Chemical pneumonitis and acute lung injury caused by inhalation of nickel fumes

Intern Med. 2011;50(18):2035-8. doi: 10.2169/internalmedicine.50.5557. Epub 2011 Sep 15.

Abstract

A 50-year-old man with a 30-year occupational history of welding presented with low-grade fever, fatigue and persistent dry cough. Computed tomography (CT) of the chest revealed interlobular septal thickening and bilateral non-segmental patchy ground-glass opacities except in the sub-pleural zone. He revealed that he had inhaled nickel fumes 3 days previously at work. These findings suggested a diagnosis of pneumonitis induced by inhalation of nickel fumes. Fewer reports describe pneumonitis associated with the inhalation of nickel compared with zinc fumes. Although nickel compounds are particularly pernicious among the transition metals and more toxic than zinc compounds, nickel fume inhalation rarely induces lethal acute respiratory distress syndrome. Our patient was successfully treated with corticosteroid.

Publication types

  • Case Reports

MeSH terms

  • Acute Lung Injury / chemically induced*
  • Acute Lung Injury / diagnostic imaging
  • Acute Lung Injury / drug therapy
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Alveolitis, Extrinsic Allergic / chemically induced*
  • Alveolitis, Extrinsic Allergic / diagnostic imaging
  • Alveolitis, Extrinsic Allergic / drug therapy
  • Humans
  • Inhalation Exposure / adverse effects*
  • Male
  • Nickel / adverse effects*
  • Occupational Diseases / chemically induced*
  • Occupational Diseases / diagnostic imaging
  • Occupational Diseases / drug therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Welding

Substances

  • Adrenal Cortex Hormones
  • Nickel