| Bilateral pneumothorax following acute inhalation injury. | |
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MedLine Citation:
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PMID: 19586359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Inhalation injury can be thermal and/or chemical. We report bilateral pneumothorax following acute inhalation injury. CASE REPORT: A male worker in an upholstery factory was confined in the tanning machine for 15 min. The device was used to contain sodium sulfate, sulfur dioxide, and sulfuric acid. On admission, he was confused with Glasgow coma scale score as 9. His vital signs were as follows: blood pressure, 80/58 mmHg; pulse rate, 114 bpm; respiratory rate, 30 bpm; temperature, 37.1 degrees C; and oxygen saturation, 48%. He was intubated. Physical examination disclosed extensive subcutaneous emphysema on the neck and pinkish foamy discharge from the mouth. Chest X-ray showed bilateral pneumothoraces and pneumomediastinum that warranted bilateral tube thoracostomy. Bronchoscopy demonstrated web-shaped hyperemic areas on the upper airway mucosa with aphtous lesions in the base. Extensive hemorrhage and edema were evident around epiglottis. The patient was admitted to the intensive care unit and mechanically ventilated. He was discharged without any sequelae on day 8. CONCLUSION: Exposure to irritant gases such as sulfuric acid and sulfur dioxide can cause severe pulmonary injury leading to pneumothorax and pneumomediastinum. |
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Authors:
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Mustafa Serinken; Ozgur Karcioglu; Fatma Evyapan; Hülya Sungurtekin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical toxicology (Philadelphia, Pa.) Volume: 47 ISSN: 1556-9519 ISO Abbreviation: Clin Toxicol (Phila) Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-09 Completed Date: 2009-07-28 Revised Date: 2009-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101241654 Medline TA: Clin Toxicol (Phila) Country: England |
Other Details:
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Languages: eng Pagination: 595-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Emergency Medicine, Pamukkale University Medical School, Denizli, Turkey. mserinken@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Lung Injury
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chemically induced,
pathology*,
therapy Air Pollutants, Occupational / toxicity* Humans Inhalation Exposure / adverse effects* Intubation Irritants / toxicity Male Mediastinal Emphysema / chemically induced, pathology, therapy Pneumothorax / chemically induced, pathology*, therapy Respiration, Artificial Sulfates / toxicity Sulfur Dioxide / toxicity Sulfuric Acids / toxicity Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Air Pollutants, Occupational; 0/Irritants; 0/Sulfates; 0/Sulfuric Acids; 7446-09-5/Sulfur Dioxide; 7664-93-9/sulfuric acid; 7757-82-6/sodium sulfate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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