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Dtsch. Med. Wochenschr. · Dec 2020
Case Reports[Aspiration pneumonia after ingestion of kerosene - lamp oil is not a remedy].
- Stephan Neupert.
- SRH Klinikum Naumburg, Naumburg/Saale.
- Dtsch. Med. Wochenschr. 2020 Dec 1; 145 (25): 1867-1869.
HistoryWe present the case of a 78-year old man, who developed aspiration pneumonia and consecutive sepsis after ingestion of a small amount of kerosene.Findings And DiagnosisBecause unintentional ingestion was suspected first, diagnostic clarification of dementia was requested. Extensive exploration of the patient and third-party anamnesis excluded a psychiatric illness. Instead, a strong belief in alternative medical promises of healing was revealed as the true cause.Therapy And CourseThus, psychiatric treatment was not neccessary, while physical condition improved after administration of antimicrobial substances.ConclusionsPsychiatric consultation may be helpful to diagnostically contextualize behaviour suggesting a mental illness.Thieme. All rights reserved.
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