CLINICAL CASE OF HOUSEHOLD CHLORINE POISONING

Abstract

Despite the fact that for most people chlorine, from a historical point of view, is primarily associated with chemical weapons, chlorine and its compounds are widely used in various spheres of human life, from rubber production and metalworking to cleaning products. The last are accessible to every person, which increases the risk of poisoning and makes it relevant to study every such case and also the pathological processes in the human body resulting from poisoning. The following clinical case is presented to highlight this issue: N., a 22-year-old man, was admitted to the Intensive care Unit (ICU) of the Military Field Therapy Clinic of Military Medical Academy named after S.M. Kirov in a state of moderate severity with impaired respiratory functions due to household chlorine poisoning. The patient underwent a comprehensive clinical examination, which included general blood panel, biochemical blood tests, and toxico-chemical analyses, registration of circulatory and respiratory system parameters, X-rays and computed tomography of the chest organs, consultations with specialists, and monitoring of identified pathological changes in dynamic during therapy. The presented clinical case not only demonstra tes the importance of careful anamnesis collection and its role in the differential diagnosis of diseases in order to make a true diagnosis in order to correctly sort and timely select evacuation tactics for optimal treatment and reduce the risk of both non-fatal and fatal complications. It also forces us to pay attention to the fact that poisoning with hazardous chemicals (AHS) is found everywhere, both at large enterprises and facilities, and in everyday life, and can be not only widespread, but also include isolated cases, often associated with violations of safety regulations when working with dangerous substances which are used in a wide variety of industries and situations, and that’s requires doctors to be very vigilant when receiving information about a patient and his disease.