Delayed Aspiration Pneumonia and Systemic Toxicity in Patient who Inhaled Dry Powder of Fire Extinguisher
Autor: | Dh Lee, Yh Choi |
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Rok vydání: | 2016 |
Předmět: |
Inhalation exposure
Fire extinguisher business.industry 030232 urology & nephrology 030208 emergency & critical care medicine Emergency department Aspiration pneumonia medicine.disease Asymptomatic law.invention 03 medical and health sciences Hyperphosphatemia 0302 clinical medicine law Anesthesia Emergency Medicine medicine Hypocalcaemia medicine.symptom business Acidosis |
Zdroj: | Hong Kong Journal of Emergency Medicine. 23:234-237 |
ISSN: | 2309-5407 1024-9079 |
DOI: | 10.1177/102490791602300405 |
Popis: | A 45-year-old man inhaled fire extinguisher powder. After three days of asymptomatic period, respiratory symptoms and systemic toxicity developed. Patient had cardiac arrest in the emergency department and was successfully resuscitated. The dry fire extinguisher powder contains high concentrations of monoammonium phosphate, which causes severe hyperphosphataemia and hypocalcaemia. Life threatening conditions such as seizures, cardiac arrhythmias, acidosis, and cardiac arrest can develop. When monoammonium phosphate was inhaled, only mild flu-like symptoms can present initially. Therefore, primary physicians need to be aware of the entity and clinical severity of intoxication to achieve early recognition and treatment. (Hong Kong j.emerg.med. 2016;23:234-237) |
Databáze: | OpenAIRE |
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