Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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A Case of Multi-organ Failure due to Acute Chromic Acid Poisoning

급성 크롬산 중독으로 인한 다발성 장기 부전 1례

  • Jung, Hyun Min (Department of Emergency Medicine, College of Medicine, Inha University) ;
  • Eun, Hee Min (Department of Emergency Medicine, College of Medicine, Inha University) ;
  • Paik, Jin Hui (Department of Emergency Medicine, College of Medicine, Inha University) ;
  • Kim, Ji Hye (Department of Emergency Medicine, College of Medicine, Inha University) ;
  • Kim, Jun Sig (Department of Emergency Medicine, College of Medicine, Inha University) ;
  • Han, Seung Baik (Department of Emergency Medicine, College of Medicine, Inha University)
  • 정현민 (인하대학교 의과대학 응급의학교실) ;
  • 은희민 (인하대학교 의과대학 응급의학교실) ;
  • 백진휘 (인하대학교 의과대학 응급의학교실) ;
  • 김지혜 (인하대학교 의과대학 응급의학교실) ;
  • 김준식 (인하대학교 의과대학 응급의학교실) ;
  • 한승백 (인하대학교 의과대학 응급의학교실)
  • Received : 2012.08.03
  • Accepted : 2012.10.08
  • Published : 2012.12.31
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Abstract

Chromic acid is a strong metal acid and acute poisoning is very rare. However, chromic acid causes serious complications, such as skin injuries, as well as renal and hepatic failure. We report on a case of a 47-year-old male who accidentally had chromic acid spilled over his nose and face. For the first few days, he was treated with ascorbic acid and massive hydration. However, after three days, his condition began to worsen. He was treated with hemodialysis for anuria and acute renal failure, and antibiotics for pneumonia. On day 10 of hospitalization, he expired of multi-organ failure. We suggest firm control and close supervision of chromic acid in the work place, and, considering severe complications of chromic acid, we propose a nearly and aggressive treatment.

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