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

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Summary

Introduction

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.]

Results
Conclusion
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