title: Metal fume fever: a review of the literature and cases reported to the Louisiana Poison Control Center.
abstract: Metal fume fever (MFF) is an important occupational-related illness resulting from inhalation of volatile metal oxides, especially zinc, that are produced during welding or cutting of metal materials. Onset of MFF is rapid, occurring within a few hours after inhalation of the fumes. Symptoms include fever, chills, cough, dyspnea, headache, myalgia, and malaise. Symptoms are self-limiting and typically resolve within 24 hours with a subsequent short-lived tolerance to zinc oxide fumes that disappears after one to two days of avoidance. In this report, we present an overview of MFF's history, pathogenesis, clinical presentation, regulatory guidelines, and prevention recommendations. This review is followed by a description of MFF cases reported by the Louisiana Poison Control Center to the Louisiana Office of Public Health's Section of Environmental Epidemiology and Toxicology during a two-year period.
authors.affiliation: Louisiana State University Health Sciences Center, School of Public Health, USA.
authors.forename: Syed Atif
authors.initials: SA
authors.lastname: Ahsan
authors.forename: Michelle
authors.initials: M
authors.lastname: Lackovic
authors.forename: Adrienne
authors.initials: A
authors.lastname: Katner
authors.forename: Christine
authors.initials: C
authors.lastname: Palermo
mesh_terms: D005739:Gas Poisoning / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008669:Metallurgy; D009784:Occupational Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012140:Respiratory Tract Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D014896:Welding; D015034:Zinc Oxide / Q000506:poisoning*
chemical_list: D015034:Zinc Oxide