Acute respiratory distress syndrome following nitrogen dioxide exposure.
A young laborer was accidentally exposed to toxic nitrogen dioxide fumes following an accidental explosion at work place. He developed acute respiratory distress within few hours of exposure and manifested with severe hypoxemia and permeability edema. Assistance with mechanical ventilation and corticosteroid therapy could be instituted only after 24 hours of exposure. He had shown remarkable recovery and could be weaned off after seven days. At three weeks after discharge, his lung function tests were normal.
Aggarwal
A N
AN
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ramanathan
R M
RM
Jindal
S K
SK
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009585:Nitrogen Dioxide / Q000506:poisoning*; D011175:Positive-Pressure Respiration; D012121:Respiration, Artificial / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy*; D012129:Respiratory Function Tests; D013256:Steroids; D016896:Treatment Outcome; D015300:Ventilator Weaning / Q000379:methods
D000893:Anti-Inflammatory Agents; D013256:Steroids; D009585:Nitrogen Dioxide