Therapeutic Lung Lavage in Severe Exogenous Lipoid Pneumonia Following Sewing Machine Oil Ingestion.

Authors

Anujna Anujna, Daisy Khera, Lokesh M R, Ayush Shrivastava, Shrishail A J, Sathya Srivatsav, Kkomal C Suvarna, Taruna Yadav, Jagdish Prasad Goyal

Published in

Indian journal of pediatrics. Jun 29, 2026. Epub Jun 29, 2026.

Abstract

Exogenous lipoid pneumonia (ELP) is an uncommon inflammatory lung disease caused by aspiration of lipid substances and may progress to respiratory failure. We report a 4-y-old child who developed respiratory distress following sewing machine oil ingestion. Imaging revealed bilateral consolidation with multiple pneumatoceles complicated by bilateral pneumothoraces requiring intercostal drainage. Despite supportive care and corticosteroid therapy, the child developed respiratory failure necessitating mechanical ventilation, tracheostomy, and pleurodesis for persistent pneumothoraces. Repeat chest computed tomography demonstrated characteristic fat attenuation suggestive of ELP. In view of persistent respiratory distress and inability to wean off from ventilation, partial bilateral therapeutic lung lavage was performed, yielding milky-white fluid, following which gradual improvement was observed and ventilatory support was successfully weaned.

PMID:
42371387
Bibliographic data and abstract were imported from PubMed on 29 Jun 2026.

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