EJMCR. 2019; 3(2): 57-60

Chemical pneumonitis due to inhalation of lycopodium: a case report

Authors: Mahroo Khalid, Avantika Lakshmi Narasimhan, Maryam Kaizar Master.

ABSTRACT

Background: Lycopodium powder consists of dried spores of club moss plants, principally Lycopodium Clavatum which is flammable when in contact with air due to its high oil content. Case presentation: A 15-year-old, previously healthy, female student presented to the Emergency Department with a 1-hour history of shortness of breath following accidental inhalation of Lycopodium in school. The dyspnoea was rapidly progressive and associated with multiple episodes of non-productive cough, chest tightness and nausea. A portable chest x-ray showed opacified bronchi in the right lower lung with para hilar peribronchial prominence virtually indistinguishable from those seen in lower respiratory tract infection. She began desaturating on 15L of oxygen and was unable to tolerate NIPPV (non-invasive positive pressure ventilation) hence shifted to the ICU where a 3L nasal cannula was started, which was well tolerated. IV Methylprednisolone was started at 40 mg q6h and was tapered to q8h the next day. The patient clinically improved and was stable by day 6. Conclusions: An extremely rare case of Lycopodium inhalation by a school student led us to realize not only the importance of a thorough history in cases where presentations can overlap but also safety recognition during school laboratory training sessions.

Keywords:
Lycopodium, pneumonitis, NIPPV (non-invasive positive pressure ventilation), case report


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Chemical pneumonitis due to inhalation of lycopodium: a case report


Authors
Mahroo Khalid
Gulf Medical University, Ajman, United Arab Emirates
PubMed articlesGoogle scholar articles

Avantika Lakshmi Narasimhan
Gulf Medical University, Ajman, United Arab Emirates
PubMed articlesGoogle scholar articles

Maryam Kaizar Master
Gulf Medical University, Ajman, United Arab Emirates
PubMed articlesGoogle scholar articles


Correspondence to:
. Mahroo Khalid, Gulf Medical University, Ajman, United Arab Emirates; mahroo.khalid65@gmail.com

Publication history
Published online 01 Jan 1970
Received 28 Oct 2018
Revised 08 Jan 2019
Accepted 20 Feb 2019
Published in print 29 May 2019

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Pubmed Style

Khalid M, Narasimhan AL, Master MK. Chemical pneumonitis due to inhalation of lycopodium: a case report. EJMCR. 2019; 3(2): 57-60. doi:10.24911/ejmcr/173-1539363917


Web Style

Khalid M, Narasimhan AL, Master MK. Chemical pneumonitis due to inhalation of lycopodium: a case report. http://www.ejmcr.com/?mno=12514 [Access: June 24, 2019]. doi:10.24911/ejmcr/173-1539363917


AMA (American Medical Association) Style

Khalid M, Narasimhan AL, Master MK. Chemical pneumonitis due to inhalation of lycopodium: a case report. EJMCR. 2019; 3(2): 57-60. doi:10.24911/ejmcr/173-1539363917


Vancouver/ICMJE Style

Khalid M, Narasimhan AL, Master MK. Chemical pneumonitis due to inhalation of lycopodium: a case report. EJMCR. (2019), [cited June 24, 2019]; 3(2): 57-60. doi:10.24911/ejmcr/173-1539363917


Harvard Style

Khalid, M., Narasimhan, . A. L. & Master, . M. K. (2019) Chemical pneumonitis due to inhalation of lycopodium: a case report. EJMCR, 3 (2), 57-60. doi:10.24911/ejmcr/173-1539363917


Turabian Style

Khalid, Mahroo, Avantika Lakshmi Narasimhan, and Maryam Kaizar Master. 2019. Chemical pneumonitis due to inhalation of lycopodium: a case report. European Journal of Medical Case Reports, 3 (2), 57-60. doi:10.24911/ejmcr/173-1539363917


Chicago Style

Khalid, Mahroo, Avantika Lakshmi Narasimhan, and Maryam Kaizar Master. "Chemical pneumonitis due to inhalation of lycopodium: a case report." European Journal of Medical Case Reports 3 (2019), 57-60. doi:10.24911/ejmcr/173-1539363917


MLA (The Modern Language Association) Style

Khalid, Mahroo, Avantika Lakshmi Narasimhan, and Maryam Kaizar Master. "Chemical pneumonitis due to inhalation of lycopodium: a case report." European Journal of Medical Case Reports 3.2 (2019), 57-60. Print. doi:10.24911/ejmcr/173-1539363917


APA (American Psychological Association) Style

Khalid, M., Narasimhan, . A. L. & Master, . M. K. (2019) Chemical pneumonitis due to inhalation of lycopodium: a case report. European Journal of Medical Case Reports, 3 (2), 57-60. doi:10.24911/ejmcr/173-1539363917


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