Metal fume fever - Revision history

Benalexander: /* Management */ added poison control

2025-08-08T22:48:17Z

Management: added poison control

← Older revision		Revision as of 22:48, 8 August 2025
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	==Management==		==Management==
	*Supportive		*Supportive
			*Consider consultation with [[Poison Control]]
	*Most cases self-limiting within 24-48h		*Most cases self-limiting within 24-48h

Benalexander: /* Clinical Features */ added weekly variation

2025-08-08T22:44:09Z

Clinical Features: added weekly variation

← Older revision		Revision as of 22:44, 8 August 2025
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	==Clinical Features==		==Clinical Features==
	*[[Flu-like illness]]; [[fever]], [[fatigue]]/malaise, [[myalgia]], [[arthralgia]], [[myalgia]], [[headache]]		*[[Flu-like illness]]; [[fever]], [[fatigue]]/malaise, [[myalgia]], [[arthralgia]], [[myalgia]], [[headache]]
			**Classically occurs on Monday, after reduced exposure on the weekend, and improves over the work week due to short-term tachyphylaxis
	**Usually resolves in 24-48h		**Usually resolves in 24-48h
	*+/- [[SOB]], [[chest pain]], [[pneumonitis]]		*+/- [[SOB]], [[chest pain]], [[pneumonitis]]

Benalexander: /* Disposition */ add follow-up with occupational health

2025-08-08T22:31:06Z

Disposition: add follow-up with occupational health

← Older revision		Revision as of 22:31, 8 August 2025
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	==Disposition==		==Disposition==
	*Discharge if clinically stable		*Discharge if clinically stable
			*Follow-up with occupational health (may require OSHA report by employer)

	==See Also==		==See Also==

Benalexander: /* Differential Diagnosis */ add inhalation exposure template

2025-08-08T22:09:48Z

Differential Diagnosis: add inhalation exposure template

← Older revision		Revision as of 22:09, 8 August 2025
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Inhalation exposure}}
	{{ILI DDX}}		{{ILI DDX}}


	==Evaluation==		==Evaluation==

Benalexander: /* See Also */ Added link to inhalation injury

2025-08-08T21:54:56Z

See Also: Added link to inhalation injury

← Older revision		Revision as of 21:54, 8 August 2025
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	==See Also==		==See Also==
			[[Inhalation injury]]

	==External Links==		==External Links==

Benalexander: /* Background */

2025-08-08T21:41:06Z

Background

← Older revision		Revision as of 21:41, 8 August 2025
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	==Background==		==Background==
	*AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, ~~Welding Shivers~~, Monday morning fever		*AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, welding shivers, Monday morning fever
	*Syndrome caused by inhalation of certain metals (most commonly zinc, copper, cadmium, but also aluminum, lead, nickel and various other metals<ref>https://www.twi-global.com/technical-knowledge/faqs/faq-what-is-metal-fume-fever</ref>) in form of dust or fumes, usually through hot metalworking such as welding, brazing, smelting, or soldering.		*Syndrome caused by inhalation of certain metals (most commonly zinc, copper, cadmium, but also aluminum, lead, nickel and various other metals<ref>https://www.twi-global.com/technical-knowledge/faqs/faq-what-is-metal-fume-fever</ref>) in form of dust or fumes, usually through hot metalworking such as welding, brazing, smelting, or soldering.
	*Thought to be due to metals stimulating cytokine release		*Thought to be due to metals stimulating cytokine release

ClaireLewis: /* Clinical Features */

2019-08-27T15:16:16Z

Clinical Features

← Older revision		Revision as of 15:16, 27 August 2019
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	*+/- [[SOB]], [[chest pain]], [[pneumonitis]]		*+/- [[SOB]], [[chest pain]], [[pneumonitis]]
	**Rarely, severe lung injury, [[ARDS]] picture		**Rarely, severe lung injury, [[ARDS]] picture
	*+/- [[hypotension]], [[AMS\|LOC]], [[seizure]] in severe cases		*+/- [[hypotension]], [[AMS\|LOC]], [[seizure]], [[AKI]] in severe cases

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Clinical Features */

2019-08-27T15:12:12Z

Clinical Features

← Older revision		Revision as of 15:12, 27 August 2019
Line 9:		Line 9:
	*+/- [[SOB]], [[chest pain]], [[pneumonitis]]		*+/- [[SOB]], [[chest pain]], [[pneumonitis]]
	**Rarely, severe lung injury, [[ARDS]] picture		**Rarely, severe lung injury, [[ARDS]] picture
	*+/- [[hypotension]], [[LOC]], [[seizure]] in severe cases		*+/- [[hypotension]], [[AMS\|LOC]], [[seizure]] in severe cases


	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: Created page with "==Background== AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, Welding Shivers, Monday morning fever Syndrome caused by inhalation of cert..."

2019-08-27T15:11:42Z

Created page with "==Background== *AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, Welding Shivers, Monday morning fever *Syndrome caused by inhalation of cert..."

New page

==Background==
*AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, Welding Shivers, Monday morning fever
*Syndrome caused by inhalation of certain metals (most commonly zinc, copper, cadmium, but also aluminum, lead, nickel and various other metals<ref>https://www.twi-global.com/technical-knowledge/faqs/faq-what-is-metal-fume-fever</ref>) in form of dust or fumes, usually through hot metalworking such as welding, brazing, smelting, or soldering.
*Thought to be due to metals stimulating cytokine release

==Clinical Features==
*[[Flu-like illness]]; [[fever]], [[fatigue]]/malaise, [[myalgia]], [[arthralgia]], [[myalgia]], [[headache]]
**Usually resolves in 24-48h
*+/- [[SOB]], [[chest pain]], [[pneumonitis]]
**Rarely, severe lung injury, [[ARDS]] picture
*+/- [[hypotension]], [[LOC]], [[seizure]] in severe cases

==Differential Diagnosis==
{{ILI DDX}}

==Evaluation==
*Clinical diagnosis, evaluate for alternate diagnoses
*[[CXR]] and CT chest often unremarkable in milder cases but may show ground-glass opacities or other findings<ref>Kunimasa, Kei; Arita, Machiko; Tachibana, Hiromasa; Tsubouchi, Kazuya; Konishi, Satoshi; Korogi, Yohei; Nishiyama, Akihiro; Ishida, Tadashi (2011). "Chemical Pneumonitis and Acute Lung Injury Caused by Inhalation of Nickel Fumes". Internal Medicine. 50 (18): 2035–8.</ref>
*CBC- may have [[leukocytosis]] with neutrophil predominance<ref>Kaye P, Young H, O'sullivan I. Metal fume fever: a case report and review of the literature. Emerg Med J. 2002;19(3):268-9.</ref>

==Management==
*Supportive
*Most cases self-limiting within 24-48h

==Disposition==
*Discharge if clinically stable

==See Also==

==External Links==

==References==
<references/>
[[Category:Toxicology]] [[Category:Pulmonary]]

Metal fume fever - Revision history

Benalexander: /* Management */ added poison control

Benalexander: /* Clinical Features */ added weekly variation

Benalexander: /* Disposition */ add follow-up with occupational health

Benalexander: /* Differential Diagnosis */ add inhalation exposure template

Benalexander: /* See Also */ Added link to inhalation injury

Benalexander: /* Background */

ClaireLewis: /* Clinical Features */

ClaireLewis: /* Clinical Features */

ClaireLewis: Created page with "==Background== *AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, Welding Shivers, Monday morning fever *Syndrome caused by inhalation of cert..."

ClaireLewis: Created page with "==Background== AKA brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, Welding Shivers, Monday morning fever Syndrome caused by inhalation of cert..."