Faircloth Erika L, Soriano Jose, Phachu Deep
Internal Medicine, University of Connecticut, Farmington, USA.
Internal Medicine, Saint Francis Hosptial and Medical Center, Hartford, USA.
Cureus. 2018 Oct 27;10(10):e3503. doi: 10.7759/cureus.3503.
We report a case of a 32-year-old man with a past medical history of ethanol use disorder who was brought in unresponsive after inhaling six to 10 cans of the computer cleaning product, Dust-Off. After regaining consciousness, he endorsed severe, pleuritic chest and anterior neck pain. Labs were notable for elevated cardiac enzymes, acute kidney injury, and his initial electrocardiogram (ECG) revealed a partial right bundle branch block with a prolonged corrected QT interval (QTc). On chest X-ray as well as chest computed tomography, the patient was found to have pneumomediastinum, pneumopericardium, and subcutaneous emphysema. The patient's course was uneventful and he was discharged home two days later after extensive substance abuse cessation counseling. Intentionally inhaling toxic substances, also known as "huffing," is a dangerous new trend with significant consequences that clinicians need to be aware of and suspect in young patients presenting with chest pain. We present a rare case of pneumopericardium induced by inhalation of Dust-Off (1-1-difluoroethane).
我们报告一例32岁男性，有乙醇使用障碍病史，吸入6至10罐电脑清洁产品“除尘气”（Dust-Off）后被送来时已无反应。恢复意识后，他主诉有严重的胸膜炎性胸痛和前颈部疼痛。实验室检查结果显示心肌酶升高、急性肾损伤，其初始心电图（ECG）显示不完全性右束支传导阻滞伴校正QT间期（QTc）延长。胸部X线及胸部计算机断层扫描显示，患者有纵隔气肿、心包积气和皮下气肿。患者病情平稳，在接受广泛的药物滥用戒断咨询后，两天后出院。故意吸入有毒物质，也称为“嗅吸”，是一种危险的新趋势，会带来严重后果，临床医生需要对出现胸痛的年轻患者有所警惕并进行怀疑。我们报告一例罕见的因吸入“除尘气”（1-1-二氟乙烷）导致心包积气的病例。
