A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia

A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-fi...

Descripción completa

Detalles Bibliográficos
Autores principales: Quan, Michelle A., Hoerger, Joshua L., Mullins, Elizabeth H., Kuhn, Brooks T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8753074/
https://www.ncbi.nlm.nih.gov/pubmed/35001693
http://dx.doi.org/10.1177/23247096211055334
_version_ 1784632014301822976
author Quan, Michelle A.
Hoerger, Joshua L.
Mullins, Elizabeth H.
Kuhn, Brooks T.
author_facet Quan, Michelle A.
Hoerger, Joshua L.
Mullins, Elizabeth H.
Kuhn, Brooks T.
author_sort Quan, Michelle A.
collection PubMed
description A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-filled vacuoles and negative periodic acid-Schiff (PAS) stain. Further history obtained from the patient and family was notable for daily application of commercially available vapor rub to nares and intentional deep inhalation of nebulized fluids containing scented oils. The patient was diagnosed with exogenous lipoid pneumonia through an unusual route of lipid administration.
format Online
Article
Text
id pubmed-8753074
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-87530742022-01-13 A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia Quan, Michelle A. Hoerger, Joshua L. Mullins, Elizabeth H. Kuhn, Brooks T. J Investig Med High Impact Case Rep Case Report A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-filled vacuoles and negative periodic acid-Schiff (PAS) stain. Further history obtained from the patient and family was notable for daily application of commercially available vapor rub to nares and intentional deep inhalation of nebulized fluids containing scented oils. The patient was diagnosed with exogenous lipoid pneumonia through an unusual route of lipid administration. SAGE Publications 2022-01-10 /pmc/articles/PMC8753074/ /pubmed/35001693 http://dx.doi.org/10.1177/23247096211055334 Text en © 2022 American Federation for Medical Research https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Quan, Michelle A.
Hoerger, Joshua L.
Mullins, Elizabeth H.
Kuhn, Brooks T.
A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title_full A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title_fullStr A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title_full_unstemmed A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title_short A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
title_sort 66-year-old man with subacute cough and worsening dyspnea previously diagnosed with covid-19 pneumonia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8753074/
https://www.ncbi.nlm.nih.gov/pubmed/35001693
http://dx.doi.org/10.1177/23247096211055334
work_keys_str_mv AT quanmichellea a66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT hoergerjoshual a66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT mullinselizabethh a66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT kuhnbrookst a66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT quanmichellea 66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT hoergerjoshual 66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT mullinselizabethh 66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia
AT kuhnbrookst 66yearoldmanwithsubacutecoughandworseningdyspneapreviouslydiagnosedwithcovid19pneumonia

Ejemplares similares