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0885066608318471v1
23/4/275    most recent
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First published on May 28, 2008, doi:10.1177/0885066608318471

Journal of Intensive Care Medicine 2008;23:275.

A more recent version of this article appeared on July 1, 2008

Article

Acute Respiratory Distress Syndrome From Chlorine Inhalation During a Swimming Pool Accident: A Case Report and Review of the Literature

Rajesh V. Babu, MD1, Victor Cardenas Jr., MD2, and Gulshan Sharma, MD, MPH1*

1 University of Texas Medical Branch
2 Universityof Texas Medical Branch

* To whom correspondence should be addressed. E-mail: gulshan.sharma{at}utmb.edu.


  Abstract
Chlorine inhalation can result in significant morbidity and mortality. The most common clinical ramification is mucosal irritation. Rarely, depending upon the degree of exposure, patients can develop acute respiratory distress syndrome. Management is usually supportive with an unproven role for inhaled or systemic corticosteroids. A case of a young woman who developed respiratory failure secondary to acute respiratory distress syndrome from accidental exposure to chlorine fumes at a community swimming pool is described. The patient suffered a prolonged hospitalization with the need for mechanical ventilation. Despite limited data to support the decision, the patient was started on treatment with corticosteroids. She recovered completely from her illness and was discharged home without supplemental oxygen. A concise discussion of chlorine inhalation injury and a literature review on the utility of inhaled and/or systemic corticosteroids for this clinical entity is presented.


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H. L. Thomas and V. Murray
Review of acute chemical incidents involving exposure to chlorine associated with swimming pools in England and Wales, June-October 2007
J. Public Health Med., September 11, 2008; (2008) fdn073v1.
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