Respir Case Rep. 2018; 7(3): 145-148 | DOI: 10.5505/respircase.2018.94940

A Rare Case of Diffuse Alveolar Hemorrhage Secondary to Lighter Gas Inhalation

Melike Yüksel Yavuz¹, Ceyda Anar¹, Ýbrahim Onur Alýcý¹, Filiz Güldaval¹, Nur Yücel², Melih Büyükþirin^1
1Ýzmir Dr. Suat Seren Chest Disease And Surgery Training And Research Hospital, Chest Disease Department, Ýzmir
²Ýzmir Dr. Suat Seren Chest Disease And Surgery Training And Research Hospital, Pathology Department, Ýzmir

Diffuse alveolar hemorrhage is a life-threatening condition with a varied etiology and one which may be seen with hemoptysis, anemia, diffuse pulmonary infiltrates, or respiratory failure. Toxic gas inhalation is also among the non-immune causes of this disorder. Compressed butane gas, also referred to as lighter gas, is one example, and is a volatile substance inhaled by some individuals as a means to experience euphoria. A 21-year-old male patient, who was a clerk at the courthouse, was admitted with hemoptysis. A detailed history revealed experience breathing lighter gas for pleasure. The patient was diagnosed with diffuse alveolar hemorrhage, and it was concluded that this volatile substance played a role in the etiology of the condition. Hemoptysis was not observed after the patient discontinued lighter gas inhalation and near-total regression was observed in a thorax computed tomography image taken 2 months later. This report is presented to emphasize the importance of inquiring about substance use without regard for the socioeconomic status of the patient.

Keywords: lighter gas, hemoptysis, diffuse alveolar hemorrhage

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Çakmak Gazý Ýnhalasyonuna Baðlý Nadir Görülen Diffuz Alveolar Hemoraji Olgusu

Melike Yüksel Yavuz¹, Ceyda Anar¹, Ýbrahim Onur Alýcý¹, Filiz Güldaval¹, Nur Yücel², Melih Büyükþirin^1
1Ýzmir Dr. Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Bölümü, Ýzmir
²Ýzmir Dr. Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Patoloji Bölümü, Ýzmir

Diffüz alveolar hemoraji, etyolojisinde birçok nedenin olduðu, hemoptizi, anemi, diffüz akciðer infiltrasyonlarý ve solunum yetmezliði ile seyreden hayatý tehdit edici bir durumdur. Ýmmün dýþý sebepler arasýnda toksik gaz inhalasyonu da vardýr. Toksik gazlardan, toplumda uçucu madde soluyan kiþiler arasýnda çakmak gazý adýyla da bilinen sýkýþtýrýlmýþ bütan gazý, bunlardan biridir. Yirmi bir yaþýnda adliyede kâtiplik yapan erkek hasta hemoptizi ile baþvurdu. Anamnez derinleþtirildiðinde keyif amaçlý çakmak gazý soluduðu öðrenildi. Hastaya, etyolojisinde bu uçucu maddenin rol oynadýðý diffüz alveolar hemoraji tanýsý konuldu. Çakmak gazý inhalasyonunu terk ettikten sonra hemoptizi olmadý ve iki ay sonraki toraks bilgisayarlý tomografide tama yakýn regresyon mevcuttu. Sosyoekonomik durum ayýrt etmeden her hastaya madde kullanýmý sorgulamasý yapýlmasýnýn önemini vurgulayan bu olguyu sunmak istedik.

Anahtar Kelimeler: çakmak gazý, hemoptizi, diffuz alveolar hemoraji

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Image Slices of the Case

Tedavi Sonrasý

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