• 제목/요약/키워드: Incidental ingestion

검색결과 6건 처리시간 0.017초

다량의 스쿠알렌 복용 후 발생한 중증 지방성 폐렴 -스테로이드 치료로 호전된 1예- (Severe Exogenous Lipoid Pneumonia Following Ingestion of Large Dose Squalene : Successful Treatment with Steroid)

  • 최효선;곽현주;채승완;임시영;임성용
    • Tuberculosis and Respiratory Diseases
    • /
    • 제60권2호
    • /
    • pp.235-238
    • /
    • 2006
  • 외인성 지방 흡인에 의한 지방성 폐렴은 대부분 양성의 경과를 취하지만, 본 증례에서처럼 드물게 심한 호흡 부전을 동반할 수도 있으며, 스테로이드 치료에 호전을 보인 1예를 경험하여 이를 보고하는 바이다.

Surgical Removal of the Lung Lobe Metal Foreign Body in a Dog

  • Hwang, Yawon;Kang, Jihoun;Chang, Dongwoo;Kim, Gonhyung
    • 한국임상수의학회지
    • /
    • 제34권2호
    • /
    • pp.108-111
    • /
    • 2017
  • A 4-year-old, weighing 7.6 kg, castrated male, Pug presented with ingestion of gastric cavity foreign body. Physical examination revealed panting, retching and hyper-salivation. Blood chemistry and complete blood cell count were normal, but hypophosphatemia was observed. An abdominal radiograph revealed the foreign body (FB), round shape and 2 cm length, at the pyloric region of stomach. A thoracic radiograph revealed an incidental metal FB, 3.5 cm length, at the cranial portion of the diaphragm. An upper gastrointestinal endoscopy was performed to remove the FB in the stomach and then a peach-pit was removed. However the metal FB was not found in the esophagus therefore a lateral thoracotomy was performed. A right lateral thoracotomy through the $7^{th}$ intercostal space was accomplished to expose the right caudal lung lobe. After open the thoracic cavity, foreign body was not observed by gross evaluation and caudal lung lobe was attached to the diaphragm. The FB was identified inside the lung lobe and surrounded by granulation tissue. The metal FB (sewing needle) was removed with blunt dissection and incised lung lobe was sutured using absorbable suture material PDS 4-0 with interrupted suture. A thoracotomy tube was inserted into the thoracic cavity during surgery. Patient's respiration became stable after surgery. A chest tube was removed 3 days after surgery. No complications were noted and the dog was discharged 4 days after surgery. In small animal, foreign body ingestion is a common reason for emergency. After ingestion of the FB, perforation through the esophagus and migration to inside the lung lobe is not common in small animals. In this case, thoracic metal FB was identified incidentally and removal of a thoracic FB with thoracotomy was performed successfully.

Phalloides 증후군에서 혈역학적 보조를 위해 T-PLS를 사용한 1례 (A Case of Phalloides Syndrome where T-PLS(R)was used for Hemodynamic Support)

  • 김성춘;김규석;서길준
    • 대한임상독성학회지
    • /
    • 제2권2호
    • /
    • pp.133-136
    • /
    • 2004
  • Phalloides syndrome has usually occurred after incidental mushroom ingestion. It is sometimes difficult to differentiate toxic mushrooms from edible ones, especially in lay person because of their morphological similarities. In Korea, Amanita virosa and Amanita subjunquillea have been reported as a cause of fulminant hepatic failure in mushroom poisoning (phalloides syndrome). We report a case of phalloides syndrome who came to death with fulminant hepatic failure even though we planned liver transplantation and used T-PLS(R) (Twin Pulse Life Support) for hemodynamic support while waiting for the donor.

  • PDF

딜티아젬 중독증 이환견에서 경피용 체외심박조절기의 적용 증례 (Transcutaneous Cardiac Pacing in a Dog with Diltiazem Intoxication)

  • 이승근;현창백
    • 한국임상수의학회지
    • /
    • 제26권2호
    • /
    • pp.166-169
    • /
    • 2009
  • 11년령의 수컷 비글(10.5 kg)이 사고로 과량의 딜티아젬을 섭취한 후 급작스러운 서맥과 심한 저혈압으로 내원하였다. 환자는 경피용 체외 심박조절기의 적용하에서 등장성 crystalloid 용액, 아트로핀, calcium gluconate, 도부타민, 글루카곤, 위세척의 처치를 받았다. 단기간의 경피용 체외심박조절기의 사용과 약물적 치료요법으로 환자의 심장 리듬과 상태는 안정화 되었다.

Acute oral toxicity and bioavailability of uranium and thorium in contaminated soil

  • Nur Shahidah Abdul Rashid;Wooyong Um ;Ibrahim Ijang ;Kok Siong Khoo ;Bhupendra Kumar Singh;Nurul Syiffa Mahzan ;Syazwani Mohd Fadzil ;Nur Syamimi Diyana Rodzi ;Aina Shafinas Mohamad Nasir
    • Nuclear Engineering and Technology
    • /
    • 제55권4호
    • /
    • pp.1460-1467
    • /
    • 2023
  • A robust approach was conducted to determining the absolute oral bioavailable (fab) fractions of 238U and 232Th in rats exposed to contaminated soil along with their hematotoxicity and nephrotoxicity. The soil sample is the International Atomic Energy Agency-312 (IAEA-312) certified reference material, whereas blood, bones, and kidneys of in vivo female Sprague-Dawley (SD) rats estimate 238U- and 232Th-fab fractions post-exposure. We predict the bioavailable concentration (Cab) and fab values of 238U and 232Th after acute soil ingestion. The blood 238U (0.750%) and 232Th (0.028%) reach their maximum fab values after 48 h. The 238U (fab: 0.169-0.652%) accumulates mostly in the kidney, whereas the 232Th (fab: 0.004-0.021%) accumulates primarily in the bone. Additionally, 238U is more bioavailable than 232Th. Post 48 h acute ingestion demonstrates noticeable histopathological and hematological alterations, implying that intake of 238U in co-contaminated soil can lead to erythrocytes and proximal tubules damage, whereas, 232Th intake can harm erythrocytes. Our study provides new directions for future research into the health implications of acute oral exposures to 238U and 232Th in co-contaminated soils. The findings offer significant insight into the utilization of in vivo SD rat testing to estimate 238U and 232Th bioavailability and toxicity in exposure assessment.

Exposure Assessment and Health Risk of Polybrominated Diphenyl Ether (PBDE) Flame Retardants in Indoor Environments of Children's Facilities in Korea

  • Kim, Ho-Hyun;Yang, Ji-Yeon;Jang, Yun-Suk;Lee, Yong-Jin;Lee, Chung-Soo;Shin, Dong-Chun;Lim, Young-Wook
    • Asian Journal of Atmospheric Environment
    • /
    • 제5권4호
    • /
    • pp.247-262
    • /
    • 2011
  • This study assessed the health risks of childhood exposure to PBDEs via different possible pathways in children's facilities and indoor playgrounds. When PBDE contamination was measured, it was determined through multiple routes, including inhalation of indoor dust, dermal contact with product surfaces and children's hands, and incidental dust ingestion. Samples were collected from various children's facilities (playrooms, daycare centers, kindergartens, and indoor playgrounds) during summer (Jul-Sep, 2007) and winter (Jan-Feb, 2008). The hazard index (HI) was estimated for non-carcinogens, and PBDEs, such as TeBDE, PeBDE, HxBDE, and DeBDE, were examined. The sensitivity to the compounds did not exceed 1.0 (HI) for any of the subjects in any facility. However, current data about toxicity does not reflect effects that were fully sensitive in children, so there is uncertainty in the dose-response data. The contribution rates of PBDEs were 71.4 to 96.1% and 3.7 to 28.2% for intake and inhalation exposure, respectively, indicating that intake of floor dust and inhalation are the primary routes.