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Delayed aspiration pneumonia and systemic toxicity in patient who inhaled dry powder of fire extinguisher

Title
Delayed aspiration pneumonia and systemic toxicity in patient who inhaled dry powder of fire extinguisher
Authors
Lee D.H.Choi Y.H.
Ewha Authors
최윤희이덕희
SCOPUS Author ID
최윤희scopus
Issue Date
2016
Journal Title
Hong Kong Journal of Emergency Medicine
ISSN
1024-9079JCR Link
Citation
vol. 23, no. 4, pp. 234 - 237
Keywords
Ammonium phosphateFire extinguishing systemHumanHyperphosphatemiaInhalation exposure
Publisher
Medcom Limited
Indexed
SCIE; SCOPUS WOS scopus
Abstract
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. © 2016, Medcom Limited. All rights reserved.
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의학전문대학원 > 의학과 > Journal papers
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