RT Journal Article SR Electronic T1 Fire-eater's lung JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 112 OP 114 DO 10.1183/09031936.93.05010112 VO 5 IS 1 A1 PE Brander A1 E Taskinen A1 B Stenius-Aarniala YR 1992 UL http://erj.ersjournals.com/content/5/1/112.abstract AB Acute pneumonitis following aspiration of petroleum products is usually related to accidental poisonings in children. We describe here two cases of hydrocarbon pneumonitis in fire-eaters, caused by accidental aspiration of petroleum during the performance of fire-eating. Both patients had cough, dyspnoea, chest pain and fever. Chest X-rays showed basal lung infiltrates and, 2 weeks later, pneumatocele formations. Reversible bronchial hyperresponsiveness and restrictive ventilatory limitation were demonstrated in one of the patients. The bronchoalveolar lavage specimen showed cytoplasmic vacuolation of the macrophages and neutrophilia. After treatment with antibiotics and corticosteroids the symptoms disappeared and the lung function values returned to normal within 2-3 weeks. Radiological resolution of the pneumatoceles occurred within 2-12 months.