SAHiN, Füsun Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve AraĢtırma Hastanesi - Göğüs Hastalıkları Bölümü, turkey , BAYRAKTAROĞLU, Mesut Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve AraĢtırma Hastanesi - Göğüs Hastalıkları Bölümü, turkey , ÖZGÜL, Güler Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve AraĢtırma Hastanesi - Göğüs Hastalıkları Bölümü, turkey , GÖRGÜN, Didem Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve AraĢtırma Hastanesi - Göğüs Hastalıkları Bölümü, turkey , YILDIZ, Pınar Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve AraĢtırma Hastanesi - Göğüs Hastalıkları Bölümü, turkey

FIRE EATER’S PNEUMONIA: TWO PNEUMONIA CASES CAUSED BY ASPIRATİON OF LIQUID HYDROCARBON PRODUCTS

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Fire eater‟s pneumonia is a chemical pneumonitis that results from aspiration of petroleum or other hydrocarbon products. Two males (29 and 22 years old) admitted to our emergency room with cough, fever, dyspnea and expectorating symptoms after accidentally aspirating liquid hydrocarbon during the flameblowing show are presented here. Chest X-ray revealed multiple opasities at lower zones that overlap both diaphgrams and partially the heart contours in the first case. Clinical response was seen after third day with antibiotics, bronchodilators and oxygen support. Thoracic computerized tomography taken on the 7. day of therapy revealed dense minimal pleural fluid on the right side; and solid paranchymal mass formations, ground glass appearance and pulmonary nodules located bilaterally at lower lobes. Six months after the aspiration computed tomography demonstrated only a discrete scarring at the right paradiaphragmatic areas instead of pleural effusion and opasities. The chest x-ray of the second case revealed almost homogenous hyperdenseareas at right middle and lower zones that do not overlap heart and diphragm contours. The thoracic CT revealed consolidated area at right middle lobe lateral segment,tiny noduler components in right middle lobe medial and lower lobe lateral basal segments, bronchopneumonic consolidation areas and accompanying peribronchovascular thickening at left lower lobe. Clinical response was seen after second day of antibiotic, bronchodilator and oxygen treatment. Total radiological cleaning was seen after one month. Diagnosis is easy by a careful history taking and evaluation of clinical features in this disease which is presented as an acute and serious table. Patients have a good response to symptomatic treatment including antibiotherapy. Radiological cleaning is slower and late compared to clinical healing. Therefore, radiological follow up should be done.

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Fire eater s pneumoniae , liquid hydrocarbon , aspiration

Journal Of Istanbul Faculty Of Medicine

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