A patient was hospitalized for pneumonia in 1954 after working for a year as an insect exterminator. Polycythemia and severe clubbing of fingers and toes were present in addition to roentgenographic evidence of severe pulmonary damage. In 1956 he was found to have chronic pulmonary tuberculosis. Although the two conditions coexisted, they involved distinct areas in the lungs. The diagnosis of lipid pneumonia was verified in a biopsy specimen of lung tissue, and the condition cleared up on inhalation treatment with a mucolytic detergent aerosol. After antibiotic treatment the tuberculous process was also arrested, but the evidence of chronic hypoxia remained.
Seidel J. MUCOLYTIC AEROSOL THERAPY FOR LIPID PNEUMONIA. JAMA. 1959;171(13):1810–1813. doi:https://doi.org/10.1001/jama.1959.03010310042011
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