TY  - JOUR
PY  - 2001//
TI  - [Lipoid pneumonia following attempted suicide by intravenous injection of lamp oil]
JO  - Medizinische klinik (Munich, Germany : 1983)
A1  - Perings, S. M.
A1  - Hennersdorf, M.
A1  - Koch, J. A.
A1  - Perings, C.
A1  - Kelm, M.
A1  - Heintzen, M. P.
A1  - Strauer, B. E.
SP  - 685
EP  - 688
VL  - 96
IS  - 11
N2  - 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>
LA  - de
SN  - 0723-5003
UR  - http://dx.doi.org/10.1007/pl00002161
ID  - ref1
ER  -