American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
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American Journal of Medical Case Reports. 2016, 4(9), 312-314
DOI: 10.12691/ajmcr-4-9-5
Open AccessCase Report

Severe Pulmonary Edema due to Nitric Acid Fume Inhalation at Home

Silvia Quadrelli1, , Marco Antonio Solis Aramayo1, Marcos Hernandez1 and Manuel Ibarrola1

1Respiratory Medicine Department, Sanatorio Güemes, Buenos Aires, Argentina

Pub. Date: October 17, 2016

Cite this paper:
Silvia Quadrelli, Marco Antonio Solis Aramayo, Marcos Hernandez and Manuel Ibarrola. Severe Pulmonary Edema due to Nitric Acid Fume Inhalation at Home. American Journal of Medical Case Reports. 2016; 4(9):312-314. doi: 10.12691/ajmcr-4-9-5

Abstract

A 65 year-old man presented to the Emergency Department (ED) with dyspnoea at rest, peripheral cyanosis, general paleness and a frothy fluid escaping from the nose and mouth. He also showed severe burns in his hands. He had been trying to clean a copper lamp with a 50–70% nitric acid solution at home. He was transferred to the intensive care unit (ICU). Non-invasive mechanical ventilation with PEEP was immediately applied. Treatment was started with 60 mg of furosemide intravenously (IV), and prednisolone 250 mg IV four times daily. As he responded, he was weaned off non-invasive ventilation and administered high-flow oxygen via a facemask (10 L/min). At day 5, he was transferred to the general ward. The patient was discharged from hospital at day 10 without serious pulmonary complications. He was followed-up as an outpatient for three months and respiratory function tests did not show any impairment.

Keywords:
nitric acid pulmonary edema inhalation

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