A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia
A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-fi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-01-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096211055334 |
| _version_ | 1798034083990732800 |
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| author | Michelle A. Quan MD Joshua L. Hoerger MD, MPH Elizabeth H. Mullins MD Brooks T. Kuhn MD, MAS |
| author_facet | Michelle A. Quan MD Joshua L. Hoerger MD, MPH Elizabeth H. Mullins MD Brooks T. Kuhn MD, MAS |
| author_sort | Michelle A. Quan MD |
| collection | DOAJ |
| description | A 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-filled vacuoles and negative periodic acid-Schiff (PAS) stain. Further history obtained from the patient and family was notable for daily application of commercially available vapor rub to nares and intentional deep inhalation of nebulized fluids containing scented oils. The patient was diagnosed with exogenous lipoid pneumonia through an unusual route of lipid administration. |
| first_indexed | 2024-04-11T20:39:21Z |
| format | Article |
| id | doaj.art-e69f4007d77a424b8be7ca29db575040 |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-04-11T20:39:21Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-e69f4007d77a424b8be7ca29db5750402022-12-22T04:04:16ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962022-01-011010.1177/23247096211055334A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 PneumoniaMichelle A. Quan MD0Joshua L. Hoerger MD, MPH1Elizabeth H. Mullins MD2Brooks T. Kuhn MD, MAS3University of California Davis School of Medicine, Sacramento, USAVA Northern California Health Care System, Mather, CA, USAUniversity of California Davis School of Medicine, Sacramento, USAVA Northern California Health Care System, Mather, CA, USAA 66-year-old man presented with subacute cough and worsening dyspnea. Labs were notable for moderate peripheral eosinophilia, and computed tomography (CT) scan demonstrated extensive crazy-paving throughout bilateral upper lung fields. Bronchoalveolar lavage (BAL) revealed macrophages with lipid-filled vacuoles and negative periodic acid-Schiff (PAS) stain. Further history obtained from the patient and family was notable for daily application of commercially available vapor rub to nares and intentional deep inhalation of nebulized fluids containing scented oils. The patient was diagnosed with exogenous lipoid pneumonia through an unusual route of lipid administration.https://doi.org/10.1177/23247096211055334 |
| spellingShingle | Michelle A. Quan MD Joshua L. Hoerger MD, MPH Elizabeth H. Mullins MD Brooks T. Kuhn MD, MAS A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia Journal of Investigative Medicine High Impact Case Reports |
| title | A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia |
| title_full | A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia |
| title_fullStr | A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia |
| title_full_unstemmed | A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia |
| title_short | A 66-Year-Old Man With Subacute Cough and Worsening Dyspnea Previously Diagnosed With COVID-19 Pneumonia |
| title_sort | 66 year old man with subacute cough and worsening dyspnea previously diagnosed with covid 19 pneumonia |
| url | https://doi.org/10.1177/23247096211055334 |
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