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{
    "pk": 1436,
    "title": "Man Presenting After Hydrochloric Acid Ingestion",
    "subtitle": null,
    "abstract": "<b>Case Presentation: </b>We describe a case of a man who developed severe caustic injury of his upper gastrointestinal tract after ingestion of a commercially available 9.5% hydrochloric acidic cleaning solution. He rapidly deteriorated and required endotracheal intubation. He underwent several imaging modalities demonstrating his injuries and ultimately succumbed to his injuries.<p></p><p><b><b>Discussion: </b></b>Acidic caustic ingestions may range in severity and uncommonly result in death. Diagnosis is most often achieved by esophagogastroduodenoscopy, although computed tomography may increasingly play a role in defining the extent of injury. Esophagogastroduodenoscopy findings are often assigned a Zargar grade, which guides management. Medical management of acidic caustic ingestion may include bowel rest, steroids, antibiotics, and proton pump inhibitors depending on the extent of injury, although surgery may be required if esophageal perforation occurs.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Caustic ingestion"
        },
        {
            "word": "toxicology"
        },
        {
            "word": "Acidic Ingestion"
        },
        {
            "word": "Critical care"
        },
        {
            "word": "esophageal perforation"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9wt068nq",
    "frozenauthors": [
        {
            "first_name": "Emma",
            "middle_name": "R.",
            "last_name": "Furlano",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; Albany Medical Center, Department of Medicine, Division of Pulmonary Critical Care Medicine, Albany, New York",
            "department": ""
        },
        {
            "first_name": "Gregory",
            "middle_name": "P.",
            "last_name": "Wu",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; Albany Medical Center, Department of Emergency Medicine, Division of Toxicology and Addiction Medicine, Albany, New York",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Brendan",
            "middle_name": "",
            "last_name": "Vosburgh",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Cameron",
            "middle_name": "R.",
            "last_name": "Waldman",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Jessica",
            "middle_name": "",
            "last_name": "Noonan",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Alexander",
            "middle_name": "",
            "last_name": "Bracey",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York",
            "department": "Emergency Medicine"
        }
    ],
    "date_submitted": "2023-06-10T16:29:38.858000Z",
    "date_accepted": "2023-09-15T08:56:04.366000Z",
    "date_published": "2023-12-06T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1436/galley/3843/download/"
    },
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            "label": "Layout",
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1436/galley/3843/download/"
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}