R. R. GRAYSON, M.D.
Two cases of acute respiratory disease due to inhalation of silage gas were encountered in August, 1954. One was fatal. A thorough investigation of these two cases and of the silage gas that caused the illness indicates that the disease was caused by the oxides of nitrogen.
A careful review of the literature indicates that, although chemical pneumonia and fatalities due to fumes of the oxides of nitrogen have been described many times in industry, they apparently have not been reported in cases of silage gas poisoning. The following two cases, therefore, are believed to be the first cases reported
GRAYSON RR. SILAGE GAS POISONING: NITROGEN DIOXIDE PNEUMONIA, A NEW DISEASE IN AGRICULTURAL WORKERS*. Ann Intern Med. 1956;45:393–408. doi: https://doi.org/10.7326/0003-4819-45-3-393
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Published: Ann Intern Med. 1956;45(3):393-408.
Emergency Medicine, Infectious Disease, Pneumonia, Pulmonary/Critical Care.
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