Silicosis with bilateral spontaneous pneumothorax in Rajasthan

Bairwa, Manish Kumar; Joshi, Narendra; Agnihotri, Shilpa

doi:10.4103/ijoem.ijoem_247_18

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…It confirms and corroborates the research findings conducted by Bense et al [12]. This study also reflects the previous findings of a higher prevalence of silicosis in the younger population [13].…”

Section: Discussionsupporting

confidence: 93%

Silicosis With Secondary Spontaneous Pneumothorax in the Western Rajasthan

Meena

Singh

Joshi

et al. 2020

Cureus

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Silicosis is one of the common occupational lung diseases caused by crystalline silica respiration. Pneumothorax is one of the most common and morbid complications of silicosis involving lung pleura. It is commonly seen unilaterally in chronic silicosis and can often be lethal. The purpose of this study is to report secondary spontaneous pneumothorax (SSP) in critically ill patients with silicosis. Methods A cross-sectional study was done between January 2019 and June 2019 at Sawai Man Singh (SMS) Medical College in Jaipur, India. A cohort of 50 patients with dyspnea and a history of silicosis were studied. A chest X-ray and sputum for acid fast bacilli were checked on all suspected cases. Results The present study showed that the mean age of patients was 38.7 years, all silicosis patients had dyspnea, and 96% of patients had severe chest pain. The results of chest X-rays concluded the evidence of silicosis. Bilateral pneumothorax was seen in three cases, right-sided pneumothorax in eight cases, and left-sided pneumothorax in 11 cases. The rate of pneumothorax incidence in silicosis patients was about 44%, which is higher than the current evidence. Six patients were managed conservatively with oxygen and bronchodilators, and 16 patients underwent through tube thoracostomy. Conclusion This study highlights the importance of considering spontaneous pneumothorax in patients who are presenting with shortness of breath and/or chest pain especially with a known history of silicosis, as the timely diagnosis can alter the management of this morbid condition which carries a high mortality rate if left untreated, compromising the lung expansion, venous return, cardiac output, oxygenation and eventually leading to death.

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Section: Discussionsupporting

confidence: 93%

Silicosis With Secondary Spontaneous Pneumothorax in the Western Rajasthan

Meena

Singh

Joshi

et al. 2020

Cureus

Self Cite

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“…Bilateral pneumothorax was very rarely seen and mainly observed on accelerated silicosis. In the Rajasthan study, bilateral pneumothorax in silicosis cases only appeared in four patients, while unilateral pneumothorax was observed in 16 patients [13] . Silica causes inflammatory response affected elastic fibers of alveolar walls, causing bleb formation [14] .…”

Section: Discussionmentioning

confidence: 91%

“…Several acute silicosis and accelerated silicosis cases appeared with poor prognosis in younger patients; thus, lung transplantation should be considered. The most critical aspect of managing silicosis is prevention; hence, high alertness regarding silicosis exposure by adequately using of personal protective equipment at work is crucial [13] .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic approach and management of bilateral pneumothorax due to silicosis in Indonesian male: A rare case

Siburian

Dewi

Koesoemoprodjo

2022

International Journal of Surgery Case Reports

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“…Pneumoconiosis is the most frequently found disease among all occupational diseases [ 1 ]. Silicosis is one of the most common pneumoconioses [ 2 ].…”

Section: Introductionmentioning

confidence: 99%