A case of chemical pneumonitis induced by hydrocarbon ingestion.
- Author:
Do Hyoung KIM
1
;
Min Young LEE
;
In Gyun OH
;
Byoung Yerb KIM
;
Goung Sup LEE
;
Chang Seon LEE
;
Ji Hyang KANG
;
Hyun Ju CHOI
;
Jong Seo HONG
;
Young Min KOH
Author Information
1. Department of Internal medicine, Hanil General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hydrocarbon;
Chemical pneumonitis
- MeSH:
Acidosis;
Anoxia;
Benzene;
Blood Pressure;
Burns;
Burns, Chemical;
Cardiopulmonary Resuscitation;
Central Nervous System;
Coma;
Consciousness;
Disinfectants;
Eating*;
Emergency Service, Hospital;
Female;
Gastric Mucosa;
Humans;
Korea;
Leukocytosis;
Liver;
Pneumonia*;
Pneumothorax;
Respiration;
Respiratory Insufficiency;
Skin;
Ventilation;
Wounds and Injuries
- From:Korean Journal of Medicine
2001;61(1):53-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Chemical pneumonitis induced by hydrocarbon ingestion is rare in Korea. Cresol and xylenol, commonly used hydrocarbon disinfectants, can cause chemical burn on skin, gastrointestinal corrosive injury, central nervous system disturbance, and multiorgan failure including acute respiratory failure and chemical pneumonitis following intoxication1, 2, 8). We will report a case of chemical pneumonitis induced by ingestion of a hydrocarbon disinfectant as suicidal attempt.A 39-years-old female was found unconscious after ingestion of 100-200mL of solution containing cresol (5.5 g/100 mL), xylenol (7.5 g/100 mL), and benzene (37.5 g/100 mL).Upon arriving at emergency room the patient was in coma, had undectable blood pressure (0/0) and had no self respiration. Cardiopulmonary resuscitation were given immediately, resulting in reversed her consciousness and elevated blood pressure.The patient had dermal burn on face, erosion of oral and gastric mucosa, impairment of liver function, leukocytosis, metabolic acidosis with hypoxemia, chemical pneumonitis, and spontaneous pneumothorax. The patient survived after artificial ventilation, intensive general supportive treatment and wound care. She was discharged in relatively good clinical condition with minimal sequele.
