Skin burns from monochloroacetic acid leak in a chemical plant: a case report

Skin burns from monochloroacetic acid

  • Yiming Tao Qilu Hospital of Shandong University
  • Xiangdong Jian Qilu Hospital of Shandong University
Keywords: chemical burn, continuous renal replacement therapy, occupational accident, poisoning

Abstract

The patient, a 45-year-old male chemical factory worker, was burned by monochloroacetic acid discharged from a ruptured pipe. The patient was merely flushed with water and did not leave the workplace immediately. As a result, he suffered local burn symptoms, which gradually worsened. Two and a half hours after the accident, he developed symptoms of systemic poisoning, such as lethargy and dyspnoea. After a thorough debridement of the wound surface and subsequent skin grafting combined with early glucocorticoid therapy and haemofiltration, a satisfactory result was achieved, and the patient eventually recovered. With the widespread use of monochloroacetic acid in China, incidents of poisoning with this chemical are becoming increasingly common, with more than 100 cases reported in the past ten years in China alone.

Published
2020-06-08
How to Cite
1.
Tao Y, Jian X. Skin burns from monochloroacetic acid leak in a chemical plant: a case report. Arh Hig Rada Toksikol [Internet]. 2020Jun.8 [cited 2020Jul.13];71(2). Available from: https://arhiv.imi.hr/index.php/arhiv/article/view/1250
Section
Case report