A Case of Acute Respirtory Distress Syndrome(ARDS) after Talc Pleurodesis.

Kim, Ki Up; Cha, Kun Young; Han, Sang Hoon; Yun, Yeo Il; park, Sung Woo; Kim, Do Jin; Na, Mun Jun; Uh, Soo Taek; Kim, Yong Hoon; Park, Choon Sik

doi:2001.51.3.265

Tuberc Respir Dis > Volume 51(3); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;51(3):265-269.
DOI: https://doi.org/10.4046/trd.2001.51.3.265 Published online September 1, 2001.

A Case of Acute Respirtory Distress Syndrome(ARDS) after Talc Pleurodesis.

Ki Up Kim, Kun Young Cha, Sang Hoon Han, Yeo Il Yun, Sung Woo park, Do Jin Kim, Mun Jun Na, Soo Taek Uh, Yong Hoon Kim, Choon Sik Park

Abstract

Presently talc is one of the agents most commonly used for producing a pleurodesis in patients with either a recurrent pleural effusion or a spontaneous pneumothorax. Talc can be instilled into the pleural space either as an aerosol (insufflation) or as a suspension (slurry) in saline. They are quite effective in producing a pleurodesis. However, they rarely have acute serious adverse effects including acute respiratory distress syndrome, and recently a discussion for using pleurodesis has been reported. We experienced a case of acute respiratory distressed syndrome after talc pleurodesis. A 64 year old man, who was diagnosed lung cancer with a malignant pleural effusion at the same side, was treated by pleurodesis using talc to control the effusion. After 3 days, he suffered fever, chill and breathlessness. The chest PA and CT revealed a bilateral infiltration in both lungs and the blood gas analysis confirmed hypoxemia, which required mechanical ventilation.

Key Words: Talc, Pleurodesis, Acute respiratory distress syndrome