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Korean J Crit Care Med > Volume 25(2); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(2): 112-117. doi: https://doi.org/10.4266/kjccm.2010.25.2.112
활성숯 흡인 후 발생한 화학성 폐장염과 동반된 급성호흡곤란증후군 -증례 보고-
김수현ㆍ강나리ㆍ손인ㆍ이헌*ㆍ이윤경†ㆍ송숙희
서울특별시 서울의료원 내과, *영상의학과, †성균관대학교 의과대학 삼성서울병원 병리학교실
Acute Respiratory Distress Syndrome with Chemical Pneumonitis after Aspiration of Activated Charcoal: A Case Report
Suhyun Kim, Na Ree Kang, In Sohn, Heon Lee, Yoon Kyung Lee, Sook Hee Song
1Department of Internal Medicine, Seoul Metropolitan Seoul Medical Center, Seoul, Korea. sammy7597@naver.com
2Department of Radiology, Seoul Metropolitan Seoul Medical Center, Seoul, Korea.
3Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
ABSTRACT
Charcoal has been commonly used for enteral detoxication although it causes few adverse effects. The major causes of morbidity and mortality secondary to activated charcoal therapy are pulmonary aspiration, gastrointestinal complication, and fluid and electrolyte abnormalities. Aspiration of charcoal is associated with pulmonary compromise due to increased microvascular permeability with concomitant lung edema, surfactant depletion, atelectasis, and obliterative bronchiolitis. Herein we report the case of a patient with acute respiratory distress syndrome with chemical pneumonitis after aspiration of activated charcoal in sorbitol with a review of the related literatures.
Key Words: activated charcoal; ARDS; chemical pneumonitis; human
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