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Chemical Pneumonitis


Presentation

  • We report the case of a 57-year-old man who presented with pneumothorax and was treated by tube thoracostomy.[ncbi.nlm.nih.gov]
  • Acute inhalational cadmium toxicity may mimic metal fume fever on initial presentation, but may have a markedly different clinical course.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Respiratory Medicine, Kurashiki Central Hospital, Japan. kk11900@kchnet.or.jp Abstract A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough[ncbi.nlm.nih.gov]
  • A 23-year-old man presented with chest pain after intravenous (IV) injection of isoparaffin (C12-C13, 99%). This report describes the chest computed tomography (CT) pattern of chemical pneumonitis after IV isoparaffin injection.[ncbi.nlm.nih.gov]
  • Abstract A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough.[jstage.jst.go.jp]
Laboratory Technician
  • A 60-year-old laboratory technician developed pulmonary infiltrates consistent with chemical pneumonitis following accidental exposure to a mixture of hydrogen bromide and phosphorus tribromide.[ncbi.nlm.nih.gov]
Agent Orange
  • Orange Other Military Personal and General Environment 1381 Pentachlorophenol and Tetrachlorophenol 1194 George D Thurston and Lance A Wallace 1400 Trimellitic Anhydride and Other Acid Robert B Devlin and Donald W Graff 1434 Carbon Disulfide 1219 97[books.google.de]
Cough
  • Two patients with chemical pneumonitis secondary to inhalation of an epoxy curing material used in the coating of pipes had similar patterns of cough, hemoptysis, and dyspnea associated with diffuse bilateral alveolar infiltrates shortly following the[ncbi.nlm.nih.gov]
  • Author information 1 Department of Respiratory Medicine, Kurashiki Central Hospital, Japan. kk11900@kchnet.or.jp Abstract A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough[ncbi.nlm.nih.gov]
  • Acute symptoms may include: Air hunger (feeling that you cannot get enough air) Breathing that sounds wet or gurgling (abnormal lung sounds) Cough Difficulty breathing Unusual sensation (possibly burning feeling) in the chest Chronic symptoms may include[nlm.nih.gov]
  • Acute: Cough Difficulty Breathing Abnormal lung sounds (wet, gurgling sounding breaths) Chest pain, tightness or burningChronic: Persistent cough Shortness of breath Increased susceptibility to respiratory illnessSymptoms of chronic chemical pneumonitis[en.wikipedia.org]
  • Symptoms Acute: Air hunger (feeling that you cannot get enough air) Cough Difficulty breathing Possibly wet or gurgle sounding breathing (abnormal lung sounds) Unusual sensation (possibly burning feeling) in the chest Chronic: Cough may or may not occur[coordinatedhealth.com]
Dyspnea
  • Two patients with chemical pneumonitis secondary to inhalation of an epoxy curing material used in the coating of pipes had similar patterns of cough, hemoptysis, and dyspnea associated with diffuse bilateral alveolar infiltrates shortly following the[ncbi.nlm.nih.gov]
  • A few develop lung inflammation during radiation therapy treatment for: leukemia lymphoma lung cancer breast cancer bone marrow transplant prep Symptoms of pneumonitis depends on your cause and may involve: fever chills fatigue dyspnea dry cough air hunger[healthblurbs.com]
  • Such features may include cyanosis, dyspnea, fever, pulmonary wheeze, crepitant rales, rhonchi, and tachycardia with a low blood pressure. Decreased arterial oxygen tension is also likely to be evident.[en.wikipedia.org]
  • Aspiration may be clinically silent, or it may present with dyspnea, cough, or fever. The clinical and radiographic features depend on the aspirated volume, pH, and chronicity 2.[radiopaedia.org]
  • She inhaled dust while applying chlorinating granules, resulting in cough, dyspnea, and lower respiratory pain and irritation.[cdc.gov]
Dry Cough
  • Author information 1 Department of Respiratory Medicine, Kurashiki Central Hospital, Japan. kk11900@kchnet.or.jp Abstract A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough[ncbi.nlm.nih.gov]
  • Abstract A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough.[jstage.jst.go.jp]
  • A few develop lung inflammation during radiation therapy treatment for: leukemia lymphoma lung cancer breast cancer bone marrow transplant prep Symptoms of pneumonitis depends on your cause and may involve: fever chills fatigue dyspnea dry cough air hunger[healthblurbs.com]
  • Our patient experienced a biphasic clinical response characterised by acute pulmonary oedema followed by delayed-onset BOOP, similar to that observed in other cases of irritant gas exposure. 1 The most common symptoms of BOOP are a progressive dry cough[thorax.bmj.com]
  • Symptoms The hallmark symptoms of pneumonitis include shortness of breath, dry cough, low-grade fever, chest tightness and/or pain and general malaise.[curetoday.com]
Persistent Cough
  • Acute: Cough Difficulty Breathing Abnormal lung sounds (wet, gurgling sounding breaths) Chest pain, tightness or burningChronic: Persistent cough Shortness of breath Increased susceptibility to respiratory illnessSymptoms of chronic chemical pneumonitis[en.wikipedia.org]
  • In chronic, there is persistent cough, shortness of breath and increased susceptibility to respiratory illness," said Dr Amandeep Kaur, Medical Director, Amandeep Hospital.[dnaindia.com]
  • They can include persistent coughing, shortness of breath, chest pain, lethargy, fever and unusual mood change, Osinski said.[cnn.com]
Rales
  • Such features may include cyanosis, dyspnea, fever, pulmonary wheeze, crepitant rales, rhonchi, and tachycardia with a low blood pressure. Decreased arterial oxygen tension is also likely to be evident.[en.wikipedia.org]
  • Productive cough Shortness of breath Fever (sometimes) Chest pain Patients with aspiration pneumonia may also exhibit with the following signs : Rapid breathing (tachypnea) Rapid heart rate (tachycardia) Abnormal breathing sounds (rales, wheezing, whispering[healthhype.com]

Treatment

  • A review of literature indicated that this is the first report of minocycline-associated chemical pneumonitis and its successful treatment.[ncbi.nlm.nih.gov]
  • You should confirm the information on the PDR.net site through independent sources and seek other professional guidance in all treatment and diagnosis decisions. PDR, LLC. All rights reserved.[pdrhealth.com]
  • Free Education January 1965 Evaluation of Methods Employed in the Treatment of the Chemical Pneumonitis of Aspiration Author Notes Department of Anaesthesia, Third Surgical Clinic (Head: Prof. Z. Kieturakis), Medical Academy, Gdańsk, Poland.[anesthesiology.pubs.asahq.org]
  • The common sense treatment for hypersensitivity or chemical pneumonitis is eliminating exposure to the allergen or chemical irritating your lungs.[healthblurbs.com]
  • Treatment is focused on reversing the cause of inflammation and reducing symptoms.[leehealth.org]

Prognosis

  • The immediate and long-term prognosis and possible sequelae are also variable. This review excludes infectious or immunologically induced acute respiratory diseases.[ncbi.nlm.nih.gov]
  • Expectations (prognosis) The outcome depends on the chemical agent involved, the severity of exposure, and whether the problem is acute or chronic. Complications Respiratory failure and death can occur.[coordinatedhealth.com]
  • Outlook (Prognosis) The outcome depends on the chemical, the severity of exposure, and whether the problem is acute or chronic. Possible Complications Respiratory failure and death can occur.[leehealth.org]
  • Prognosis Prognosis is good with early diagnosis and management. Late-diagnosed chronic pneumonitis may lead to progressive, irreversible lung disease.[patient.info]
  • Treatment and prognosis Complications The major complication associated with aspiration is pulmonary infection: segmental or lobar pneumonia bronchopneumonia lung abscess empyema Other causes of airspace opacity need to be considered 3 : pulmonary edema[radiopaedia.org]

Etiology

  • The etiologic diagnosis of acute cadmium intoxication from inhaled fumes may be difficult and can be confused with other forms of acute respiratory failure.[ncbi.nlm.nih.gov]
  • Discussion: The etiology of Takotsubo cardiomyopathy remains uncertain, and it is likely that the cause is multifactorial.[shmabstracts.com]
  • Here's the situation: I'm in the middle of writing a monster care plan - in my program we only have to fully develop 2 diagnoses per plan, but I do need to list, completely, all relevant nursing Dx, etiologies and defining characteristics.[allnurses.com]

Epidemiology

  • Epidemiology It is common, if all causes of pneumonitis are considered.[patient.info]
  • Epidemiology and Infection, Vol. 142, Issue. 02, p. 388. CrossRef Google Scholar Lu, Chan Deng, Qihong Yu, Chuck W. F. Sundell, Jan and Ou, Cuiyun 2014.[cambridge.org]
Sex distribution
Age distribution

Pathophysiology

  • Clinical characteristics, pathophysiology, and management of hydrocarbon ingestion: case report and review of the literature. Pediatr Emerg Care 1987;3:187–193. 4. Baldachin BJ, Melmed RN.[synapse.koreamed.org]
  • […] result of aspiration of gastric contents Aspiration pneumonia is infection of the lungs following aspiration by micro-organisms colonising the GI tract Distinguishing from aspiration pneumonitis may be difficult, and the distinction is controversial PATHOPHYSIOLOGY[lifeinthefastlane.com]
  • Pathophysiology The airways are lined with respiratory epithelium that is specialized for its function. It ensures that air entering the lungs is filtered out of dust and microbes.[healthhype.com]

Prevention

  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.de]
  • In children, if aspirated, the oil can work to prevent normal breathing, resulting in death of brain cells and permanent paralysis and/or brain damage.[en.wikipedia.org]
  • Prevention Household chemicals should be used only as directed and always in well-ventilated areas. Never mix ammonia and bleach together. Work rules regarding breathing masks should be followed and the appropriate breathing mask should be worn.[coordinatedhealth.com]
  • Evaluation and Monitoring 681 Antiretroviral Therapy 689 98 Immune Reconstitution Inflammatory Syndrome 699 99 Differential Diagnosis and Management of Opportunistic 707 100 Prophylaxis of Opportunistic Infections in HIV Infection 721 PART XIII 731 101 Prevention[books.google.com]
  • Prevention Only use household chemicals as directed, and always in well-ventilated areas. Never mix ammonia and bleach. Follow workplace rules for breathing masks and wear the right mask.[leehealth.org]

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