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Bronchiolitis Obliterans Organizing Pneumonia Following a Jalapeño Grease FireLung Injury Following Jalapeño Grease Fire

Brian T. Garibaldi, MD; Natalie E. West, MD; Peter B. Illei, MD; Peter B. Terry, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care (Drs Garibaldi, West, and Terry), and Department of Pathology (Dr Illei), Johns Hopkins University School of Medicine, Baltimore, MD.

CORRESPONDENCE TO: Brian T. Garibaldi, MD, Johns Hopkins University School of Medicine, Division of Pulmonary and Critical Care, 1830 E Monument St, 5th Floor, Baltimore, MD 21205; e-mail: bgariba1@jhmi.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(2):e31-e33. doi:10.1378/chest.14-1338
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Bronchiolitis obliterans organizing pneumonia (BOOP) is an inflammatory lung disease characterized by granulation tissue in the respiratory bronchioles, alveolar ducts and alveoli. BOOP can be caused by a number of etiologies including infection, toxic inhalation, medications, radiation, and collagen vascular disease, or it can be idiopathic. We report here a case of BOOP following inhalational exposure to a jalapeño grease fire. Capsaicin and other jalapeño-derived compounds are known causes of epithelial damage and airway inflammation but to our knowledge have never been implicated in the development of BOOP. This case adds to the growing list of exposures associated with BOOP and highlights the importance of taking a thorough exposure history in patients with lung injury of unknown etiology.

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