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Thorax 2008;63:570 doi:10.1136/thx.2007.079665
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Delayed-onset bronchiolitis obliterans with organising pneumonia associated with massive acetic acid steam inhalation

  1. B-F Sheu1,
  2. C-C Lee2,
  3. Y-R Young1,
  4. L-F Li3,
  5. S-S Chang1,4
  1. 1
    Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung College of Medicine, Taoyuan, Taiwan
  2. 2
    Department of Emergency Medicine, National Taiwan University Hospital Yun-Lin Branch, Douliou, Taiwan
  3. 3
    Department of Chest Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
  4. 4
    Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan
  1. Dr C-C Lee, Department of Emergency Medicine, National Taiwan University Hospital, No. 7 Chung-Shan South Road, Taipei 100, Taiwan; chnchnglee{at}yahoo.com

    A 34-year-old worker had massive exposure to acetic acid steam from an explosion in a chemical factory. At the emergency department respiratory distress, hoarseness and swelling of the oropharyngeal mucosa were noted. The chest radiograph showed bilateral infiltration (fig 1). After being diagnosed with inhalation injury and chemical pneumonitis, he was prophylactically intubated and given parenteral steroid with prophylactic antibiotics. Diagnostic fibreoptic bronchoscopy revealed diffuse trachobronchial mucosal redness …

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