A rare etiology of diffuse pulmonary hemorrhage.

Ľubomír Straka,Petr Hejna,Veronika Rybárová,Martin Janík

doi:10.5603/arm.a2020.0194

Abstract

We describe the case of a 36-year-old male who presented to hospital with acute respiratory distress, and hemoptysis after intravenously injecting 20 milliliters of pure gasoline. Despite maximum supportive care he died without a definitive diagnosis 4 hours after presentation to the hospital. Postmortem examination confirmed diffuse pulmonary hemorrhage as a cause of death. Our case highlights the key clinical, and pathological features of this very rare poisoning with a volatile substance and reminds clinicians to consider it as a potential cause of hemoptysis and pulmonary hemorrhage.

Highlights

A 36-year-old drug addict presented to the emergency room after intravenously injecting 20 milliliters of pure gasoline
He had complained of severe “freezing” chest pain and raging thirst. He provided a remote history of intravenously injecting low doses of gasoline
The admission examination was notable for a pronounced scent of gasoline on his breath, hypotension, and respiratory distress with diffuse rhonchi throughout the lungs

Summary

Introduction

A 36-year-old drug addict presented to the emergency room after intravenously injecting 20 milliliters of pure gasoline. He had complained of severe “freezing” chest pain and raging thirst. He provided a remote history of intravenously injecting low doses of gasoline.

Results

Conclusion