B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS最新文献_第2页

New Onset Asthma in a Nuclear Submariner Following Prolonged Exposure to Poor Air Quality 核潜艇艇员长期暴露于不良空气质量后新发哮喘

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2983

R. Kraus, C. S. Rose, R. Meehan

引用次数: 0

Improvement in ECAC After Tracheoplasty in a "War on Terror" Veteran Following Afghanistan Deployment “反恐战争”老兵在阿富汗部署后气管成形术后ECAC的改善

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2984

S. Krefft, R. Meguid, C. S. Rose

引用次数: 0

A Case of Occupational Exposure to Air Cooling Unit Cleaner Chemicals and Organic Material Resulting in Hypersensitivity Pneumonitis in an Immunocompromised Host 职业性接触空气冷却装置清洗剂化学物质和有机物质导致免疫功能低下宿主过敏性肺炎的一例

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2978

T. Czech

引用次数: 0

Caffeine Overdose: More Than Just the Jitters 咖啡因过量:不仅仅是神经紧张

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2991

A. Chajkowski, W. Khan

引用次数: 0

A Case of Probable Hypersensitivity Pneumonitis on a Fish Worker 一名养鱼工人疑似超敏性肺炎个案

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2981

G. Hernandez Romero, C. Rosenzvit, S. Spivack

引用次数: 0

Crack Lung: A Clinical Diagnosis 裂肺:临床诊断

B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2979

B. Ohiokpehai, V. Poddar, A. Mehari

{"title":"Crack Lung: A Clinical Diagnosis","authors":"B. Ohiokpehai, V. Poddar, A. Mehari","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2979","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2979","url":null,"abstract":"IntroductionCrack lung is a clinically diagnosed form of diffuse alveolar hemorrhage that occurs acutely within 48 hours of smoking crack cocaine. The diagnosis of crack lung is based on history, clinical presentation, laboratory, and radiographic findings. Unlike most other forms of alveolar hemorrhage, crack lung does not require extensive or invasive work up and is managed symptomatically. We hereby present a case of acute diffuse alveolar hemorrhage secondary to crack cocaine which was clinically diagnosed and managed symptomatically. Case reportPatient was a 46-year-old female with a past medical history of type II diabetes mellitus, chronic obstructive pulmonary disease and polysubstance abuse that was brought to the emergency room after she was found unresponsive. 4mg of Narcan was administered and she became alert. Following Narcan administration, patient remained altered and confused. At the emergency room patient endorsed shortness of breath at rest which she associated it with a prior COVID-19 pneumonia one month ago. Vital signs were significant for a Temperature:99.2 blood pressure: 130/66, heart rate: 125, respiratory rate:27, Oxygen saturation: 95% on non-rebreather at 15L/min. Laboratory investigations were significant elevated creatinine (1.38, baseline unknown);white blood cell count (30.25), arterial blood gas was reported as 7.26/45/69 on 100%. Serum troponin was elevated at 3.12. Electrocardiogram showed sinus tachycardia, chest x-ray showed diffuse bilateral patchy airspace disease, computed tomography of the chest showed bilateral diffuse lung consolidation with small ground glass opacities (figure 1). Computed tomography of the head showed no acute intracranial process and urine drug screen was positive for cocaine. Patient was started on 4 mg of Narcan, 125 mg of methylprednisolone and transferred to the medical intensive care unit (MICU). In the MICU, blood, sputum and urine culture were obtained. Pt was empirically managed on vancomycin and piperacillin-tozabactam. Because of diffuse alveolar hemorrhage was in the differential, patient was continued on 80 mg of IV methylprednisolone every 8 hours. Patient was observed in the unit for 2 days. During stay in the MICU, repeat chest x-ray showed improvement in lung opacities bilaterally. Vitals were within normal range. Patient was weaned down from non-rebreather to 2 Liters of oxygen and then transferred to the general floor. ConclusionPatients with crack lung often present with shortness of breath, fever, cough with or without hemoptysis and sometimes hypoxemia within 48 hours of insult. Early diagnosis based on history, physical examination, laboratory and radiographic findings can ensure prudent management.","PeriodicalId":432295,"journal":{"name":"B48. OCCUPATIONAL AND EXPOSURE-RELATED CASE REPORTS","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126981252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0