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Kim, Park, Kim, Lim, and Koh: A Case of 'ALUM' Intoxication Leading to ARDS
Case Report

Tuberculosis and Respiratory Diseases 2002; 53(2): 234-237.

Published online: 31 August 2002

DOI: https://doi.org/10.4046/trd.2002.53.2.234

A Case of 'ALUM' Intoxication Leading to ARDS

Won Jang Kim, M.D., Youn Hee Park, RPh.D.1, Eun Kyung Kim, M.D., Chae Man Lim, M.D., Youn Suck Koh, M.D.

Division of Pulmonary and Critical Care Medicine, Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

1Division of Pharmacy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Address for correspondence (yskoh@amc.seoul.kr)

Copyright©2002. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

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.

Keywords: Drug intoxication, Alum, ARDS, Multiple organ failure

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