title: [Acute respiratory distress syndrome following inhalation of barium sulfate].
abstract: BACKGROUND
  Barium sulfate (BS) is chosen to explore swallowing disorders because of its reduced osmolality allowing no adverse reaction if aspirated in the bronchial tree.
  
  
  METHODS
  A 66-years old man treated for an advanced stage mesothelioma experienced a BS aspiration during an esophagography. He developed 3 days after an acute respiratory distress syndrome (ARDS) and deceased. The post-mortem examination revealed a diffuse alveolar damage (DAD).
  
  
  CONCLUSIONS
  Whereas BS aspiration is generally well tolerated, serious adverse event as a DAD would exceptionally occurs. Thus, a close watch over respiratory symptoms has to be kept after BS administration, especially in debilitated and elderly patients.
authors.affiliation: Service de Réanimation Médicale, Hôpital Sainte-Marguerite, Faculté de Médecine, Université de la Méditerranée, Assistance Publique Hôpitaux de Marseille, Marseille, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Gernez
authors.forename: F
authors.initials: F
authors.lastname: Barlési
authors.forename: C
authors.initials: C
authors.lastname: Doddoli
authors.forename: B
authors.initials: B
authors.lastname: Chetaille
authors.forename: J M
authors.initials: JM
authors.lastname: Forel
authors.forename: P
authors.initials: P
authors.lastname: Astoul
authors.forename: L
authors.initials: L
authors.lastname: Papazian
mesh_terms: D000284:Administration, Oral; D000368:Aged; D001466:Barium Sulfate / Q000008:administration & dosage / Q000009:adverse effects*; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000150:complications / Q000000981:diagnostic imaging; D010997:Pleural Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D011015:Pneumonia, Aspiration / Q000139:chemically induced* / Q000150:complications / Q000473:pathology; D011859:Radiography; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000473:pathology
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate