A Patient with a Delayed Diagnosis of Zinc Powder Inhalation Poisoning: A Case Report.

IF 1.1 4区医学 Q4 MEDICAL LABORATORY TECHNOLOGY

Annals of clinical and laboratory science Pub Date : 2024-11-01

Min Chai, Xiuxian Zang, Xinran Yang, Chenglin Yu, Bin Nian, Yixin Chen, Dilimulat Maimaiti, Shuai Chen, Dahai Xu

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引用次数: 0

Abstract

Objective: Overexposure to zinc can lead to zinc poisoning. Zinc poisoning from zinc powder inhalation has rarely been reported.

Case report: A 66-year-old male presented with nausea, chest tightness, and shortness of breath. He had no symptom improvement after antibiotic treatment. The patient's history revealed recent occupational exposure to cold zinc spray. Bronchoscopy showed a high zinc level (0.5 μmol/L) in the alveolar fluid of the patient. He was diagnosed with zinc powder inhalation poisoning (ZPIP).

Results: The patient received supplemental oxygen, high-dose glucocorticoids, hemoperfusion, bronchoalveolar lavage, and supportive care. Eventually, both his symptoms and a repeat lung computed tomography scan showed improvements.

Conclusion: ZPIP requires a careful history recording to avoid a missed diagnosis and delayed treatments. We present this case to share our experience regarding the clinical diagnosis of ZPIP and its treatment strategies.

本刊更多论文

迟发诊断为锌粉吸入中毒1例。

目的：过量接触锌可导致锌中毒。由于吸入锌粉导致锌中毒的报道很少。病例报告：66岁男性，表现为恶心、胸闷、呼吸短促。经抗生素治疗后症状无改善。患者病史显示近期职业性接触冷锌喷雾。支气管镜检查显示患者肺泡液锌含量高（0.5 μmol/L）。诊断为锌粉吸入中毒（ZPIP）。结果：患者接受补氧、大剂量糖皮质激素、血液灌流、支气管肺泡灌洗及支持性护理。最终，他的症状和肺部计算机断层扫描都有所改善。结论：ZPIP需要仔细的病史记录，以避免漏诊和延误治疗。我们提出这个病例是为了分享我们对ZPIP的临床诊断和治疗策略的经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of clinical and laboratory science 医学-医学实验技术

CiteScore

1.60

自引率

0.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： The Annals of Clinical & Laboratory Science welcomes manuscripts that report research in clinical science, including pathology, clinical chemistry, biotechnology, molecular biology, cytogenetics, microbiology, immunology, hematology, transfusion medicine, organ and tissue transplantation, therapeutics, toxicology, and clinical informatics.