2022
DOI: 10.1016/j.amsu.2022.104741
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A multidisciplinary approach to accidental inhalational ammonia injury: A case report

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Cited by 10 publications
(4 citation statements)
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“…Inhaled ammonia is another known respiratory irritant, capable of causing both upper and lower airway irritation via liquefactive necrosis. Interestingly, a prior case report involving an otherwise healthy 22‐year‐old male with accidental occupational exposure to aerosolized ammonia demonstrated a correlation between the respiratory toxicity of this agent and the development of pneumothorax in that patient 14 …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Inhaled ammonia is another known respiratory irritant, capable of causing both upper and lower airway irritation via liquefactive necrosis. Interestingly, a prior case report involving an otherwise healthy 22‐year‐old male with accidental occupational exposure to aerosolized ammonia demonstrated a correlation between the respiratory toxicity of this agent and the development of pneumothorax in that patient 14 …”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, a prior case report involving an otherwise healthy 22-year-old male with accidental occu-pational exposure to aerosolized ammonia demonstrated a correlation between the respiratory toxicity of this agent and the development of pneumothorax in that patient. 14 One hypothesis for the occurrence of pneumothorax secondary to the inhalation of 4-nitrophenyl chloroformate is the destabilization of surfactant caused by this substance. Importantly, there was no nasal, oral, tracheal, and laryngeal irritation in this case, suggesting that the chemical toxic metabolite is unlikely to be water soluble.…”
Section: Discussionmentioning
confidence: 99%
“…Formaldehyde, found in building materials, tobacco smoke, and various household products, causes eye, nose, and throat irritation and is a known carcinogen. Ammonia (NH3), released from cleaning products, textiles, and plastics, causes respiratory irritation, coughing, and throat irritation [23].…”
Section: Indoor and Outdoor Toxic Gasesmentioning
confidence: 99%
“…Upon release, ammonia reacts with water to form ammonium hydroxide which irritates the mucosa and at high concentrations causes severe upper airways irritation and respiratory failure within two to five minutes of exposure (Saeed, Boyer et al 2018). Tissue damage occurs through exothermic reactions with body tissues, causing alkali skin burns and liquefactive necrosis (Pangeni, Timilsina et al 2022). In some cases, survivors may develop complications such as bronchiectasis, AHR, BO, COPD, ILD, and end-stage disease that requires lung transplantation.…”
Section: Irritantsammoniamentioning
confidence: 99%