title: Reactive airways dysfunction syndrome (RADS) following exposure to toxic gases of a swine confinement building.
abstract: We describe the case of a 58 year old male, who developed a reactive airways dysfunction syndrome (RADS) after exposure to a high level of toxic gases in a swine confinement building. This previously healthy, nonatopic man developed moderate, partially reversible, airway obstruction and increased responsiveness within a month after the toxic exposure. The circumstances of the incident and the concomitant death of two sows make it likely that hydrogen sulphide was the causative agent. To our knowledge, this is the first case of reactive airways dysfunction syndrome reported from swine confinement buildings and, therefore, should raise awareness of this potential risk in that work environment.
authors.affiliation: Unité de recherche, Centre de pneumologie, Hôpital and Université Laval, Ste-Foy, Québec, Canada.
authors.forename: Y
authors.initials: Y
authors.lastname: Cormier
authors.forename: B
authors.initials: B
authors.lastname: Coll
authors.forename: M
authors.initials: M
authors.lastname: Laviolette
authors.forename: L P
authors.initials: LP
authors.lastname: Boulet
mesh_terms: D000280:Administration, Inhalation; D000383:Agriculture; D001249:Asthma / Q000139:chemically induced* / Q000175:diagnosis; D016535:Bronchial Hyperreactivity / Q000139:chemically induced* / Q000175:diagnosis; D001985:Bronchial Provocation Tests; D001993:Bronchodilator Agents / Q000627:therapeutic use; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000139:chemically induced* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D013577:Syndrome
chemical_list: D001993:Bronchodilator Agents