Chemical pneumonitis

Chemical pneumonitis is inflammation of the lung caused by aspirating or inhaling irritants.[1] It is sometimes called a "chemical pneumonia", though it is not infectious. There are two general types of chemical pneumonitis: acute and chronic.

Chemical pneumonitis
SpecialtyPulmonology Edit this on Wikidata

Irritants capable of causing chemical pneumonitis include vomitus,[2] barium used in gastro-intestinal imaging, chlorine gas (among other pulmonary agents),[2] ingested gasoline[2] or other petroleum distillates, ingested or skin absorbed pesticides,[2] gases from electroplating,[2] smoke[2] and others. It may also be caused by the use of inhalants. Mendelson's syndrome is a type of chemical pneumonitis.

Mineral oil should not be given internally to young children, pets, or anyone with a cough, hiatus hernia, or nocturnal reflux, because it can cause complications such as lipoid pneumonia.[3] Due to its low density, it is easily aspirated into the lungs, where it cannot be removed by the body. In children, if aspirated, the oil can work to prevent normal breathing, resulting in death of brain cells and permanent paralysis and/or brain damage.

Contents

Signs and symptomsEdit

Acute:

  • Cough[2]
  • Difficulty Breathing[4]
  • Abnormal lung sounds (wet, gurgling sounding breaths)[2]
  • Chest pain, tightness or burning[4]

Chronic:

  • Persistent cough[4]
  • Shortness of breath[2]
  • Increased susceptibility to respiratory illness[4]

Symptoms of chronic chemical pneumonitis may or may not be present, and can take months or years to develop to the point of noticeability.[4]

DiagnosisEdit

TreatmentEdit

Intravenous Steroids

ReferencesEdit

  1. ^ Marik, PE (May 2011). "Pulmonary aspiration syndromes". Current Opinion in Pulmonary Medicine. 17 (3): 148–54. doi:10.1097/MCP.0b013e32834397d6. PMID 21311332.
  2. ^ a b c d e f g h i Stitham, Sean et al. "Chemical Pneumonitis: Medline Plus Medical Encyclopedia", Medline Plus, 2008-8-29. Retrieved on 2009-10-06.
  3. ^ "Call For Change To Mineral Oil Label" Archived October 12, 2007, at the Wayback Machine PersonalMD, 1998-12-28. Retrieved on 2009-10-06
  4. ^ a b c d e "Chemical Pneumonitis: Causes, Symptoms" PDRHealth. Retrieved on 2009-10-06

External linksEdit

Classification
External resources