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A Case of Cavitary Lung Lesion as a Consequence of Smoke Inhalation Injury  

Shin, Hyun Won (Department of Internal Medicine, Hallym University College of Medicine)
Kim, Cheol Hong (Department of Internal Medicine, Hallym University College of Medicine)
Eom, Kwang Seok (Department of Internal Medicine, Hallym University College of Medicine)
Park, Yong Bum (Department of Internal Medicine, Hallym University College of Medicine)
Jang, Seung Hun (Department of Internal Medicine, Hallym University College of Medicine)
Kim, Dong Gyu (Department of Internal Medicine, Hallym University College of Medicine)
Lee, Myung Goo (Department of Internal Medicine, Hallym University College of Medicine)
Hyun, In-Gyu (Department of Internal Medicine, Hallym University College of Medicine)
Jung, Ki-Suck (Department of Internal Medicine, Hallym University College of Medicine)
Lee, Eil Seong (Department of Radiology, Hallym University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.60, no.5, 2006 , pp. 564-570 More about this Journal
Abstract
Toxic gases and soot deposition as a consequence of smoke inhalation can cause direct injury to the upper and lower airways and even to the lung parenchyma. A delay in proper and prompt therapy can be detrimental to critically ill burn patients with an inhalation injury. Therefore, serial chest radiography is an important diagnostic tool for pulmonary complications during treatment. The radiographic findings of the chest include normal, consolidation, interstitial and alveolar infiltrates, peribronchial thickening, atelectasis, cardiogenic and non-cardiogenic pulmonary edema, and a pneumothorax as acute complications of smoke inhalation. In addition, bronchiectasis, bronchiolitis obliterans and pulmonary fibrosis can occur as late complications. We encountered a case of 44-year-old male who presented with acute lung injury after an inhalation injury. He required endotracheal intubation and mechanical ventilation due to respiratory failure. He was managed successfully with conservative treatment. Later, a cavitary lesion of the left upper lobe was observed on the chest radiography and computed tomography, which was complicated by massive hemoptysis during the follow-up. However, the cavitary lesion disappeared spontaneously without any clinical consequences.
Keywords
Inhalation; Burn; Radiography;
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1 Saffle JR, Davis B, Williams P. Recent outcomes in the treatment of burn injury in the United States: a report from the American Burn Association Patient Registry. J Burn Care Rehabil 1995;16:219-32   DOI   ScienceOn
2 Slutzker AD, Kinn R, Said SI. Bronchiectasis and progressive respiratory failure following smoke inhalation. Chest 1989;95:1349-50   DOI
3 Tasaka S, Kanazawa M, Mori M, Fujishima S, Ishizaka A, Yamasawa F, et al. Long-term course of bronchiectasis and bronchiolitis obliterans as late complication of smoke inhalation. Respiration 1995;62:40-2   DOI   ScienceOn
4 Chrysopoulo MT, Barrow RE, Muller M, Rubin S, Barrow LN, Herndon DN. Chest radiographic appearances in severely burned adults: a comparison of early radiographic and extravascular lung thermal volume changes. J Burn Care Rehabil 2001;22:104-10   DOI   ScienceOn
5 Moylan JA Jr, Wilmore DW, Mouton DE, Pruitt BA Jr. Early diagnosis of inhalation injury using 133 xenon lung scan. Ann Surg 1972;176:477-84   DOI
6 Shirani KZ, Pruitt BA Jr, Mason AD Jr. The influence of inhalation injury and pneumonia on burn mortality. Ann Surg 1987;205:82-7   DOI   ScienceOn
7 Aberle DR, Brown K. Radiologic considerations in the adult respiratory distress syndrome. Clin Chest Med 1990;11:737-54
8 Putman CE, Loke J, Matthay RA, Ravin CE. Radiographic manifestations of acute smoke inhalation. AJR Am J Roentgenol 1977;129:865-70   DOI   ScienceOn
9 George A, Gupta R, Bang RL, Ebrahim MK. Radiological manifestation of pulmonary complications in deceased intensive care burn patients. Burns 2003;29:73-8   DOI   ScienceOn
10 Lee SH, Lee ES, Kim SH, Park JY, Kim SH, Hong SH, et al. Plain chest radiographic findings of smoke inhalation. J Korean Radiol Soc 2000;42:933-7   DOI
11 Wittram C, Kenny JB. The admission chest radiograph after acute inhalation injury and burns. Br J Radiol 1994;67:751-4   DOI   ScienceOn
12 Lee MJ, O'Connell DJ. The plain chest radiograph after acute smoke inhalation. Clin Radiol 1988;39:33-7   DOI   ScienceOn
13 Teixidor HS, Novick G, Rubin E. Pulmonary complications in burn patients. J Can Assoc Radiol 1983;34:264-70
14 George A, Bang RL, Gupta R, Khalaf EM. Minor burns and pneumatocoeles: a case report. Burns 2001;27:504-8   DOI   ScienceOn
15 Herndon DN, Gore D, Cole M, Desai MH, Linares H, Abston S, et al. Determinants of mortality in pediatric patients with greater than 70% full-thickness total body surface area thermal injury treated by early total excision and grafting. J Trauma 1987;27:208-12   DOI