Barium sulfate aspiration pneumonia: A fatal case of death

ABSTRACT A six-month-old female cat suffered aspiration of an abundant amount of barium sulfate during a radiographic procedure for the diagnosis of megaesophagus. Latero-lateral contrast radiography revealed severe dilation of the thoracic esophagus cranial to the base of the heart. Persistence of the right aortic arch was suspected and later confirmed during corrective surgery. Accumulation of barium sulfate, used as a contrast agent, was clearly observed in the lumen of the bronchi, bronchioles, and alveoli in the radiographic image. Days after the surgery, the animal developed severe respiratory distress, which resulted in death. Cytology results and histology analysis using polarized light demonstrated that the lumen of bronchi, bronchioles, and alveoli exhibited evident histiocytic infiltration with cytoplasm filled by abundant amorphous refractive granular material consistent with barium sulfate. In this report, we describe the anatomical, cytological, histopathological (using polarized light), and x-ray findings of a case of barium sulfate aspiration pneumonia in a cat resulting from the use of this contrast medium for the diagnosis of megaesophagus secondary to persistent right aortic arch.

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Dengue hémorragique chez un patient traité au long cours par un antiagrégant plaquettaire À propos d'un cas mortel en MartiniqueDengue hemorrhagic fever in a patient administered long-term anti-platelet medication: one fatal case in Martinique

Réanimation Urgences ◽

10.1016/s1164-6756(98)90047-0 ◽

1998 ◽

Vol 7 (6) ◽

pp. 665-667

Author(s):

P Chesneau

Keyword(s):

Fatal Case ◽

Hemorrhagic Fever

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Investigations on the Nature of Hemophilia A

Thrombosis and Haemostasis ◽

10.1055/s-0038-1654959 ◽

1963 ◽

Vol 09 (01) ◽

pp. 030-052 ◽

Cited By ~ 4

Author(s):

Eberhard Mammen

Keyword(s):

Factor Viii ◽

Human Plasma ◽

Barium Sulfate ◽

Freeze Drying ◽

Room Temperature ◽

Hemophilia A ◽

Normal Human Plasma ◽

Normal Human ◽

And Storage ◽

Prothrombin Activation

SummaryIn this paper an inhibitor is described that is found in hemophilic plasma and serum different from any till now described inhibitor. The inhibitor only inhibits prothrombin activation in the “intrinsic clotting systems”. This inhibitor is probably not present in normal human plasma or serum. It is destroyed by ether and freeze drying, is labile to acid and storage at room temperature. It is stable upon dialysis and has not been adsorbed on barium sulfate, aluminum hydroxide or kaolin. It precipitates at 50% v/v saturation with alcohol. The nature of this inhibitor seems to be a protein or lipoprotein.Factor VIII was isolated from hemophilic plasma. The amount isolated was the same as from normal plasma and the activity properties were not different. Hemophiliacs have normal amounts of factor VIII.

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“In vitro” Neutralization with Oxalate Ion of the Anticoagulant Effect of Heparin

Thrombosis and Haemostasis ◽

10.1055/s-0038-1654928 ◽

1961 ◽

Vol 05 (02) ◽

pp. 314-318 ◽

Cited By ~ 1

Author(s):

W. O Cruz ◽

L Meis ◽

C. P Dietrich

Keyword(s):

Calcium Oxalate ◽

Aluminium Hydroxide ◽

Barium Sulfate ◽

Anticoagulant Effect ◽

Normal Plasma ◽

Oxalate Ion

SummaryHeparinized blood or plasma coagulates if, after addition of oxalate, recalcification follows. Of the decalcifying agents only oxalate ion has been suitable for demonstrating this phenomenon. Oxalate seem to accomplish two different roles connected with this effect: a fundamental one, i. e., to sensitize a heparinlipoprotein complex to the action of an anti-heparin factor found in normal plasma or serum and a secondary one, related to its capacity to adsorb this antiheparin factor. The latter is removable by centrifugation. This anti-heparin oxalate factor, which is able to counteract the action of heparin after previous addition of oxalate, was found in sequestrened, Dowex 50 resin plasma or in serum, but is not active in citrated plasma. This factor was removed from plasma by adsorption with barium sulfate, aluminium hydroxide or calcium oxalate and was eluted from these adsorbants after incubation with saline.

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A Simple Method for Preparing Fibrinogen

Thrombosis and Haemostasis ◽

10.1055/s-0038-1655637 ◽

1966 ◽

Vol 16 (01/02) ◽

pp. 198-206 ◽

Cited By ~ 26

Author(s):

W Straughn ◽

R. H Wagner

Keyword(s):

Barium Sulfate ◽

Caproic Acid ◽

Aminobutyric Acid ◽

Gamma Aminobutyric Acid ◽

Human Fibrinogen ◽

Simple Method ◽

High Yields ◽

Marked Stability

SummaryA simple new procedure is reported for the isolation of canine, bovine, porcine, and human fibrinogen. Two molar β-alanine is used to precipitate fibrinogen from barium sulfate adsorbed plasma. The procedure is characterized by dependability and high yields. The material is 95% to 98% clottable protein but still contains impurities such as plasminogen and fibrin-stabilizing factor. Plasminogen may be removed by adsorption with charcoal. The fibrinogen preparations exhibit marked stability to freezing, lyophilization, and dialysis. Epsilon-amino-n-caproic acid and gamma-aminobutyric acid which were also studied have the property of precipitating proteins from plasma but lack the specificity for fibrinogen found with β-alanine.

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