Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

A Case of 'ALUM' Intoxication Leading to ARDS

급성 호흡 곤란 증후군을 유발한 백반 중독 중독 1예

  • Kim, Won-Jang (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Youn-Hee (Division of Pulmonary and Critical Care Medicine, Department of Pharmacy, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Eun-Kyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lim, Chae-Man (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Koh, Youn-Suck (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 김원장 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 박윤희 (울산대학교 의과대학 서울아산병원 약제과) ;
  • 김은경 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 임채만 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Published : 2002.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 77-year-old female was admitted 3 hours after intentionally ingesting 5g of aluminum ammonium sulfate ('Alum') powder dissolved in water. Gastric lavage with normal saline, activated charcoal chelation, and supportive therapies were performed. She showed a high anion gap metabolic acidosis, which rapidly progressed to multiple organ failure including ARDS. The patient subsequently progressed to a refractory shock which eventually led to death.

대량의 백반을 자살 목적으로 음독한 증례로서 산혈증, 급성 폐손상, 다장기 부전, 불응성 쇽으로 급속히 진행하여 사망한 경우이다.

Keywords