Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab

Abstract An otherwise healthy 16‐year‐old male presented to the pediatric emergency department 12 hours after accidental inhalation of 4‐nitrophenyl chloroformate in a chemistry lab. His only pertinent findings were a complaint of chest tightness and decreased breath sounds on a pulmonary exam. He w...

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Main Authors: Dan Imler, Elena Martel
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Journal of the American College of Emergency Physicians Open
Online Access:https://doi.org/10.1002/emp2.12928
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author Dan Imler
Elena Martel
author_facet Dan Imler
Elena Martel
author_sort Dan Imler
collection DOAJ
description Abstract An otherwise healthy 16‐year‐old male presented to the pediatric emergency department 12 hours after accidental inhalation of 4‐nitrophenyl chloroformate in a chemistry lab. His only pertinent findings were a complaint of chest tightness and decreased breath sounds on a pulmonary exam. He was found on chest radiograph to have a large right‐sided pneumothorax with slight mediastinal shift and mild interstitial prominence. A chest tube was placed, and he recovered well. This case demonstrates pneumothorax as a possible complication of inhalation of caustic chemical substances and emphasizes the importance of thorough history‐taking and clinical examination.
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spelling doaj-art-1be66d6c2f774f5bb1f4f8f3a3baeb4a2025-08-20T02:01:51ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522023-04-0142n/an/a10.1002/emp2.12928Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry labDan Imler0Elena Martel1Department of Pediatric Emergency Medicine Pediatric Hospital Medicine Stanford University School of Medicine Palo Alto California USADepartment of Emergency Medicine Stanford University School of Medicine Palo Alto California USAAbstract An otherwise healthy 16‐year‐old male presented to the pediatric emergency department 12 hours after accidental inhalation of 4‐nitrophenyl chloroformate in a chemistry lab. His only pertinent findings were a complaint of chest tightness and decreased breath sounds on a pulmonary exam. He was found on chest radiograph to have a large right‐sided pneumothorax with slight mediastinal shift and mild interstitial prominence. A chest tube was placed, and he recovered well. This case demonstrates pneumothorax as a possible complication of inhalation of caustic chemical substances and emphasizes the importance of thorough history‐taking and clinical examination.https://doi.org/10.1002/emp2.12928
spellingShingle Dan Imler
Elena Martel
Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
Journal of the American College of Emergency Physicians Open
title Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
title_full Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
title_fullStr Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
title_full_unstemmed Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
title_short Pneumothorax associated with accidental 4‐nitrophenyl chlonoformate inhalation in an academic chemistry lab
title_sort pneumothorax associated with accidental 4 nitrophenyl chlonoformate inhalation in an academic chemistry lab
url https://doi.org/10.1002/emp2.12928
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AT elenamartel pneumothoraxassociatedwithaccidental4nitrophenylchlonoformateinhalationinanacademicchemistrylab