• Australasian radiology · Dec 2007

    Case Reports

    Fire-eating: hazards of hydrocarbon aspiration.

    • M Guandalini and K Steinke.
    • Department of Medical Imaging, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. guandalini_ms@internode.on.net
    • Australas Radiol. 2007 Dec 1; 51 (6): 567-9.

    AbstractA 30-year-old male fire eater presented following aspiration of hydrocarbon fuel during a performance. A plain chest radiograph carried out 2 h after aspiration showed left lower lobe consolidation. The patient subsequently developed worsening shortness of breath, haemoptysis, fever and myalgia and a repeat plain chest radiograph showed extensive bilateral pulmonary consolidation with mediastinal and bilateral hilar lymphadenopathy. Computed tomography showed features consistent with necrotizing pneumonia. The clinical course was complicated by the development of large pleural effusions, pneumatocoeles and a spontaneous pneumothorax. Early abnormalities on a plain chest radiograph following suspected hydrocarbon aspiration require close monitoring for the development of further life-threatening complications.

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