Tuberc Respir Dis > Volume 53(2); 2002 > Article
Tuberculosis and Respiratory Diseases 2002;53(2):234-237.
DOI: https://doi.org/10.4046/trd.2002.53.2.234    Published online August 1, 2002.
A Case of 'ALUM' Intoxication Leading to ARDS.
Won Jang Kim, Youn Hee Park, Eun Kyung Kim, Chae Man Lim, Youn Suck Koh
1Division of Pulmonary and Critical Care Medicine, Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yskoh@amc.seoul.kr
2Division of Pharmacy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
A 77-year-old female was admitted 3 hours after intentionally ingesting 5 g of aluminum ammonium sulfate ('Alum') powder dissolved in water. Gastric lavage with normal saline, activated charcoal chelation, and supportive therapies were performed. She showed a high anion gap metabolic acidosis, which rapidly progressed to multiple organ failure including ARDS. The patient subsequently progressed to a refractory shock which eventually led to death.
Key Words: Drug intoxication, Alum, ARDS, Multiple organ failure


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