PMID: 9171848Apr 1, 1997Paper

Olive oil aspiration pneumonia (lipoid) in children

Tropical Medicine & International Health : TM & IH
S H AnnobilN A Morad

Abstract

In the Asir region of south-western Saudi Arabia, nasal instillation of olive oil to infants and children in the recumbent position is practised to relieve nasal congestion. Aspiration of olive oil results in lipoid pneumonia resistant to antimicrobial treatment. A series of 5 children, aged 4-72 months, with olive oil-induced lipoid pneumonia is presented. Clinical presentation included persistent coughing, tachypnoea, recurrent febrile illness and chest infections. The pulmonary radiological picture was mainly right middle lobar and perihilar infiltrates. Bronchial lavage and microscopic examination of the aspirate confirmed the presence of fat globules. The pneumonia resolved on treatment with steroids and physiotherapy in the form of clapping and vibrations. For infants and children in this area who present with persistent pulmonary infiltrates which are not responsive to antimicrobials, the differential diagnosis of not only animal fat (ghee, clarified butter) but also of olive oil lipoid pneumonia must be considered.

References

Jan 1, 1991·Annals of Tropical Paediatrics·S H AnnobilA R Khan
Jan 1, 1991·Pediatric Radiology·C O HugossonH T Tufenkeji
Nov 10, 1973·British Medical Journal·S Balakrishnan
Dec 1, 1967·The American Journal of Medicine·L F AyvazianW W Frederick
Apr 1, 1993·European Journal of Radiology·S H AnnobilB Benjamin

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Citations

Aug 29, 2009·Journal of Paediatrics and Child Health·Didem ArmangilGülsevin Tekinalp
Oct 13, 2009·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Selma Maria de Azevedo SiasThereza Quirico-Santos
Oct 5, 2001·Clinical Pediatrics·Y Requena-Kassarjian, G Flores
Feb 29, 2000·Antiviral Chemistry & Chemotherapy·B W DonovanJ R Baker
Apr 22, 2021·Sudanese Journal of Paediatrics·Abdullah Saeed AlShamraniMohammed Ahmed AlFaki
Feb 26, 2019·Sudanese Journal of Paediatrics·Nasser S AlharbiYousef A Alrohaimi

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