Poster Session : PS 1622 ; Miscellaneous : A Case of Acute Inhalation Lung injury after Accidently Boiling Soup Overnight

Smoke is a mixture of heated particles and gases, and smoke inhalation occurs when a person breathe in the products of combustion. Smoke inhalation lung injury can occur by lack of oxygen, chemical/thermal irritation, and chemical asphyxiation. We report a case of acute smoke inhalation lung injury after accidently boiling soup overnight. The patient was 34-year-old woman, and she was referred to our hospital with dyspnea and chest tightness. She was a non-smoker and had no other past medical history. The day before visit, she started boiling soup and then accidently fell asleep, so all the stuffs on the pot were burned out. She got up after 4 hours and started to feel dyspnea, chest tightness and headache. She was alert and her vital signs were stable. Breathing sounds were course with crackle on pulmonary auscultation. Initial blood gas analysis showed pH 7.44, PCO2 36.1mmHg, PO2 65.8mmHg, HCO3 24mmol/L, and SaO2 93%. Electrocardiography showed sinus tachycardia. Carbon monoxide hemoglobin level was 1.8%. Initial chest radiograph showed opacities in both lung fi elds. A chest computed tomography scan showed poorly defi ned consolidation and ground glass opacities in both upper lung, right middle lung and right lower lung fi eld. After 1 day, opacities in both lung on chest radiography decreased, and after 2 days, opacities dissapeared. In conclusion, we report a case of acute inhalation lung injury after accidently boiling soup overnight which was relieved after 2 days without any specifi c treatment except oxygen supply.