medigraphic.com
SPANISH

Revista Médica del Instituto Mexicano del Seguro Social

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2015, Number 3

<< Back

Rev Med Inst Mex Seguro Soc 2015; 53 (3)

Cement dust exposition and bronchioalveolitis. A case report

Soto-de la Fuente AE, Méndez-Vargas MM, Báez-Revueltas FB, Soto-Vera EA
Full text How to cite this article

Language: English
References: 14
Page: 386-391
PDF size: 105.42 Kb.


Key words:

Spirometry, Blood-air barrier, Atypical restrictive pattern.

ABSTRACT

The goal of the current investigation was to report an unusual case of a worker acutely exposed to big amounts of cement dust. This exposure caused chemical bronchioalveolitis and dermatitis due to chromium contact. This person suffered the exposure when a cement deposit exploded at work. This exposed the worker to big amounts of cement dust. After the accident, the individual suffered dyspnea and bilateral basal pulmonary crackles. The subject also presented an atypical restrictive pattern, which could also be seen on X-rays as 1/1 q/q images of the classification of 2000 of the International Labour Organization (ILO), and a bulging of a pulmonary artery. A restrictive pattern pure atypical was observed, and arterial blood gas with hipoxemia. A treatment with steroids was prescribed and the worker showed some improvement. There is high risk of developing pulmonary fibrosis with the progressive evolution in stages of the bronchioalveolitis, even when the subject is isolated. Therefore, it would be very convenient to create a specialized medical center where workers that have this kind of accidents can have the proper care by qualified personnel.


REFERENCES

  1. Soto-Vera EA. Asociación entre exposición a polvos de sílice y silicosis en una cementera. Tesis para obtener el grado de especialista en Salud en el Trabajo. Facultad de Estudios Superiores Zaragoza. UNAM. México; 2011.

  2. Maldonado-Torres L, Méndez-Vargas MM. Enfermedades broncopulmonares de trabajo. Contaminación del medio o ambiente del sitio de labor. Primera edición. México: Auroch; 1999. pp 97-114.

  3. Maldonado-Torres L, Méndez-Vargas MM, González- Zepeda A. Los “Gaseamientos”. Uni Public Docs IMSS. México; 1998:1-64.

  4. Cruz-Mérida AJ, Soto-de la Fuente AE, Méndez- Vargas MM., Méndez-Ramírez I. Prediction Equations for Spirometric Parameters in Mexican Adult Population. Arch Med Research. 2004;35:446-9.

  5. American Thoracic Society. Standarization of Spirometry. Am Rev Respir Dis. 1987;136:1285-98.

  6. Hankinson JL, Crapo RO, Jensen RL. Spirometric Reference Values for the 6-s FVC maneuver. Chest. 2003;124:1805-11.

  7. Quanjer H. Clinical Respiratory Physiology. Bull Eur Physiopathology Respir. 1983;19 (suppl 5): 1-95.

  8. Méndez-Vargas MM, Maldonado-Torres L; González- Zepeda A. Broncoalveolitis por exposición accidental a cloro. Informe de un caso. Rev Med Inst Mex Seguro Soc. 1991;29:261-3.

  9. Henderson Y, Haggard HW. Noxious gases and the principles of respiration infl uencing their action. Second edition. Reinhold: New York; 1943. pp. 75-90.

  10. Méndez-Vargas MM, Maldonado TL. Secuelas del “gaseamiento” por amoniaco en dos trabajadores. Rev Med Inst Mex Seguro Soc. 1983;21:358-64.

  11. Oriols R, Costa R, Albanell M, Alberti C, Castrejon J, Monso E et al. Malaltia Ocupacional Respiratória (MOR) Group. Reported Occupational respiratory diseases in Catalonia. Occup Environ Med. 2006;63:255-60.

  12. Mc Donald JC, Chen Y, Zekveld C, Cherry NM. Incidence by occupation and industry of acute work related respiratory diseases in the UK, 1992-2001. Occup Environ Med. 2005;62:836-42.

  13. Uranga A, Sanchez-Ortiz M, Morell F, Cruz MJ, Muñoz X. Neumonitis por hipersensibilidad a isocianatos. Características clínico-radiográfi cas y de función pulmonar. ArchBronconeumol. 2013;49(4):169-72.

  14. Morell F, Reyes L, Domenich G, De Gracia J, Majó J, Ferrer J. Diagnósticos y procedimientos en 500 pacientes consecutivos con sospecha de enfermedad instersticial. ArchBronconeumol. 2008;44:185-91.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2015;53