Illustrative CasesPneumonia in a Teenager Hiding a Fire-Eating StuntGhezzi, Michele MD; Odoni, Marta MD; Testagrossa, Oriana MD; Messina, Daniela MD; Ruocco, Jorge Daniel MD; Lovati, Camillo MD; Kantar, Ahmad MD, PhD, MScAuthor Information From the Pediatric Cough and Asthma Centre, Pediatric Unit, University and Research Hospitals, Istituti Ospedalieri Bergamaschi, Bergamo, Italy. Disclosure: The authors declare no conflict of interest. Reprints: Ahmad Kantar, MD, PhD, MSc, Pediatric Asthma and Cough Centre, University and Research Hospitals, Istituti Ospedalieri Bergamaschi, Via Forlanini 15, 24036 Ponte San Pietro, Bergamo, Italy (e-mail: [email protected]). Pediatric Emergency Care: August 2019 - Volume 35 - Issue 8 - p e147-e149 doi: 10.1097/PEC.0000000000001316 Buy Metrics Abstract Pneumonia in children due to hydrocarbon aspiration is usually the result of an uncommon accidental event. However, an acute and severe type of pneumonia induced by hydrocarbon aspiration is occasionally experienced by entertainers known as fire-eaters. Different approaches to treat fire-eater's pneumonia appear in the literature. Although there is no consensus regarding the management of this condition, the use of antibiotic therapy is well recognized and recommended by some, whereas others recommend only supportive treatment. Steroids are indicated in severe cases. Here, we report the case of a boy who developed severe pneumonia after inhaling hydrocarbons during an attempt to mimic a fire-eater show. Slow resolution was achieved after broad-spectrum antibiotic therapy in addition to systemic and inhaled steroids and physiotherapy. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.