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Rev Med Inst Mex Seguro Soc. 2015 May-Jun;53(3):386-91.

Cement dust exposition and bronchioalveolitis. A case report.

Author information

1
Posgrado de Salud en el Trabajo, Universidad Nacional Autónoma de México (UNAM), Distrito Federal/Jefatura del Laboratorio de Función Pulmonar, "Dr. Ernesto Guevara de la Serna", Tuxtla Gutiérrez, Chiapas. ramazzini.1700@gmail.com.

Abstract

in English, Spanish

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.

KEYWORDS:

Atypical restrictive pattern; Blood-air barrier; Spirometry

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PMID:
25984626
[Indexed for MEDLINE]

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