doiSerbia

Exogenous lipoid pneumonia mimicking multifocal subpleural tumors

Tegeltija Dragana (Faculty of Medicine, Novi Sad + Institute for Lung Diseases of Vojvodina, Sremska Kamenica)
Lovrenski Aleksandra (Faculty of Medicine, Novi Sad + Institute for Lung Diseases of Vojvodina, Sremska Kamenica)
Vasiljević Tijana (Faculty of Medicine, Novi Sad + Oncology Institute of Vojvodina, Sremska Kamenica)
Samardžija Golub (Faculty of Medicine, Novi Sad + Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica)
Kuhajda Ivan (Faculty of Medicine, Novi Sad + Institute for Lung Diseases of Vojvodina, Sremska Kamenica)

Introduction. Exogenous lipoid pneumonia (ELP) is caused by inhalation or aspiration of different oily substances of animal, vegetable, or mineral origin. It can be in acute or chronic form. Herein, we report a case of ELP in its chronic form, confirmed in surgical lung biopsy. Case outline. A 47-year-old male locomotive engineer, former smoker, without clinical symptoms, with a history of pneumonia two years previously, was referred to our institution. The operating diagnosis of multifocal subpleural tumors was made based on the chest computed tomography. A surgical lung biopsy confirmed a diagnosis of ELP. Conclusion. Diagnosis of ELP is frequently made after surgical biopsy performed for suspected neoplasm, because of neglecting profesional exposure to mineral oils.

Keywords: exogenous lipoid pneumonia, machine oil, surgical biopsy