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An Acute Case of Exogenous Lipoid Pneumonia Which Developed in Tent Sauna

Yamanaka M, Nishiyama Y, Fujishima N, Yokoyama A, Komiya K

Internal medicine (Tokyo, Japan), 2025

3 citations

Abstract

The aspiration or inhalation of lipid substances can cause lung injury, including chemical pneumonitis and exogenous lipoid pneumonia. We herein report a case of acute lung injury caused by kerosene inhalation in a tent sauna. A patient developed dyspnea with respiratory failure two hours after igniting a wood-burning stove with kerosene. High-resolution computed tomography revealed widespread ground-glass opacities, and bronchoalveolar lavage revealed lipid-laden macrophages. Systemic corticosteroid treatment led to a rapid improvement. Although kerosene is generally safe at room temperature, its vaporization in high-temperature environments may increase the risk of lung injury through inhalation.

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