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A Case of Chemical Pneumonitis After Ingestion of Hydrocarbon
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Suk Hwan Kim, Yangjin Jegal, Nari Choy, Yangho Kim
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Korean Journal of Occupational and Environmental Medicine 2009;21(4):406-411. Published online December 31, 2009
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DOI: https://doi.org/10.35371/kjoem.2009.21.4.406
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 Abstract
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- BACKGROUND
Hydrocarbon is used frequently in the home in places such as the kitchen, garage, and basement. Accidental ingestion of hydrocarbons occurs generally in infants and children in the home. In cases of accidental ingestion, the amount is usually too small to cause medical problems, but can bring about diseases such as chemical pneumonitis.
CASE
REPORT: After ingesting organic solvent mistaken for mineral water, a 53-year-old male complained of cough, fever, and pain in the right upper abdomen, back, and right chest. Simple chest x-ray revealed focal chemical pneumonitis mainly involving the right middle lobe. The resulting lung abscess did not resolve until after treatment with drainage accompanied with antibiotics therapy. The ingested solution was analyzed and found to be a C11~C13 hydrocarbon mixture which has low viscosity.
CONCLUSION
Chemical pneumonitis occurred after ingestion of hydrocarbon solution, and there is evidence of aspiratory mechanism.
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A Case of Nitrogen Dioxide-Induced Pulmonary Edema in Oxygen Torch
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Jong Joon Ahn, Yangjin Jegal, Kwang Won Seo, Woon Jung Kwon, Nari Choy, Yangho Kim
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Korean Journal of Occupational and Environmental Medicine 2007;19(3):244-249. Published online September 30, 2007
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DOI: https://doi.org/10.35371/kjoem.2007.19.3.244
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Abstract
PDF
- BACKGROUND
Welders tend to be exposed to a variety of hazards including metal fumes, toxic gases, electricity, heat, noise, and radiation such as ultraviolet and infrared light. Noxious gases generated during welding include carbon monoxide, ozone, and nitrogen oxide. Although the effects of metal fumes have been well studied, few reports have investigated the influence of noxious gas exposure in welders.
CASE
REPORT: We encountered a patient who developed non-cardiogenic pulmonary edema within a day after fairing up a steel plate with an oxygen/LPG torch. The patient was a 43-year-old female who complained of dyspnea which became exacerbated the following morning. Her chest X-ray and chest CT scan showed an extensive ground glass opacity which was more prominent in the both upper lungs. Both her symptoms and chest X-ray findings improved. We attributed the patient's symptoms to non-cardiogenic pulmonary edema caused by nitrogen dioxide exposure, by reasoning that: 1) the patient's clinical course and radiologic findings suggested pulmonary edema 2) the event happened following fairing work with oxygen/LPG torch that usually induces a high concentration of nitrogen dioxide, and 3) the other possible causes of pulmonary edema could be excluded.
CONCLUSION
Nitrogen dioxide-induced pulmonary edema should be considered in oxygen torch contrary to arc welding.
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Citations
Citations to this article as recorded by  - Acute Occupational Poisoning in Korea
Hyunjoo Kim, Jia Ryu
The Ewha Medical Journal.2016; 39(4): 99. CrossRef
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