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Leland L. Fan, MD; Leroy M. Graham, MD

Arch Pediatr Adolesc Med. 1994;148(2):205-206.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Denouement and Discussion

Lipoid Pneumonia From Mineral Oil Aspiration

A 4-month-old girl was referred for diagnostic evaluation of persistent respiratory distress and hypoxemia. She was well until age 2 months when she developed "congestion" and a "rattling" cough. She was initially treated with oral erythromycin, but slowly deteriorated with progressive respiratory distress and fever. Medical history revealed that at age 2 weeks, the patient had developed constipation. This symptom was treated successfully with oral administration of mineral oil for 10 days.

The results of the physical examination revealed a pale, well-developed 4-month-old girl in mild respiratory distress. There were diffuse inspiratory crackles and occasional expiratory wheezing on chest auscultation.

The pulse oximetry result in room air was 88%. Chest roentgenography was performed (Figure 1). Pertinent laboratory findings were as follows: complete blood cell count, 31.5x10⁶; a differential cell count of 70 segmental forms; hemoglobin, 93 g/L; hematocrit, 0.28; and platelet count, . . . [Full Text PDF of this Article]

Author Affiliations
From the Pediatric Pulmonary Division, National Jewish Center for Immunology and Respiratory Medicine, Denver, Colo (Dr Fan), and the Department of Pediatrics, Fitzsimons Army Medical Center (Dr Graham), University of Colorado School of Medicine, Denver (Drs Fan and Graham).

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