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HERO ID
2522180
Reference Type
Journal Article
Title
Management and sequelae of a 41-year-old Jehovah's Witness with severe anhydrous ammonia inhalation injury
Author(s)
Ortiz-Pujols, S; Jones, SW; Short, KA; Morrell, MR; Bermudez, CA; Tilley, SL; Cairns, BA
Year
2014
Is Peer Reviewed?
Yes
Journal
Journal of Burn Care and Research
ISSN:
1559-047X
EISSN:
1559-0488
Volume
35
Issue
3
Page Numbers
E180-E183
Language
English
PMID
24784905
DOI
10.1097/BCR.0b013e318299d4d7
Web of Science Id
WOS:000335394600007
URL
http://dx.doi.org/10.1097/BCR.0b013e318299d4d7
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Abstract
Anhydrous ammonia is a commonly used chemicals that are found in fertilizer, refrigeration, and in other occupational environments. Lung damage because of inhalation of ammonia can be devastating, producing debilitating lung disease and can ultimately lead to death. This is the case of a 41-year-old male, previously healthy, Jehovah's Witness, who was working at a poultry plant facility when an explosion occurred exposing him to toxic levels of anhydrous ammonia. Our patient developed end-stage lung disease after sustaining a severe ammonia inhalation injury. Despite aggressive pulmonary rehabilitation, the patient continued to deteriorate, and his only option for a chance at improved quality of life was a double-lung transplant. To our knowledge, this is the first report of a bloodless lung transplantation for inhalational lung injury in the literature. Further study is needed to better understand the effects of ammonia on lung physiology in order to better manage and treat patients who develop acute and chronic lung complications after exposure.
Tags
IRIS
•
Ammonia
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