Acute Necrotising Pneumonia with Bronchiectatic Changes and Transaminitis following Kerosene Ingestion: An Unusual Acute Presentation View PDF

^*Sandeep Kumar Kar
Department Of Cardiac Anesthesiology, IPGME & R, Kolkata, India

^*Corresponding Author:

Sandeep Kumar Kar
Department Of Cardiac Anesthesiology, IPGME & R, Kolkata, India
Email:sndpkar@yahoo.co.in

Published on: 2014-10-03

Abstract

Hydrocarbon exposures are frequent and account for an inordinate number of health care visits and hospital admissions. There are very few case reports of bronchiectasis due to kerosene ingestion in literature. A 16 year old girl with history of kerosene ingestion presented with features of acute onset respiratory distress which resulted from bilateral pneumonia progressing to bilateral pleural effusion. It eventually leads to necrotising pneumonitis with mostly right lung bronchiectasis. It was controlled successfully with antibiotics and pulmonary physiotherapy. She had Transaminitis which resolved spontaneously.

Keywords

Kerosene poisoning, Necrotising pneumonitis, Bronchiectasis, Transaminitis

Introduction

Kerosene ingestion is the commonest form of acute childhood poisoning in most developing countries. Nearly 40% occur in children younger than 6 years. In Saudi Arabia, it accounts for 25% of accidental home poisoning, largely confined to the age group 1-5 years