A 10-month-old girl was presented fifteen days after accidental ingestion of baby massage oil. Post-ingestion, she had vomited once and developed a progressive cough and dyspnea in the next three days. Her clinical condition worsened despite oral antibiotics and she was admitted elsewhere. In view of poor response to treatment, the patient was shifted to another hospital for further management. At admission At admission, she had severe respiratory distress and hypoxemia.
Initial chest radiograph showed bilateral diffuse ground-glass appearance suggestive of an alveolar interstitial pattern of opacities. She was electively intubated and ventilated with pressure regulated volume controlled mode. During her stay, contrast enhanced computed tomography of the chest also showed bilateral ground-glass haziness of both lungs, lower lobes more involved than upper lobes (image attached). What can…
