Diesel siphoning induced chemical pneumonitis: a case report

Abstract

Introduction and importance: Diesel fuel aspiration can occasionally result in an uncommon but potentially deadly condition called chemical pneumonitis. Case presentation: In this case study, a 16-year-old boy gave a history of diesel fuel siphoning from a motor vehicle tank, which brought him to our emergency room. He complained of coughing, breathing difficulties, and chest discomfort upon admission to the hospital. Patchy bilateral parenchymal lung opacities consistent with acute chemical pneumonitis were seen in radiological imaging tests. Treatment included supportive care, oxygen supplementation, and intravenous antibiotics. The patient’s symptoms improved gradually throughout his hospitalization, and he was eventually discharged home with a good prognosis. Clinical discussion: Siphoning is a common practice in developing countries like Bangladesh. Workers at automobile transfer hydrocarbon products from one vehicle to other. However, its aspiration can cause a pneumonia like features and may wrongly misdiagnose. Diagnosis is made mainly on history taking. Conclusion: Physicians ought to know that patients exposed to diesel fuel may develop chemical pneumonitis, and they should consider this for an early diagnosis and effective treatment that can lead to favourable outcomes.