.Corticosteroids and antibiotics for the treatment of fulminant hydrocarbon aspiration.JAMA1972; 219: 1434–1437.
31.
MarksM.I., ChicoineL., LegereG., HillmanE.Adrenocorticosteroid treatment of hydrocarbon pneumonia in children—a cooperative study.J Pediatr1972; 81: 366–369.
32.
KennedyG.A., KanterR.K., WeinerL.B., TompkinsJ.M.Can early bacterial complications of aspiration with respiratory failure be predicted?Pediatr Emerg Care1992; 8: 123–125.
DavidM., HeinrichsW.High-frequency oscillatory ventilation and an interventional lung assist device to treat hypoxaemia and hypercapnia.Br J Anaesth2004; 93: 582–586.
BysaniG.K., RucobaR.J., NoahZ.L.Treatment of hydrocarbon pneumonitis. High frequency jet ventilation as an alternative to extracorporeal membrane oxygenation.Chest1994; 106: 300–303.
