Abstract
Key Clinical MessageSalicylate‐induced acute respiratory syndrome (ARDS) is a well‐known entity occurring in 35% of salicylate‐intoxicated patient. Careful history taking, physical examination, arterial blood gas analysis, and measurement of serum salicylate concentration will lead to early recognition to initiate appropriate treatment.
Highlights
The physical examination findings were as follows: body temperature, 36.1°C; blood pressure, 88/54 mm Hg, pulse, 89 beats/min. She was hyperpneic with the respiratory rate being 32 breaths/min and peripheral oxygen saturation being 92% while breathing 5 L of oxygen per minute
Based on the patient’s medical history and findings of clinical examinations, we speculated the probable diagnosis of salicylate intoxication [1, 2]
Was reported in the serum obtained on the day of admission [720 g/mL], leading to the diagnosis of ARDS due to salicylate intoxication
Summary
A 65-year-old previously healthy female was admitted because of altered mental status and respiratory failure. KEYWORDS acute respiratory distress syndrome, intoxication, metabolic acidosis, salicylate [Correction added on 10 August 2018 after first online publication: The author name was previously incorrect and has been corrected in this version.]
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