@article{ref1,
title="[Lipoid pneumonia following attempted suicide by intravenous injection of lamp oil]",
journal="Medizinische klinik (Munich, Germany : 1983)",
year="2001",
author="Perings, S. M. and Hennersdorf, M. and Koch, J. A. and Perings, C. and Kelm, M. and Heintzen, M. P. and Strauer, B. E.",
volume="96",
number="11",
pages="685-688",
abstract="BACKGROUND: Pneumonic complications after intoxication with mineral oils have been described before in the contents of accidental aspiration and oral ingestion. However, intoxication following an intravenous injection leading to a lipoid pneumonia after an attempted suicide is a rare finding. CASE REPORT: A case report is presented of an attempted suicide by intravenously self-injection of 20 ml lamp oil (liquid paraffin). Immediately after injection the patient suffered from dry coughing which changed in the course of the next hours into a productive cough with white thick mucous sputum accompanied by hemoptysis. Additionally, he developed a mild disseminated intravascular coagulation with a fall of thrombocytes, an INR of 1.6 and a rise of D-dimeres. Under a therapy with hydrocortisone, ascorbic acid, ambroxol, acetylcysteine, heparin, antibiotics and oxygen, the patient improved without the need of mechanical ventilation. Initially seen signs of right heart dilatation diminished 3 days after onset of therapy. Apart from pulmonal manifestation no relevant organ damage was observed. The patient was discharged from the intensive care unit 9 days after intoxication and was submitted to psychiatric therapy. CONCLUSION: Lipoid pneumonia caused by intoxication with a mineral oil is a severe disease, whereas in the presented case a relative bland course of the disease has been seen. The employed therapy in this patient might be encouraging for a comparable treatment of pneumological complications resulting from similar clinical pictures.<p /><p>Language: de</p>",
language="de",
issn="0723-5003",
doi="10.1007/pl00002161",
url="http://dx.doi.org/10.1007/pl00002161"
}