Franzen Daniel, Kohler Malcolm
Department of Internal Medicine, University Hospital of Zurich, Zurich, Switzerland.
BMJ Case Rep. 2012 Sep 3;2012:bcr2012006528. doi: 10.1136/bcr-2012-006528.
A 38-year-old, previously healthy fire eater presented with severe pneumonitis after incidental aspiration of an unquantifiable amount of petroleum. The chest CT revealed extensive pulmonary consolidations, and the laboratory results showed massively elevated inflammatory markers. An intravenous antibiotic treatment was started and, after improvement of symptoms and inflammatory markers, continued orally for a total of 3 weeks, despite negative results of blood cultures and urinary pneumococcal and legionella antigen tests. The patient's symptoms subsided completely, and a CT scan 10 weeks after the accident showed complete resolution of the lung consolidations. Aspiration of petroleum is associated with a severe inflammatory response of the lung, but if bacterial superinfection can be prevented with early antibiotic treatment, even a severe presentation of a fire eater's lung usually follows a benign course with complete recovery.
一名38岁、既往健康的吞火表演者，在意外吸入数量无法确定的石油后出现严重肺炎。胸部CT显示广泛的肺部实变，实验室检查结果显示炎症标志物大幅升高。开始静脉使用抗生素治疗，在症状和炎症标志物改善后，尽管血培养、尿肺炎球菌和军团菌抗原检测结果为阴性，仍继续口服抗生素共3周。患者症状完全消退，事故发生10周后的CT扫描显示肺部实变完全消退。石油吸入与肺部严重炎症反应相关，但如果早期抗生素治疗能够预防细菌二重感染，即使是吞火表演者肺部的严重表现通常也会有良性病程并完全康复。
