Lipoid pneumonia in children following aspiration of animal fat (ghee)

Annobil, Samuel H.; Benjamin, B.; Kameswaran, Mohan; Khan, Akthar

doi:10.1080/02724936.1991.11747483

Cited by 31 publications

(36 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other risk factors described in infants and small children are the use of traditional folk remedies like the use of oily nasal drops, forceful feeding of animal fats such as "ghee" to establish regular bowel habits, or transnasal use to treat cough and cold. [17,18] Other common examples of risk factors for LP are the use of sesame oil to ß ush nasal secretions (in India) and to relieve small bowel obstruction due to Ascaris lumbricoides (in Brazil). [19,20] It has also been reported after bronchography due to the use of dye propyliodone (now rarely performed) and nasogastric tube feeding.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…[29,30] Atelectasis and pleural effusion have also been described. [22,32,34] [17,[36][37][38] Magnetic resonance imaging may reveal high signal intensity on T1-weighted imaging that is consistent with lipid content. [38][39][40][41][42] Lower lobe predominance of the radiographic Þ ndings are often described but not uniformly seen.…”

Section: Radiological Featuresmentioning

confidence: 99%

“…[43] Some authors have described resection of nodules and masses in these cases. [17,54] Surgical resection is usually unwarranted as lipoid pneumonia is typically indolent and may regress spontaneously. Resection may, however, be done in cases of high suspicion of cancer.…”

Section: Diagnosismentioning

confidence: 99%

See 2 more Smart Citations

Lipoid pneumonia: An uncommon entity

Khilnani¹,

Hadda²

2009

Indian J Med Sci

View full text Add to dashboard Cite

show abstract

Section: Clinical Featuresmentioning

confidence: 99%

Section: Radiological Featuresmentioning

confidence: 99%

See 1 more Smart Citation

Lipoid pneumonia: An uncommon entity

Khilnani¹,

Hadda²

2009

Indian J Med Sci

View full text Add to dashboard Cite

show abstract

“…Lipoid pneumonia due to animal fat, homemade ghee and olive oil is still encountered in certain parts of the globe because of cultural and traditional practices involving the use of oils and fats for various reasons (9)(10)(11). In Saudi Arabia, forced feeding of infants with homemade ghee in the recumbent position is believed to be beneficial to their health; however, this has resulted in lipoid pneumonia, through clinical, radiological and pathological patterns in the acute stages, and in later stages through manifestation of bronchiectasis (11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Analysis of Fatty Acids in Ghee and Olive Oil and Their Probable Causal Effect in Lipoid Pneumonia

Mirghani

Zein²,

Annoble³

et al. 2011

Journal of Medical Biochemistry

View full text Add to dashboard Cite

Kratak sadr`aj: Lipoidna pneumonija nastaje kada lipidi prodru u bronhijalno stablo. Ovaj oblik pneumonije ~esto se javlja u nekim zemljama u razvoju gde se odoj~ad, iz razli~itih razloga, tradicionalno hrani masnim proizvodima (topljenim maslom -gijem i maslinovim uljem). Analizirali smo i identifikovali masne kiseline koje se nalaze u doma }em maslacu i maslinovom ulju i uporedili ih sa masnim kiselinama pro na|enim u bronhijalnom lava`u dece sa lipo idnom pneu mo nijom. Tri masne kiseline prisutne u doma }em maslacu, ma slinovom ulju i bronhoalveolarnom lava`u su linoleinska, ole inska i stearinska. Ostale masne kiseline, naime, laurinska, miris to leinska, miristinska, penta de ken ska, pentadekanska, hepta dekenska i heptadekanska, mogu se na}i u do ma}em m a slacu i/ili maslinovom ulju, ali ne i u bron ho alveolarnom lava`u. Mo`e se, dakle, zaklju~iti da te tri ma sne kiseline izazivaju o{te}enje plu}nog paren hima koje se uo~ava u lipoidnoj pneumoniji. Potrebna su dalja istra`ivanja kako bi se utvrdio uticaj pojedina~nih masnih kiselina koje se nalaze u do ma}em topljenom mas lacu i maslinovom ulju.Klju~ne re~i: lipoidna pneumonija, gasna hromatografija, topljeni maslac (gi), metil estri, bronhoalveolarni lava` IntroductionMineral oil lipoid pneumonia was prevalent when mineral oil was used as a base for nasal drops and also regularly as an aperient (1-8) but has now become rare with the advent of normal saline as the base of nasal drops. Lipoid pneumonia due to animal fat, homemade ghee and olive oil is still encountered in certain parts of the globe because of cultural and traditional practices involving the use of oils and fats for various reasons (9-11). In Saudi Arabia, forced feeding of infants with homemade ghee in the recumbent position is believed to be beneficial to their health; however, this has resulted in lipoid pneumonia, through clinical, radiological and pathological patterns in the acute stages, and in later stages through manifestation of bronchiectasis (11-17). Summary: Lipoid pneumonia develops when lipids enter the bronchial tree. This form of pneumonia is common in some developing countries where it is a traditional practice to give infants oily products (ghee and olive oil) for various reasons. We have analyzed and identified the fatty acids found in homemade ghee and in olive oil and compared them to fatty acids found in bronchoalveolar lavage of children with lipoid pneumonia. The three fatty acids common to homemade ghee, olive oil and bronchoalveolar lavage are linoleic, oleic, and stearic. The rest of the fatty acids, namely, lauric, myristoleic, myristic, pentadecenoic, pentadecanoic, heptadecenoic and heptadecanoic are found either in homemade ghee and/or olive oil but not in bronchoalveolar lavage. Therefore the deleterious effects to the lung parenchyma found in lipoid pneumonia are pro bably caused by these three fatty acids. Further investi ga tions are required to ascertain the effects of the individual fatty acids found in homemade ghee and olive oil.

show abstract

“…1,2,15 In addition to cases of aspiration, M fortuitum has been identified as the cause of pneumonia, due to embolization of bone wax (a ceroid, lipid-based substance) from sternotomy incisions and of sternal osteomyelitis, where bone wax is used as a homeostatic sealant. The incidence of such infections was sufficiently high to grant the discontinuation of the use of this sealant in surgical procedures in humans around 1976.…”

mentioning

confidence: 99%

Mycobacterium fortuitumPneumonia in a Cat and the Role of Lipid in the Pathogenesis of Atypical Mycobacterial Infections

Couto

Artacho

2007

Vet Pathol

View full text Add to dashboard Cite

Abstract. Mycobacterium fortuitum is a saprophytic, fast-growing, nontuberculous, and nonlepromatous mycobacterium that can cause infections in animals and humans. In dogs and cats, it is one of the most common agents of ulcerative dermatitides and panniculitides caused by atypical mycobacteria. In humans, it is frequently found in lipoid pneumonias or contaminated surgical sites. We report a cat with granulomatous pneumonia caused by M fortuitum resembling lipoid pneumonia in humans. The similarity between the histopathology of the lung and skin lesions caused by this organism in dogs and cats is emphasized. We discuss the role of lipids in the pathogenesis of mycobacterioses and suggest an association between atypical mycobacteria and lipid-rich environments. We conclude that M fortuitum should be included as a differential in cases of lipid-rich pneumonias that do not respond to common antibiotics.

show abstract

Lipoid pneumonia in children following aspiration of animal fat (ghee)

Cited by 31 publications

References 8 publications

Lipoid pneumonia: An uncommon entity

Lipoid pneumonia: An uncommon entity

Analysis of Fatty Acids in Ghee and Olive Oil and Their Probable Causal Effect in Lipoid Pneumonia

Mycobacterium fortuitumPneumonia in a Cat and the Role of Lipid in the Pathogenesis of Atypical Mycobacterial Infections

Contact Info

Product

Resources

About