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(Chest. 1974;65:455-457.)
© 1974 American College of Chest Physicians

Baygon-Induced Pulmonary Edema

Brian G. Salisbury M.D.1; Charles F. Tate Jr. M.D., F.C.C.P.2; and John E. Davies M.D.3

1 Resident, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pa.
2 Associate Professor of Medicine, University of Miami School of Medicine; Chief, Pulmonary Disease Section, Jackson Memorial Hospital, Miami
3 Associate Professor of Medicine, University of Miami School of Medicine; Director of Community Studies on Pesticides of Dade County, Miami, Fla.

A 39-year-old black woman was in coma with propoxur (Baygon)-induced pulmonary edema. Vigorous supportive therapy resulted in prompt clinical resolution. A cuffed endotracheal tube and mechanical ventilation are especially important in propoxur-induced pulmonary edema because of the marked bronchorrhea requiring frequent suctioning and the danger of respiratory failure. Propoxur presence and toxicity are best revealed by determination of its metabolite 2-isopropoxyphenol in the gastric aspirate and/or the urine.






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Copyright © 1974 by the American College of Chest Physicians.