Oral lesions and pulmonary fibrosis after ingesting grapes

Oral lesions and pulmonary fibrosis after ingesting grapes
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DOI:
10.3109/15563650.2013.847188
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发表时间:
2013-12
影响因子:
3.3
通讯作者:
H. Hassanian‐Moghaddam;N. Zamani;S. Shadnia
H. Hassanian‐Moghaddam;N. Zamani;S. Shadnia
中科院分区:
医学3区
文献类型:
--
作者:
H. Hassanian‐Moghaddam;N. Zamani;S. Shadnia

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摘要一位年轻的农村男子向我们报告,他在近10天前吃了三颗葡萄后出现了严重的黄疸和呼吸困难。他在进食后30分钟因恶心、呕吐和腹痛转诊到当地医院,接受了保守治疗。随后患者出现黄疸,呼吸困难,氧饱和度77%,肝肾功能检查异常,转诊至我中心。舌炎伴黄绿色假膜及皮下肺气肿。胸部x线检查发现肺纤维化,给予抗氧化及免疫抑制治疗,但入院近20 h后死亡。
Abstract A young rural man referred to us with profound icterus and dyspnea after he had eaten three grapes almost 10 days earlier. He had referred to a local hospital 30 min after ingestion with nausea, vomiting and abdominal pain and was conservatively managed. He then became icteric and began to experience dyspnea and was referred to our center with an O2 saturation of 77% and abnormal liver and renal function tests. Glossitis with a green-yellow pseudomembrane and subcutaneous emphysema were noticed. After detection of lung fibrosis in chest X-ray, he was put on the antioxidant and immunosuppressive therapy, but expired almost 20 h after admission.