Case report
Metal fume fever

https://doi.org/10.1016/S0196-0644(05)81037-6Get rights and content

Metal fume fever is an ancient occupational disease still encountered among metal workers. The delay between exposure and onset of nonspecific symptoms makes this an elusive diagnosis. We present the case of a patient who developed symptoms several hours after welding. The historical background, pathogenesis, clinical presentation, and self-limited course of this common, yet frequently unrecognized illness are discussed.

References (21)

  • MuellerEJ et al.

    Metal fume fever—A review

    J Emerg Med

    (1985)
  • NoelNE et al.

    Elevated serum zinc levels in metal fume fever

    Am J Emerg Med

    (1988)
  • BarnhartS et al.

    Cadmium chemical pneumonitis

    Chest

    (1984)
  • BlancP et al.

    An experimental human model of metal fume fever

    Ann Intern Med

    (1991)
  • RossDS

    Welder's metal fume fever

    J Soc Occup Med

    (1974)
  • HunterD

    The Diseases of Occupations

  • WeillH et al.

    Occupational pulmonary diseases

  • MorganWK et al.

    Occupational Lung Diseases

  • BlountBW

    Two types of metal fume fever: Mild vs serious

    Milit Med

    (1990)
There are more references available in the full text version of this article.

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