Hypokalemic Muscular Paralysis Causing Acute Respiratory Failure in a Chronic Glue Sniffer

만성 본드 흡입 환자에게 발생한 호흡부전 1례

  • Choi, Yoon-Hee (Department of Emergency Medicine, College of Medicine, Ewha womans University) ;
  • Lee, Dong-Hoon (Department of Emergency Medicine, College of Medicine, Ewha womans University) ;
  • Eo, Eun-Kyung (Department of Emergency Medicine, College of Medicine, Ewha womans University)
  • 최윤희 (이화여자대학교 의과대학 응급의학교실) ;
  • 이동훈 (이화여자대학교 의과대학 응급의학교실) ;
  • 어은경 (이화여자대학교 의과대학 응급의학교실)
  • Published : 2005.06.01

Abstract

Toluene is an aromatic hydrocarbon found in glues, cements, and solvents. It is known to be toxic to the nervous system, hematopoietic system, and causes acid-base and electrolyte disorders. Acute respiratory failure with hypokalemia and rhabdomyolysis with acute renal failure should be considered as potential events in protracted glue sniffing. We reported the case of 26-year-old woman was admitted to the emergency department with the development of respiratory failure and altered mentality due to hypokalemia after chronic glue sniffing. She was weaned from the ventilator 3 days later after potassium and sodium bicarbonate replacement and was discharged without respiratory symptoms and other complications.

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