title: Acute respiratory distress syndrome and chemical burns after exposure to chlorine-containing bleach: a case report.
abstract: Chlorine-containing bleach can cause acute respiratory distress syndrome (ARDS) and chemical burns. However, simultaneous occurrence of the two conditions caused by this agent is very rare. We describe the case of a 74-year-old female who presented with shortness of breath and hemoptysis following accidental exposure to chlorine-containing bleach. She had second- to third-degree chemical burns on both buttocks and thighs, and received mechanical ventilation because of the development of ARDS. Mechanical ventilation was discontinued on day 6 of hospitalization because of the rapid improvement of hypoxemia, and the patient was transferred to another hospital for further management of the chemical burns on day 18.
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Hong-Joon
authors.initials: HJ
authors.lastname: Shin
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Jin-Sun
authors.initials: JS
authors.lastname: Chang
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Seong
authors.initials: S
authors.lastname: Ahn
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Tae-Ok
authors.initials: TO
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Cheol-Kyu
authors.initials: CK
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Jung-Hwan
authors.initials: JH
authors.lastname: Lim
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: In-Jae
authors.initials: IJ
authors.lastname: Oh
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Yu-Il
authors.initials: YI
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Sung-Chul
authors.initials: SC
authors.lastname: Lim
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Young-Chul
authors.initials: YC
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Yong-Soo
authors.initials: YS
authors.lastname: Kwon
keywords: Chlorine; acute respiratory distress syndrome; chemical burns