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Clinical Toxicology Volume 49, 2011 - Issue 10
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Chemical pneumonitis after intravenous injection of isoparaffin: Characteristic clinico-radiologic findings

Seung Won RaInternal Medicine, Ulsan Univeristy Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
,
Sungsoo ByunInternal Medicine, Ulsan Univeristy Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
,
Woon Jung KwonRadiology, Ulsan Univeristy Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
,
En Seog HongEmergency Medicine, Ulsan Univeristy Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
&
Yangho KimOccupational and Environmental Medicine, Ulsan Univeristy Hospital, University of Ulsan College of Medicine, Ulsan, Republic of KoreaCorrespondence[email protected]
Pages 942-943 | Received 06 Aug 2011, Accepted 16 Sep 2011, Published online: 09 Nov 2011
 
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Abstract

A 23-year-old man presented with chest pain after intravenous (IV) injection of isoparaffin (C12–C13, 99%). This report describes the chest computed tomography (CT) pattern of chemical pneumonitis after IV isoparaffin injection. When injected IV, hydrocarbon can cause chemical pneumonitis, mimicking pulmonary infarction on chest CT. The CT pattern is attributable to diffusion of hydrocarbons through systemic veins into small pulmonary arteries and capillary beds, causing extensive local reactions and chemical pneumonitis or pleuritis.

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