Troponemia Secondary to Air Duster Inhalant Abuse
  • Jesus Romero
    Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
  • Rachel Abboud
    Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
  • Sherif Elkattawy
    Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
  • Ana Romero
    Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
  • Omar Elkattawy
    Internal Medicine Department, Rutgers University-New Brunswick, Jersey City, New Jersey, USA
  • Abdel Azez Abu Samak
  • Razan Shamoon
    Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA

Keywords

Inhalant, electronic dusters, tetrafluoroethane, cardiac injury

Abstract

The abuse of inhalants has become a public health concern in the USA over the past decade. Compressed air duster cans currently available in the USA contain highly toxic substances including different hydrofluorocarbons (including tetrafluoroethane and difluoroethane) which exert a psychoactive effect on the central nervous system. Several cases of inhalant-induced lethal arrhythmia such as ventricular fibrillation evolving to torsade de pointes and leading to cardiac arrest, have been reported in the literature. Furthermore, multiorgan failure including liver and kidney injury has been described after inhalant abuse. 
We report the case of a 33-year-old man found diaphoretic and with a near syncopal episode after inhalation of several cans of Surf Onn electronic duster gas cleaner, who subsequently developed acute cardiac, liver and kidney injury.

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References

  • Levari E, Stefani M, Ferrucci R, Negri A, Corazza O. The dangerous use of inhalants among teens: a case report. Emerg Trends Drugs Addict Health 2021;1:100006.
  • Hirata K, Sasao A, Ohtsu Y, Tsutsumi H, Furukawa S, Yonemitsu K, et al. A sudden death related to 1,1-difluoroethane inhalation—a case report and brief review of the literature. Forensic Sci Int Rep 2020;2(6):100062.
  • Howard M, Bowen S, Garland E, Perron B, Vaughn M. Inhalant use and inhalant use disorders in the United States. Addict Sci Clin Pract 2011 Jul;6(1):18–31.
  • Burke J, Haigney MCP, Farasat M, Mehler PS, Mori JK. Huffing and twist: fatal torsade de pointes associated with tetrafluoroethane inhalation and amphetamine use. Clin Case Rep 2021 Aug;9(8):10.1002/ccr3.3838.
  • Cates A, Cook M. Severe cardiomyopathy after huffing dust-off. Case Rep Emerg Med 2016;2016:9204790.
  • Cao SA, Ray M, Klebanov N. Air duster inhalant abuse causing non-ST elevation myocardial infarction. Cureus 2020 Jun;12(6):e8402.
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    Published: 2022-09-26
    Issue: 2022: Vol 9 No 9 (view)


    How to cite:
    1.
    Romero J, Rachel Abboud, Sherif Elkattawy, Ana Romero, Omar Elkattawy, Abdel Azez Abu Samak, Razan Shamoon. Troponemia Secondary to Air Duster Inhalant Abuse . EJCRIM 2022;9 doi:10.12890/2022_003556.

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