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

Michelle A. Quan, Joshua L. Hoerger, Elizabeth H. Mullins, Brooks T. Kuhn

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume10
DOIs
StatePublished - Jan 2022

Keywords

  • COVID-19
  • lipoid pneumonia
  • pulmonary critical care

ASJC Scopus subject areas

  • Epidemiology
  • Safety, Risk, Reliability and Quality
  • Safety Research

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