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Updated: Sep 26, 2026

A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
Iatrogenic pleuropulmonary charcoal instillation in a teenager
Sandip A Godambe1, Jennifer W Mack, David S Chung
1Department of Medicine, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Abstract:
Activated charcoal given through a nasogastric tube is a standard intervention for many types of toxic ingestions in the emergency department. This case study describes a teenage girl whose multidrug overdose was complicated by accidental charcoal instillation into her left lung and pleural space through a misplaced nasogastric tube. The ensuing empyema did not respond to antibiotic therapy alone, probably due to the inherent properties of charcoal, and required a chest tube placement with continuous irrigation. Unlike previously reported cases, this patient did well clinically, without long-term morbidity.
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