Min Chai, Xiuxian Zang, Xinran Yang, Chenglin Yu, Bin Nian, Yixin Chen, Dilimulat Maimaiti, Shuai Chen, Dahai Xu
{"title":"A Patient with a Delayed Diagnosis of Zinc Powder Inhalation Poisoning: A Case Report.","authors":"Min Chai, Xiuxian Zang, Xinran Yang, Chenglin Yu, Bin Nian, Yixin Chen, Dilimulat Maimaiti, Shuai Chen, Dahai Xu","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Overexposure to zinc can lead to zinc poisoning. Zinc poisoning from zinc powder inhalation has rarely been reported.</p><p><strong>Case report: </strong>A 66-year-old male presented with nausea, chest tightness, and shortness of breath. He had no symptom improvement after antibiotic treatment. The patient's history revealed recent occupational exposure to cold zinc spray. Bronchoscopy showed a high zinc level (0.5 μmol/L) in the alveolar fluid of the patient. He was diagnosed with zinc powder inhalation poisoning (ZPIP).</p><p><strong>Results: </strong>The patient received supplemental oxygen, high-dose glucocorticoids, hemoperfusion, bronchoalveolar lavage, and supportive care. Eventually, both his symptoms and a repeat lung computed tomography scan showed improvements.</p><p><strong>Conclusion: </strong>ZPIP requires a careful history recording to avoid a missed diagnosis and delayed treatments. We present this case to share our experience regarding the clinical diagnosis of ZPIP and its treatment strategies.</p>","PeriodicalId":8228,"journal":{"name":"Annals of clinical and laboratory science","volume":"54 6","pages":"886-890"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of clinical and laboratory science","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICAL LABORATORY TECHNOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Overexposure to zinc can lead to zinc poisoning. Zinc poisoning from zinc powder inhalation has rarely been reported.
Case report: A 66-year-old male presented with nausea, chest tightness, and shortness of breath. He had no symptom improvement after antibiotic treatment. The patient's history revealed recent occupational exposure to cold zinc spray. Bronchoscopy showed a high zinc level (0.5 μmol/L) in the alveolar fluid of the patient. He was diagnosed with zinc powder inhalation poisoning (ZPIP).
Results: The patient received supplemental oxygen, high-dose glucocorticoids, hemoperfusion, bronchoalveolar lavage, and supportive care. Eventually, both his symptoms and a repeat lung computed tomography scan showed improvements.
Conclusion: ZPIP requires a careful history recording to avoid a missed diagnosis and delayed treatments. We present this case to share our experience regarding the clinical diagnosis of ZPIP and its treatment strategies.
期刊介绍:
The Annals of Clinical & Laboratory Science
welcomes manuscripts that report research in clinical
science, including pathology, clinical chemistry,
biotechnology, molecular biology, cytogenetics,
microbiology, immunology, hematology, transfusion
medicine, organ and tissue transplantation, therapeutics, toxicology, and clinical informatics.