Clinical case of the development of lipoid pneumonia due to diesel fuel poisoning

Treatment of severe pneumonia, including lipoid pneumonia (with the addition of a bacterial infection), is an urgent health problem and requires adherence to an algorithm of clinical and diagnostic measures to ensure adequate treatment tactics. Late admission to the intensive care unit for severe community-acquired pneumonia has been associated with high mortality rates.

A clinical case is presented of a patient who received diesel fuel poisoning as a result of violation of safety requirements when working with technical fluids. Indicators of blood gas composition during the development of respiratory failure are presented, as well as options for the development of complications in the form of parapneumonic pleurisy, severe bilateral polysegmental pneumonia with areas of tissue destruction and the formation of pneumofibrosis. Complex antibacterial, detoxification, mucolytic, analgesic, gastroprotective oxygen therapy and insulin therapy were carried out. Timely comprehensive treatment allowed us to achieve a favorable outcome.