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spelling	Inhalation of particles released by an explosion can trigger multiple respiratory conditions due to the inhalation of simple asphyxiants such as carbon dioxide, irritating gases or chemical asphyxiants such as cyanide, nitrogen oxides or carbon monoxide (CO). Bronchiolitis obliterans is the most frequent histological form of bronchiolitis caused by the inhalation of a toxic substance, either a gas or inhaled particles small enough to enter the respiratory tract of less than 2mm in diameter and that is triggered by alterations in the tissue repair mechanism that generate inflammatory processes and even pulmonary fibrosis. Initially, we present the case of a patient who inhaled particulate material inside a gold mine after the dynamite explosion, he developed respiratory distress syndrome with severe hypoxemic failure that, at first, had an adequate recovery but, a week later, he was readmitted with ventilatory failure and was finally discharged with histopathological diagnosis of bronchiolitis obliterans. We also present another case in the same accident due to the detonation of dynamite which developed chemical pneumonitis due to inhalation of toxic gases and developed pulmonary edema due to inhalation. This patient had a more favorable outcome than his partner's. In the report of both cases, it was shown that in the same detonation, there were two pulmonary affections due to inhalation with toxic substances one triggered by the particulate material and the other by the gases released with different outcomes in two patients of similar age and background. Luque Angulo, Silvia Catalina Baena, Juan Diego Roldán, Miguel Suárez, Tatiana Gómez Correa, Gustavo Adolfo Osorno Serna, Jovani bronquiolitis obliterante inhalación exposición a riesgos ambientales explosión traumatismo por explosión minería edema pulmonar Colombia bronchiolitis obliterans inhalation exposure environmental explosion blast injuries mining pulmonary edema Colombia 36 1 Artículo de revista Journal article 2024-06-07T00:00:00Z 2024-06-07T00:00:00Z 2024-06-07 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/631 10.30789/rcneumologia.v36.n1.2024.631 https://doi.org/10.30789/rcneumologia.v36.n1.2024.631 spa https://creativecommons.org/licenses/by-nc-sa/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. 70 78 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/631/804 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	Inhalation of particles released by an explosion can trigger multiple respiratory conditions due to the inhalation of simple asphyxiants such as carbon dioxide, irritating gases or chemical asphyxiants such as cyanide, nitrogen oxides or carbon monoxide (CO). Bronchiolitis obliterans is the most frequent histological form of bronchiolitis caused by the inhalation of a toxic substance, either a gas or inhaled particles small enough to enter the respiratory tract of less than 2mm in diameter and that is triggered by alterations in the tissue repair mechanism that generate inflammatory processes and even pulmonary fibrosis. Initially, we present the case of a patient who inhaled particulate material inside a gold mine after the dynamite explosion, he developed respiratory distress syndrome with severe hypoxemic failure that, at first, had an adequate recovery but, a week later, he was readmitted with ventilatory failure and was finally discharged with histopathological diagnosis of bronchiolitis obliterans. We also present another case in the same accident due to the detonation of dynamite which developed chemical pneumonitis due to inhalation of toxic gases and developed pulmonary edema due to inhalation. This patient had a more favorable outcome than his partner's. In the report of both cases, it was shown that in the same detonation, there were two pulmonary affections due to inhalation with toxic substances one triggered by the particulate material and the other by the gases released with different outcomes in two patients of similar age and background.
author	Luque Angulo, Silvia Catalina Baena, Juan Diego Roldán, Miguel Suárez, Tatiana Gómez Correa, Gustavo Adolfo Osorno Serna, Jovani
spellingShingle	Luque Angulo, Silvia Catalina Baena, Juan Diego Roldán, Miguel Suárez, Tatiana Gómez Correa, Gustavo Adolfo Osorno Serna, Jovani bronquiolitis obliterante inhalación exposición a riesgos ambientales explosión traumatismo por explosión minería edema pulmonar Colombia bronchiolitis obliterans inhalation exposure environmental explosion blast injuries mining pulmonary edema Colombia
author_facet	Luque Angulo, Silvia Catalina Baena, Juan Diego Roldán, Miguel Suárez, Tatiana Gómez Correa, Gustavo Adolfo Osorno Serna, Jovani
topicspa_str_mv	bronquiolitis obliterante inhalación exposición a riesgos ambientales explosión traumatismo por explosión minería edema pulmonar Colombia
topic	bronquiolitis obliterante inhalación exposición a riesgos ambientales explosión traumatismo por explosión minería edema pulmonar Colombia bronchiolitis obliterans inhalation exposure environmental explosion blast injuries mining pulmonary edema Colombia
topic_facet	bronquiolitis obliterante inhalación exposición a riesgos ambientales explosión traumatismo por explosión minería edema pulmonar Colombia bronchiolitis obliterans inhalation exposure environmental explosion blast injuries mining pulmonary edema Colombia
citationvolume	36
citationissue	1
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/631
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2024-06-07
date_accessioned	2024-06-07T00:00:00Z
date_available	2024-06-07T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/631
url_doi	https://doi.org/10.30789/rcneumologia.v36.n1.2024.631
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v36.n1.2024.631
citationstartpage	70
citationendpage	78
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/631/804
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