title: Life-threatening acute lung injury after gamma butyrolactone ingestion.
abstract: We describe a case of a 44-year-old woman with a borderline personality disorder and chronic gamma- butyrolactone (GBL) use who presented with progressive dyspnoea and an altered mental status. A high anion gap metabolic acidosis and acute lung injury was diagnosed. We hypothesise this was caused by GBL. In this case report we describe the diagnostic process and possible pathophysiological mechanisms that may have led to this life-threatening condition.
authors: Department of Internal Medicine, Leiden University Medical Centre, Leiden, the Netherlands.
authors: M
authors: M
authors: van Gerwen
authors: H
authors: H
authors: Scheper
authors: D J
authors: DJ
authors: Touw
authors: C
authors: C
authors: van Nieuwkoop
mesh_terms: D015107:4-Butyrolactone / Q000506:poisoning*; D055371:Acute Lung Injury / Q000139:chemically induced* / Q000000981:diagnostic imaging; D000328:Adult; D003679:Deglutition; D005260:Female; D006801:Humans; D012997:Solvents / Q000506:poisoning; D014057:Tomography, X-Ray Computed
chemical_list: D012997:Solvents; D015107:4-Butyrolactone