Document KJzLgogdZngdLD3r6b99J70bw

LETTER p. 1 2~6_3706 p t'hnl :-,ll fc,~itarlll ~- iUi .'! . 17') Int :, ;iNrll ~T~ Pneu.mnnitis Following Inhalation ofa Commercially Available Water Repellent Tt j the F-di:.,r' . c, ualuil r. . . ill hl % harhrnom . fhr rx:xt dav he stall lelt lc % orl,h with chill,, and It .li: tl y c Pne.r . latigur . aull tlitzi- W clter repellent prcufuit . u,c d to protect apparel . tirot ncs . at which time Iti -~ wife br\su e llt him to th. : F:l) . I n wcar . :ultt i:unt :li ;l scsl :cnl, an(1 prnllcl[tlruS . Ihc F,I), his [SO, u :lc 4l)1"'r and :1 .hcq `i ray .hu\LCtP Mat Srveral report . Ila\r tlcrnuntratcJ [sulrlinnar} ctnn[ific.r- cr:tl dltlua :ur .pacc tJtwatic . S+Krn :ifienwarck . while Zulus Fctlicl\tiln,, the inhalation of the colvem 1 . 1 . 1 trichlu Sleeping . fti~ U ,tturahcllf dropped It, a n ;rtlir Ili -f't, . Hi . rt>rwt[Iitt1L' i 1-4 l . ['1111uN In :: f,t++II1111Utrt3 Ul 111tti solvent ill O : i :tltlraltrlti Improved In CNi'ti 1Lifh the use fit a Illll' ,' Jauuar4 It/+)-}, ucitcr ,ait .:llt . t- :,u,txi muUt[llr r(tl .,cKle% nnnrc.hrc~afill- r ru . .h I Ii, teInp.r.uurc v. .lti 37, .3-C . .nitltc of ,rtirrc putrlumarN r+,xutt} !j til . After an apparent >Ilir,d+.tlr r ;lt~ 3, 1+ :cu1ll~~Iltln . Hi lunet :, urrt rt:m:rrl.srhlr atb,idcnce tat tUlh Icl)tiit, . we ICF+UIt :: cusr ulpultltrralv G+l llltsnchi ill Ow Mid-luuF /On : I ahr .r:utxN' \ulu~, :errl Ivxlcitx :rl'1cr cxJx. .ur, : to 111, : Iuwr, .,I an incunlplclr.lN a+,t ;lhlcr tc,r :1 \tl,iw hlcs+/ct,;cll culnu ul il ; . 10 '?nut! t(la nntttcl \\ :,tcr feJ,rllcnt J~r.+tiu :t . The [laticnt ti~a . trealetJ \LIIII IIICIfI\[tsrcthti~al .snt I'i nr, irltratit;nuu :,l} :It') In Ilti: F1) mid t\-:1 . . admit led I t ('au ftrptlrt the Inlrn,i~C t:Ut' tlnlt `i;r t+~> _t'nlui\n ntuurt+ariuY I~It~L ihcta(n :u the intc :l,i~V .c1 : ;.utit included ntrttt4fill cdui,- ~ i ; )rat uhl \tlulr lu :ui \tiitlt a ili,tury u1 hy(x rlil?ici- ultlnc 4(1 nl_+ IV c \ ;rp (, hc :ur, and aiithrt,tltwln ;,W ,W l fn,,- Cn1tJ, ~hlltitltNKI a,Ihnl:i . . :iiil Tltiflr,'C, it-0 ,Yrlllrt1r11C pre . 14 icL I hr patl:rtt retJuir.c! I-il ) .~ ILr ~ cLry% ill ~t11 Sit"(' ,tntcd In the rnter,_elic : t!e[?,Irtnl :r.t iE[)1 with Icrtal . Hi Floa to keel) his i1x4~Cli ,attu :rlic,n abc,\~')U' : . Oil J,,>f,tra . fatt g tl e . .!11(1 tliciinr~ . . ((i, pa-,( surgical ~a} 2 uf hv,J :il :aiiaticsn, r~h ::at t:111!11 \ ra~ ~hu~ct', I 1 t* } cr} 1S1~1liCi IIIClllili'r~ an ,i1 CIII`_" I1fc1ii11iC11( fStl~~l l+lll ' : :Iltl lei-, after it ;11rN ~12k:C (IUC .Ik : Qtltl (lli J1llnC111 WE .lrl1 lt t trunrn ;s .c,rral Nears ago . Ili, social hi .tt,ry was ,ix)ili- tirriy better . :1n echlx:artlittgt.rnl .Iwti.etd tsrr.rr%ctl Icit C'alir I,Jf 17tpCNlikll,rltL . 0_i :i)iU!l8) elllan+d u .c and trave l vcntricular Iurtcti .,n and nl, Jmi ::ardcsf rltitm+,n .an clrl - tt5 r\Illca in :~ltfll -~) :il~ (if J tlttt) I(c , "C1~'i (t I11 :Ilart :I llrir tr~,,~' Ihlir[~ratlt ~hnwriJ normal IFlll~ Yf1Y{fllll and Ili~ I>ili (sh -~ l:l~r, ~\~1h rrc, ttuytunc ht :ltsrc and Ater this 0%11 . ~(1it tnnc c It .cn r, . The is :dirnt . . ;n ur:uteul till' Ow .r\\ r .'tl tstttirrut had no 1,nuun tiru all C l U ic~ I>ut I : :III acl cr.k. anrl 011 tl :n .1 aucl 1Fatl ;M urlcr:attlill rcic+\rr> I,+ lli,char_ ; C2!- ttrt-duct :Illcr_\ ."1 he <\nl~ mt:Jt,~att ;sil Jlrlnr us a(Inli, from : itc+,Jtu :ti IM th ,1 .t, I ,iIt+11 .% :I, JUir\':t`daUn On- day ltrli,r It . a(hnl`,tiltln l09 / 111,991 . (tit: (tatrt:rlt used a :> atcr rc ;klll:nl "I,raq nut mutrr 1)Iti('i'Sti1(!N larltLu:u, ill Irih :nat . . ~ .h+lrl ti!n ; litrrtlic ndrltini,tr :l- ut,n .t thr :Irr,, .,,lur : .i :+ .u.r rrpcllcnt, the trtticut had (i,r :rl?+ `i+lurti :Fatc . rrt+ :_IlcIrl . 1r .unu tint i,Ils .rJ,r,c+dr, it nlmpmtlu ti . . ct,urll and fil-It fr~clidr \\ith tnhtUed lsti Eilue ALr : ,ic Prtltl,u :t, . lilt- - tit Surl:ktc+n . C 1 c hll3 . l . :slcr that ni 'iit Ihc palicnl I : :It liau .tatttl ulx+n Thc i:l ;ttstcr li~~tr . ifi :N it due . Ilk ii ;cnlt .un 1-1 .1 tnrhi++waunl .ruln__ .,n+.l h .t+l ,l ,anL .+pal rl .l : .ulle ,\ith brief t<, ., tit ethallc . The 1Icrt_li :il Sa :el\ 11at :1 SIt .:rl tor, list I>itr.- I '+r p. 2 ; .{r } .c~(tc, tr, ihr 1 .hr+rf r't,t,tt f Itt;FF:RENCF:it ( . ,r ;,, ; , , . ---- ------- mttt+m r! l'L :! . :!t , ( ,,n~L ?(, ( ~hc',1 l,.,n[ } c S(:)li 1~ `: .u!, ; , ;( 1' ., alvul., N - Ohi.+ :u : 'ru . M . . I!i :r[ . !V . k h wI a . ftl . : tt}antm .!, I \ c utc - hint! inpir y After- hili .flaitim .I W ater F':c+utu q: Sv(a~' \i'lu}r Sn, .rl.n[} a C,iarc[[c . Rr,{tl r.161,11 1998, /,? ; . ilif) AS S ~ }i :utr% . }( . : Lat . U . : lttC(iul .(:[n . hl . .-i-1t+c : ,,f ( :'h}u[inalc:d lit. tliu;ar,l :,,n A-.,) :ialyd .14w.-If ill .[I I~rh niia . 1`;:1 Il :!u, f++ ;i ;c,l 19417 . fV- 10l VI'i[a}, . ( .' .1 . . . N%t;ltl+t! . \\ .1\' : Fiuxtun . K . Itc/t.n! . I .. Fatal Inh :dari .,n nl I-1 1'}'ri . 'NLi fill ticnw lhtt,al ..<r 3 (~ U!ii.tn~ . NexJarhr ~ i'.~c [rntan,rn , F(hilucniteu ; 1 . 11'K, OF . . I1c :de_ . k .\1 . . Sh.ppa[d . U. : }une . 'I .i t ( hci- r P:,i,, :!utd t I~ itu:rnu, i rn,at (Idc[l :d[un cd a T fit hlu nicahaui Acrnnul }4c+du --i . ! . lcrk[ctt1 . Cho . 1'utt. :nl 148.J ?, -! .A A41 . ~S . Burkhart . K .}t . ; t!r[t : .,, Vomit . (i ;(}'fkrmtccll . 1 ; Ic . W . I'Idtli.+uar-, T[+%ir.t} Ivdluu-[n_' f:xl,Ct~urr It . an arn ..rdiicc} I C:!Ih ;^ }'(c,trL'n :[ 1 . Tu.`%ii.d (*fill . 'rM [[:[,I . ICUIn t}[S11111Ue s ati a t1 :17af1}UU , inc_(CtllCnt . ltt'l r[iletim di .illlatdc contain mainly [[ntil[flKlltlitel} aliphatic or Gtrllhlir chain hydrorarb(ms in the aikane series (t) ) . Thep are hy 194(t. i;i . _' l -? 4 . (; . SmilG.,t Q rn . 11 .J . . 1 3 01 t0 1 1 . }3 .1 . h : ;euc . W . Aculr Rr,},!r.,(,or-, III1iCv . I Uil:,`a! to I' . c it! Ac[. . a, 1 ( .c .tlhCr (', ., :[l : t~t,rKt . tii1IW R 1 993. 41, 96 .i-90 . t!r(kur(xlm Ih :tt are refined from crude [iik and include hulie . K . 13mru . 1 . PI! :Ifq, . S_ rl al . Sr~e!~ :\ru[ Kr- }.c`r.,,c'nc: . :LUllnc, naphtha iclt .lr:(411 lighter f1!ni1 . lighter ytlc,tu-, Illm~~ 1 :, :4.cc ; 1 ., Iit .tihtx Cl,r.,~ . tifFidlVk Iluld} . nlineral ,r :[I t,il (liu-nitu!e pttli~il) . and ~~ari<tiu . %i[u ~iy3 I , - :~, xyc : . ihu c(rrtqxr[nu} ; [41 . ac.-uilinc: 1[, Ash Chau[ihrv I Sc S 1}uhh. I7- Siegel .1 f . \1 :1 . .} .1 .(' - f r.!"r[ . I V6 . lrrntxr1_(1I(11 til little \1agu 1'r(xlurts, Inc . other [n~~reili t3euo l. P. .Ak)u.l,+Ii)nu,cwa: .[mt' .. ;,:r .. . 4i.+f1t1iA tiar.r%ac l.ntr_!I,r ~.nts include flUnf(k:trfxl[t 110}}'nlCfs . The IeCt((NI (}N'1 ;u[1 1 :}':!rk . r. (Acaitc' I .l[a . I : :jul~ In,lui ._cl by .r I . c,,u }alx:litt_~ 14 :1111 N Olaf ilk' Va1M[r/!Ili4l (:I :SV h[ hurn :}iil, intcu- nl~[~! :[I leather ( :mhtn-n+r }r%wcd Appl I'hainc,, nl lrnl :d nti\I!tir ht !nhalur. c- :[n he fatal . and Him It r[nl}:l I4197 . ! .j+- 37 -I( , ht ha(rrnlul or fatal it s we(1}[tue(1 . f11e nlatlufarlut(:r did Ilurlh!u, K :\1 IL, :I, .+ II . tr,+hnr~ . It I 1\ ;,.,,,r .ti tie in closed did K . N . ft i2ul l.,lt.tlltlqt a ; if the , or inhaled . i ,,[l, Flrtl(ll[i i tbC[ multi nor inL*e :*.ed it [!IICr ilt\IruC- }~U}il . t~IL(L!1,, RUili . 1 .1 . 1 .Jnti:,r!++m. \{!- Crc~nlt't},IC . !ta ~'tll 1(l5 : 1~1~G ?(KN~ . \tizr thti rentol,lt tit 1 .1 .1 -trirhloroeihaln[ : . the tC1 o"I iuwlateil t~a(rr}n(wrtin, products c(!tltainin Y, fluurui :,rhtln N %tt}tlill, caused several ep i[le-Illi :a cl} k I)t!lnk)[tllf t(,rt.ttv . 1W c report this case to alert clinical tox irolu g-i s- t.; t~ the C .uitinued [1tAifiel pl'z senu of f1u .+fup(,lywet- ct[uI :[inin+ walcrltru(ttin g, llrtu}u c t N !h:(} haw the potential to ;,,11 .i }11, : t}lr!dlellf(1, }llJltli,clt :[rti' InFul -v . ;1ficlrael 1: C'arrtrt C Michael While l.'r[! % er,i o, ill, t:(!nncctieut School .,I' Ph:utuac N S lctrr,, . I. 'ttntiCi IIC[i t 1)ru~ Intc,rtllatunl ('rntcr . Ilantctr(A Ilu>nita} Ha!ttintl . ('tvlnecti~ut