Revista medica del Instituto Mexicano del Seguro Social · 2015
Cement dust exposition and bronchioalveolitis. A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Soto-de la Fuente Andrés Eduardo, Méndez-Vargas María Martha, Báez-Revueltas Fabiola Berenice, Soto-Vera Eduardo Andrés
Аннотация
The goal of the current investigation was to report an unusual case of a worker acutely exposed to big amounts of cement dust. This exposure caused chemical bronchioalveolitis and dermatitis due to chromium contact. This person suffered the exposure when a cement deposit exploded at work. This exposed the worker to big amounts of cement dust. After the accident, the individual suffered dyspnea and bilateral basal pulmonary crackles. The subject also presented an atypical restrictive pattern, which could also be seen on X-rays as 1/1 q/q images of the classification of 2000 of the International Labour Organization (ILO), and a bulging of a pulmonary artery. A restrictive pattern pure atypical was observed, and arterial blood gas with hipoxemia. A treatment with steroids was prescribed and the worker showed some improvement. There is high risk of developing pulmonary fibrosis with the progressive evolution in stages of the bronchioalveolitis, even when the subject is isolated. Therefore, it would be very convenient to create a specialized medical center where workers that have this kind of accidents can have the proper care by qualified personnel.