Hemoptysis after exposure to a household insecticide spray: A case report and review of the literature

被引:0
作者
Ruberto, A. J. [1 ]
Morakis, H. D. [2 ]
D'Arsigny, C. L. [3 ,4 ]
机构
[1] Queens Univ, Dept Emergency Med, Sch Med, Kingston, ON, Canada
[2] Queens Univ, Sch Med, 15 Arch St, Kingston, ON K7L 3N6, Canada
[3] Queens Univ, Dept Crit Care Med, Dept Med, Sch Med, Kingston, ON, Canada
[4] Queens Univ, Sch Med, Div Resp & Sleep Med, Kingston, ON, Canada
关键词
Bronchoscopy; hemoptysis; toxicity; Intensive Care Unit (ICU); pyrethrin; pyrethroid; PERMETHRIN;
D O I
10.1080/24745332.2018.1522239
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
We describe a case of chemical pneumonitis with alveolar hemorrhage after acute exposure to a common household pyrethrin spray in a patient on anticoagulation with underlying chronic obstructive pulmonary disease (COPD). We review the relevant literature pertaining to adverse respiratory effects of pyrethrin based insecticide spray exposures. This case report highlights the importance of including potential inhaled household respiratory irritants in the differential for patients that present to the emergency department (ED) in respiratory distress. While aerosolized pyrethroid and pyrethrin containing domestic products generally do not cause significant respiratory symptoms when accidentally inhaled, the risk of serious adverse events may be increased in those patients with preexisting respiratory disease or who have used the product within a confined space. Timely recognition of adverse respiratory events related to pyrethroid or pyrethrin inhalation, airway protection and supportive care are the pillars of treatment for these patients.
引用
收藏
页码:241 / 244
页数:4
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