Pneumonia lipídica em um lactente
DOI:
https://doi.org/10.22491/2357-9730.26555Keywords:
pneumonia, pneumomia lipoide, lactenteAbstract
Lactente de seis meses apresentava pneumonia refratária a diferentes antimicrobianos previamente utilizados. Houve melhora clínica, mas havia persistência de lesão pulmonar no radiograma de tórax. Obteve-se a informação do uso prévio de óleo mineral devido à constipação eventual. Realizou-se broncoscopia, lavado bronquiolo-alveolar e exame anatomopatológico definindo o diagnóstico como Pneumonia Lipoídica. A pneumonia lipoídica deverá sempre ser considerada no diagnóstico diferencial de pneumonia de evolução prolongada sem resposta ao tratamento com antimicrobianos para germes comuns e naqueles casos suspeitos de tuberculose. É importante que os pais sejam orientados sobre o uso de óleo mineral em lactentes e crianças previamente constipadas, devido ao risco de aspiração e posterior pneumonia.
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