| Irish Veterinary Journal | |
| latrogenic lipoid pneumonia in an adult horse | |
| Lisa Katz2  Eva Maischberger2  Carolyn Cummins2  Lucy Metcalfe1  | |
| [1] Lucy Metcalfe, University Veterinary Hospital, School of Agriculture, Food science and Veterinary Medicine, University College Dublin, Dublin 4, Ireland;Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland | |
| 关键词: nasogastric intubation; mineral oil; Lipoid pneumonia; | |
| Others : 1149629 DOI : 10.1186/2046-0481-63-5-303 |
|
PDF
|
|
【 摘 要 】
A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction. An initial presumptive diagnosis of acute lipoid pneumonia was made; this was further supported by evidence of arterial hypoxaemia and oxygen desaturation on arterial blood gas analysis, ultrasonographic signs of bilateral ventral lung consolidation and a mixed bronchoalveolar-interstitial lung pattern seen on thoracic radiographs. Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia. Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.
【 授权许可】
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150405091202176.pdf | 1349KB | ||
| Figure 3. | 128KB | Image | |
| Figure 2. | 178KB | Image | |
| Figure 1. | 169KB | Image |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
【 参考文献 】
- [1]Adams R, Ruffin R, Campbell D: The value of the lipid-laden macrophage index in the assessment of aspiration pneumonia. Aust N Z J Med 1997, 27:550-3.
- [2]Bos M, De Bosschere H, Deprez P, Van Loon G, De Vriese SR, Christophe AB, Ducatelle R: Chemical identification of the (causative) lipids in a case of exogenous lipoid pneumonia in a horse. Equine Vet J 2002, 34:744-7.
- [3]Colombo JL, Hallberg TK: Pulmonary aspiration and lipid-laden macrophages: in search of gold (standards). Pediatr Pulmonol 1999, 28:79-82.
- [4]Corcoran BM, Martin M, Darke PGG, Anderson A, Head KW, Clutton RE, Else RW, Fuentes VL: Lipoid Pneumonia in a Rough Collie Dog. Journal of Small Animal Practice 1992, 33:544-548.
- [5]Davis JL, Ranirez S, Campbell N, Jones SL: Acute and chronic mineral oil pneumonitis in two horses. Equine Vet Educ 2001, 13:230-234.
- [6]Franquet T, Gimenez A, Bordes R, Rodriguez-Arias JM, Castella J: The Crazy-Paving Pattern in Exogenous Lipoid Pneumonia: CT-Pathologic Correlation. AJR 1997, 170:315-317.
- [7]Knauer-Fischer S, Ratjen F: Lipid-laden macrophages in bronchoalveolar lavage fluid as a marker for pulmonary aspiration. Pediatr Pulmonol 1999, 27:419-22.
- [8]Lauque D, Dongay G, Levade T, Caratero C, Carles P: Bronchoalveolar Lavage in Liquid Paraffin Pneumonitis. Chest 1990, 98:1149-1155.
- [9]Lopez A: Respiratory system, thoracic cavity and pleura. In Thomson's Special Veterinary Pathology. 3rd edition. Edited by McGavin MD, Carlton WW, Zachari JF. Mosby, Philadelphia; 2001:125-195.
- [10]Nicholson AG, Wells AU, Hooper J, Hansell DM, Kelleher A, Morgan C: Successful treatment of endogenous lipoid pneumonia due to Niemann-Pick Type B disease with whole-lung lavage. Am J Respir Crit Care Med 2002, 165:128-31.
- [11]Scarratt WK, Moon ML, Sponenberg DP, Feldman B: Inappropriate administration of mineral oil resulting in lipoid pneumonia in three horses. Equine Vet J 1998, 30:85-8.
- [12]Sias SM, Daltro PA, Marchiori E, Ferreira AS, Caetano RL, Silva CS, Muller NL, Moreira J, Quirico-Santos T: Clinic and radiological improvement of lipoid pneumonia with multiple bronchoalveolar lavages. Pediatr Pulmonol 2009, 44:309-15.
- [13]Stauffer BD: Stomach intubation accidents. J Am Vet Med Assoc 1982, 181:448.
PDF