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(Chest. 1972;62:282-285.)
© 1972 American College of Chest Physicians

Bronchiectasis following Ammonia Burns of the Respiratory Tract

A Review of Two Cases

Irving Kass M.D.1; Noe Zamel M.D.2; Charles A. Dobry M.D.3; and Michael Holzer M.D.3

1 Head, Division of Pulmonary Diseases
2 Director, Pulmonary Physiology Laboratory
3 Departments of Medicine and Radiology, University of Nebraska College of Medicine, Omaha

Bronchiectasis is described in two persons following ammonia burns of the respiratory tract. The victims were exposed to anhydrous ammonia fumes for a period of 30 to 90 minutes respectively following a railroad tank-car derailment. Significant bronchiectatic changes were observed even though the admission chest roentgenogram was interpreted as normal in one case and as having an infiltration involving the lingula and left lower lobe present on the other. Follow-up radiographic studies should include a bronchogram when a person exposed to a corrosive gas remains symptomatic and inflammatory changes were present on the chest roentgenogram taken shortly after the incident.






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Copyright © 1972 by the American College of Chest Physicians.