Korean J Crit Care Med.
2010 Jun;25(2):112-117. 10.4266/kjccm.2010.25.2.112.
Acute Respiratory Distress Syndrome with Chemical Pneumonitis after Aspiration of Activated Charcoal: A Case Report
- Affiliations
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- 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.
- KMID: 2228239
- DOI: http://doi.org/10.4266/kjccm.2010.25.2.112
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.
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