Öz
Aim: Hydrocarbon compounds that are ingested orally show their effects by tissue hypoxia, pulmonary irritation, and systemic toxicity. Chemical pneumonia is one of the most serious complications of hydrocarbon poisoning. The clinical and radiological detection of chemical pneumonia is important in terms of treatment and prognosis. In this article, a 54-year-old patient diagnosed with chemical pneumonia due to kerosene drinking is presented.
Case Report: A 54-year-old man was admitted to the Emergency Department with complaints of cough, shortness of breath, and epigastric pain. On admission, his vital signs were as follows: BP: 150/95 mmHg, SPO2: % 97, the pulse rate: 97/min, body temperature: 36.5 ℃. His medical history was notable for drinking approximately 100 ccs of kerosene accidentally while cleaning his house about 5 days ago. The patient was found to have chemical pneumonia and hospitalized.
Conclusion: Chemical pneumonia should be remembered in patients admitted to the emergency department after drinking hydrocarbons. In addition, most of these poisoning episodes are preventable.
Anahtar Kelimeler
Kaynakça
- Gummin DD, Mowry JB, Spyker DA, et al. 2018 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 36th Annual Report. Clin Toxicol (Phila). 2019;57:1220.
- Jolliff HA, Fletcher E, Roberts KJ, et al. Pediatric hydrocarbon-related injuries in the United States: 2000-2009. Pediatrics. 2013;131:1139.
- Chen YJ, Hsu CC, Chen KT. Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review. World J Emerg Med. 2019;10:69.
- Lewander WJ, Aleguas A. Petroleum distillates and plant hydrocarbons. In: Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose, 4th, Shannon MW, Borron SW, Burns MJ (Eds), Saunders Elsevier, Philadelphia 2007. p.1343.
- Tormoehlen LM, Tekulve KJ, Nañagas KA. Hydrocarbon toxicity: A review. Clin Toxicol (Phila). 2014;52:479.
- Riggan MAA, Gummin DD. Hydrocarbons. In: Goldfrank's Toxicologic Emergencies, 11th edition, Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS (Eds), McGraw-Hill, New York 2019. p.1409.
- Martz W. A lethal ingestion of a household cleaner containing pine oil and isopropanol. J Anal Toxicol. 2010;34:49.
- Tutanç M, Karcıoğlu M, Kocamaz H, et al. Peroral poisoning leading to lung complications. İzmir Dr. Behçet Uz Çocuk Hast. Dergisi 2012;2(1):23-27.
- Van Gorcum TF, Hunault CC, Van Zoelen GA, et al. Lamp oil poisoning: did the European guideline reduce the number and severity of intoxications? Clin Toxicol (Phila). 2009;47:29.
- Lifshitz M, Sofer S, Gorodischer R. Hydrocarbon poisoning in children: a 5-year retrospective study. Wilderness Environ Med. 2003;14:78
- Makrygianni EA, Palamidou F, Kaditis AG. Respiratory complications following hydrocarbon aspiration in children. Pediatr Pulmonol. 2016;51:560.
Öz
Amaç: Ağızdan yutulan hidrokarbonlu bileşikler doku hipoksisi, pulmoner irritasyon vesistemik toksisite ile etkilerini gösterirler. Kimyasal pnömoni hidrokarbon zehirlenmesinin en ciddi görülen komplikasyonlardan biridir. Kimyasal pnömoninin klinik ve radyolojik olarak saptanması tedavi ve prognoz açısından önemlidir. Bu yazıda gazyağı içmeye bağlı şimik pnömoni teşhisi konulan 54 yaşında bir hasta sunuldu.
Olgu Sunumu: 54 yaşında erkek hasta Acil Servis’e öksürük, nefes darlığı ve epigastrik ağrı şikayetleri ile başvurdu. Kabulde vital bulguları; TA: 150/95 mmHg, SPO2: % 97, nabız: 97/dk, ateş: 36,5 ℃ idi. Hastanın öyküsünde yaklaşık 5 gün önce evini temizlerken yanlışlıkla yaklaşık 100 ml kadar gaz yağı içtiği öğrenildi. Yapılan tetkiklerinde şimik pnömoni saptanan hasta hastaneye yatırıldı.
Sonuç: Acil servise hidrokarbon içilmesi sonucu getirilen hastalarda şimik pnömoni unutulmamalıdır. Ayrıca bu tür zehirlenmelerin büyük çoğunluğu önlenebilir.
Anahtar Kelimeler
Kaynakça
- Gummin DD, Mowry JB, Spyker DA, et al. 2018 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 36th Annual Report. Clin Toxicol (Phila). 2019;57:1220.
- Jolliff HA, Fletcher E, Roberts KJ, et al. Pediatric hydrocarbon-related injuries in the United States: 2000-2009. Pediatrics. 2013;131:1139.
- Chen YJ, Hsu CC, Chen KT. Hydrocarbon pneumonitis following fuel siphonage: A case report and literature review. World J Emerg Med. 2019;10:69.
- Lewander WJ, Aleguas A. Petroleum distillates and plant hydrocarbons. In: Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose, 4th, Shannon MW, Borron SW, Burns MJ (Eds), Saunders Elsevier, Philadelphia 2007. p.1343.
- Tormoehlen LM, Tekulve KJ, Nañagas KA. Hydrocarbon toxicity: A review. Clin Toxicol (Phila). 2014;52:479.
- Riggan MAA, Gummin DD. Hydrocarbons. In: Goldfrank's Toxicologic Emergencies, 11th edition, Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS (Eds), McGraw-Hill, New York 2019. p.1409.
- Martz W. A lethal ingestion of a household cleaner containing pine oil and isopropanol. J Anal Toxicol. 2010;34:49.
- Tutanç M, Karcıoğlu M, Kocamaz H, et al. Peroral poisoning leading to lung complications. İzmir Dr. Behçet Uz Çocuk Hast. Dergisi 2012;2(1):23-27.
- Van Gorcum TF, Hunault CC, Van Zoelen GA, et al. Lamp oil poisoning: did the European guideline reduce the number and severity of intoxications? Clin Toxicol (Phila). 2009;47:29.
- Lifshitz M, Sofer S, Gorodischer R. Hydrocarbon poisoning in children: a 5-year retrospective study. Wilderness Environ Med. 2003;14:78
- Makrygianni EA, Palamidou F, Kaditis AG. Respiratory complications following hydrocarbon aspiration in children. Pediatr Pulmonol. 2016;51:560.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Vaka Takdimi |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 3 Sayı: 4 |
