• Rapidly progressive bilateral pulmonary infiltrates occurred in a 19-year-old man following an unusual hydrocarbon abuse. The acute illness was the result of a "trick" known as "fire-breathing." Fire-breathing involves filling the oral cavity with butane gas, from an ordinary butane cigarette/cigar lighter, and exhalation of the volatile vapors over an open flame producing a flame-throwing effect. Because of the pulmonary toxic reaction, this activity could have a serious or even fatal outcome.
(Arch Intern Med 1983;143:2007-2008)
Cartwright TR, Brown ED, Brashear RE. Pulmonary Infiltrates Following Butane 'Fire-Breathing'. Arch Intern Med. 1983;143(10):2007-2008. doi:10.1001/archinte.1983.00350100191037