A Rare Case of Acute Respiratory Distress Due to Hydrochloric Acid Inhalation

Year 2024, , 58 - 62, 25.03.2024

Saim Türkoğlu , Nuruban Delal Baykal , Ali Mahir Gündüz , Cemil Goya , Esra Gürbüz

https://doi.org/10.55517/mrr.1373202

Abstract

Although lung injury due to inhalation of Hydrochloric acid (HCl) occurs frequently, imaging findings are not well known. In this case, we aimed to discuss the progression of the patient who developed ARDS (Acute Respiratory Distress Syndrome) after inhalation of hydrochloric acid and progressive during follow-up. A 37-year-old female patient who was followed for asthma was admitted to the outpatient clinic with complaints of sudden dyspnea and chest pain after cleaning with bleach at home. In both lungs, patchy glassy opacities and consolidations were observed, progressively progressing towards the periphery. The patient was clinically diagnosed as acute respiratory distress syndrome. Hydrochloric acid was detected as the etiological agent. Hydrochloric acid is a colorless, which is used as a powerful cleaning agent in everyday use. Radiologists should be aware of the radiographic findings of pulmonary intoxication. Some of these may be life-threatening and require urgent diagnosis. When the general condition of the patient is bad and the anamnesis cannot be obtained by clinicians, radiological findings can be recognized, and guidance tips can be given to the clinician. In this way, they should aim to reduce the mortality and morbidity by recognizing the fatal diseases such as ARDS which may develop in patients as a result of intoxication and with early treatment.

Keywords

HCL, Hydrochloric acid, Inhalation, Intoxication, Respiratory distress syndrome

Hidroklorik Asit İnhalasyonuna Bağlı Nadir Bir Akut Solunum Sıkıntısı Vakası

Abstract

Hidroklorik asit inhalasyonuna bağlı akciğer hasarı sık görülmesine rağmen görüntüleme bulguları iyi bilinmemektedir. Bu vakada hidroklorik asit inhalasyonu sonrası ARDS (Akut Solunum Sıkıntısı Sendromu) gelişen ve kliniği kötüleşen hastanın durumunu tartışmayı amaçladık. Astım nedeniyle takip edilen 37 yaşında kadın hasta, evde çamaşır suyu ile temizlik yaptıktan sonra ani nefes darlığı ve göğüs ağrısı şikayeti ile polikliniğimize başvurdu. Her iki akciğerde çevreye doğru progresif olarak ilerleyen yamalı camsı opasiteler ve konsolidasyonlar gözlendi. Hastaya klinik olarak akut solunum sıkıntısı sendromu tanısı konuldu. Hidroklorik asit etiyolojik ajan olarak saptandı. Hidroklorik asit, günlük kullanımda güçlü bir temizlik maddesi olarak kullanılan renksiz bir maddedir. Radyologlar, pulmoner intoksikasyonların radyografik bulgularından haberdar olmalıdır. Bunlardan bazıları hayatı tehdit edici olabilir ve acil teşhis gerektirebilir. Hastanın genel durumu kötü olduğunda ve klinisyenler tarafından anamnez alınamadığında radyolojik bulgular tanınabilir ve klinisyene yol gösterici ipuçları verilebilir. Bu sayede hastalarda zehirlenme sonucu gelişebilecek ARDS gibi ölümcül hastalıkları erken tanıyarak ve erken tedavi ile mortalite ve morbiditeyi azaltmayı hedeflemelidirler.

Keywords

HCl, Hidroklorik Asit, İnhalasyon, İntoksikasyon, Respiratuar distres sendromu

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