Abstract
We present the case of a worker who was accidentally exposed (inhalational and dermal routes) to the chemicals dimethylacetamide and ethylenediamine for 90 minutes in a confined space. Clinical effects included delirium, hallucinations, skin burns, cellulitis, bilateral conjunctivitis, hepatitis, secondary coagulopathy, rhabdomyolysis, and a grade 2 esophagitis. Urinary monomethylacetamide levels 6 days after the exposure were 61 ppm.
MeSH terms
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Accidents, Occupational*
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Acetamides / metabolism
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Acetamides / poisoning*
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Adult
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Burns, Chemical / etiology*
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Burns, Chemical / physiopathology
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Burns, Inhalation / etiology*
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Burns, Inhalation / physiopathology
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Chemical Industry*
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Chemical and Drug Induced Liver Injury / etiology*
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Esophagitis / chemically induced
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Esophagoscopy
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Ethylenediamines / metabolism
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Ethylenediamines / poisoning*
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Humans
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Liver Function Tests
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Male
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Occupational Exposure / adverse effects
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Skin Diseases / chemically induced
Substances
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Acetamides
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Ethylenediamines
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ethylenediamine
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dimethylacetamide