AI Article Synopsis
- - Acryloyl chloride is a toxic substance that can lead to serious respiratory issues, specifically acute respiratory distress syndrome (ARDS), with no established treatments documented before this case.
- - A 36-year-old man accidentally inhaled acryloyl chloride, presenting with breathing difficulties, low oxygen levels, and was diagnosed with ARDS, requiring intensive care.
- - The patient was treated with high-flow nasal cannula and medications, later switching to methylprednisolone; he improved and was discharged after 8 days without needing intubation.
Article Abstract
Background: Acryloyl chloride is a highly toxic volatile liquid that can cause pulmonary edema. However, no sufficient treatment reports have been published to date. Here, we report a case of acute respiratory distress syndrome (ARDS) caused by acryloyl chloride inhalation.
Case Presentation: The patient was a 36-year-old man with accidental exposure to acryloyl chloride. The patient had dyspnea and wet cough, with approximately 88% percutaneous oxygen saturation at room air. He was diagnosed with ARDS and admitted to the intensive care unit. Initially, he was treated with a high-flow nasal cannula and sivelestat sodium. However, due to the possibility of delayed exacerbation, the patient was switched to methylprednisolone. Oxygenation gradually improved, and the patient was discharged on the day 8 of hospitalization.
Conclusion: We report the case of a patient who developed ARDS with delayed exacerbation after the inhalation of acryloyl chloride, which was treated without endotracheal intubation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766291 | PMC |
| http://dx.doi.org/10.1002/ams2.724 | DOI Listing |
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