Leong W C, Cheong B M
Hospital Teluk Intan, Department of Medicine, Perak, Malaysia.
Med J Malaysia. 2017 Oct;72(5):314-315.
Diesel is commonly used as fuel for engines and is distilled from petroleum. Diesel has toxic potential and can affect multiple organs. Exposure can occur after ingestion, inhalation or through the dermal route. The practice of siphoning diesel using a rubber tubing and the mouth is common in rural communities. This can lead to accidental ingestion and aspiration. Here we report a case of a patient who accidentally ingested diesel during siphoning, which caused extensive erosion of the oral cavity and oesophagus leading to pneumomediastinum and severe chemical lung injury. The patient responded well initially to steroids and supportive care but required prolonged hospitalisation. He developed complications of nosocomial infection and succumbed 23 days after admission.
柴油通常用作发动机燃料，由石油蒸馏而来。柴油具有潜在毒性，可影响多个器官。摄入、吸入或经皮肤接触均可能导致暴露。在农村社区，用橡胶管和嘴虹吸柴油的做法很常见。这可能导致意外摄入和误吸。在此，我们报告一例患者在虹吸过程中意外摄入柴油的病例，该病例导致口腔和食管广泛糜烂，进而引发纵隔气肿和严重的化学性肺损伤。患者最初对类固醇和支持性治疗反应良好，但需要长期住院治疗。他出现了医院感染并发症，并在入院23天后死亡。
