A case of lung abscess due to kerosene-induced pneumonia

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  • 灯油吸飲に起因する肺膿瘍の一切除例

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Abstract

A man in his thirties, who received medical treatment for schizophrenia in a mental hospital, was emergently brought to our hospital by ambulance because he ingested about 100 ml of kerosene in a suicide attempt at his home during temporary discharge. Although physical findings and an X-ray were normal at the first medical examination, chemical pneumonia due to kerosene aspiration was diagnosed 6 hours after admission because of the appearance of tachypnea, stridor, hypoxia, and infiltration of the right lower field. He received emergency treatment with a respirator and antibiotics. Infiltration of the right lung was reduced, but a 6 cm in diameter, tumorous shadow was left in the right middle lobe, so a right middle lobectomy was performed. He subsequently maintained a good condition and was transferred to the mental hospital 30 days after surgery. Surgical resection for lung abscess is seldom needed because of the success of medical therapy, but it can be an effective modality in selected cases.

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