• Geriatr Gerontol Int · Jan 2013

    Case Reports

    Acute exogenous lipoid pneumonia caused by accidental kerosene ingestion in an elderly patient with dementia: a case report.

    • Hiroshi Gotanda, Yumi Kameyama, Yasuhiro Yamaguchi, Masaki Ishii, Yoko Hanaoka, Hiroshi Yamamoto, Sumito Ogawa, Katsuya Iijima, Masahiro Akishita, and Yasuyoshi Ouchi.
    • Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
    • Geriatr Gerontol Int. 2013 Jan 1; 13 (1): 222-5.

    AbstractAcute exogenous lipoid pneumonia is an uncommon condition caused by aspiration of oil-based substances, occurring mainly in children. Here, we report the case of an 83-year-old patient with Alzheimer's disease who presented with coughing and hypoxia. The diagnosis of acute exogenous lipoid pneumonia caused by accidental kerosene ingestion was made on the basis of the patient's clinical history, and typical radiological and cytological findings. The patient's cognitive impairment and an unsafe environment, in which the patient's 91-year-old husband stored kerosene in an old shochu bottle, were responsible for the accidental ingestion. Acute exogenous lipoid pneumonia should be considered in the differential diagnosis for acute respiratory disorders in the rapidly aging population.© 2013 Japan Geriatrics Society.

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