RESUMEN
Objective: Injury to the airway, found in 25% to 35% of patients admitted to major burn center, is now the leading cause of death in burn patients. Significant inhalation injury can increase the patient mortality rates by up to 20%. Toxic compounds in smoke can include phosgene, ammonia, sulfur dioxide, and chlorine from plastics and various oxides and aldehydes from burning wood. These compound directly injure airway epithe hal cells, causing an intense inflammatory response with significant edema. After the critical problem is controlled with intensive care in inhalation burn patients, less critical but significant laryngeal function such as protection, phonation and deglutition may often be overlooked. METHOD & RESULT: We have experienced a male patient who was injured by inhalation of toxic compound in ship under cohstruction. He have suffered from pulmonary problem, bronchiohitis obhiterans. Voice disorder was assessed and managed by otolaryngologists after resolving the pulmonary lesion. CONCLUSION: Evaluation and treatment of patients suspected of inhalation injury should include anatomical and functional aspects of the larynx as well as critical problem of the airway.
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Humanos , Masculino , Aldehídos , Amoníaco , Unidades de Quemados , Quemaduras , Quemaduras por Inhalación , Causas de Muerte , Cloro , Deglución , Edema , Inhalación , Cuidados Críticos , Laringe , Mortalidad , Óxidos , Fonación , Fosgeno , Plásticos , Navíos , Humo , Dióxido de Azufre , Trastornos de la Voz , Voz , MaderaRESUMEN
Vibrio alginolyticus is a microorganism of marine environment that occasionally occurs as a human pathogen. We isolated V. alginolyticus from a patient with otitis media. A 37-year-old man had been exposed to seawater one month before admission. The isolate showed typical biochemical and characteristics of this organism such as positive Voges-Proskauer reaction, fermentation of sucrose, growth on 10% sodium chloride media. In vitro susceptibility test shows the isolate was resistant to ampicillin and carbenicillin, but was susceptible to other antimicrobial agents. The patient improved with ciprofloxacin and ofloxacin therapy.
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Adulto , Humanos , Ampicilina , Antiinfecciosos , Carbenicilina , Ciprofloxacina , Fermentación , Ofloxacino , Otitis Media , Otitis , Agua de Mar , Cloruro de Sodio , Sacarosa , Vibrio alginolyticus , VibrioRESUMEN
No abstract available.
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No abstract available.
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No abstract available.
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Plaquetas , Electroforesis en Gel de Poliacrilamida , Citometría de Flujo , Glicoproteínas de Membrana , Membranas , TrombasteniaRESUMEN
No abstract available.