Philippe Camus, M.D.

Dijon, France

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Hydrocarbons (petrochemicals: petroleum, petrolatum, paraffin, vaseline, naphta, jet fuel (kerosene), Diesel, gasoil), ointments, salad oil, variegated oils, butter). Aspirated

Liquid (fluid) hydrocarbons or hydrocarbon mist (salad oil, paraffin, vaseline, parpetroleum, petrolatum, lamp oil, kerdane, jet fuel, kerosene, turpentine, Diesel fuel, Jet-A fuel, JP-8, paint thinner, furniture polish, bath oils, or ointments (PMID 24911841, 25868376, 26063683), shark oil, or butter). Pneumonitis from these fuels and compounds is a disease of fire-eaters, or it may follow siphoning and unintentional aspiration of gasoline, Diesel or other liquid fuels in children or in adults (PMID 30581584). Therapeutic BAL has been used in some instances. Fluid hydrocarbons can cause an acute inflammatory pneumopathy w/wo chest pain, pleural effusion, cavitaion, pneumatoceles, pneumothorax, pneumomediastinum and secondary infection. Acute mortality is <1%. Recovery is in weeks or months. Suggestive changes on pathology may wane with time (PMID 30581584). Although sometimes effective, corticosteroid therapy brings unpredictable results

Frequency - Incidence

Incidence of respiratory adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for respiratory adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

I - Interstitial/parenchymal lung disease

II - Pulmonary edema - Acute lung injury - ARDS

III - Pulmonary/alveolar./airway hemorrhage/bleeding

IV - Airway involvement

V - Central-large-upper airway (incl. pharyngeal-nasal) involvement

VI - Pleural and/or pericardial involvement

XI - Miscellaneous

XIV - Hemoglobinopathies - Abnormal hemoglobin states (acquired)

XVI - Imaging

XVIII - Cytological, biochemical features of/in BAL, pleural fluid or FNA

XIX - Pathology

XX - Infections & related conditions