Prolonged Disability following Re-Exposure after Complete Recovery from Aerotoxic Syndrome: A Case Report

Race Creeden, Nick Blonien, Jill K. Schultz, Jessika Wheeler, Erik L. Haltson and Zeke J. McKinney ()
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Race Creeden: HealthPartners Occupational and Environmental Residency, HealthPartners West End Clinic, 1665 Utica Ave. S., Suite 100, St. Louis Park, MN 55416, USA
Nick Blonien: HealthPartners Occupational and Environmental Residency, HealthPartners West End Clinic, 1665 Utica Ave. S., Suite 100, St. Louis Park, MN 55416, USA
Jill K. Schultz: Bright Eyes Vision Clinic, 13889 Ridgedale Drive, Minnetonka, MN 55305, USA
Jessika Wheeler: NovaCare Rehabilitation, 480 Highway 96 East Suite 120, Vadnais Heights, MN 55127, USA
Erik L. Haltson: HealthPartners Occupational and Environmental Residency, HealthPartners West End Clinic, 1665 Utica Ave. S., Suite 100, St. Louis Park, MN 55416, USA
Zeke J. McKinney: HealthPartners Occupational and Environmental Residency, HealthPartners West End Clinic, 1665 Utica Ave. S., Suite 100, St. Louis Park, MN 55416, USA

IJERPH, 2023, vol. 20, issue 24, 1-8

Abstract: Aerotoxic syndrome is a rarely recognized and poorly defined illness resulting from exposure to products of oil combustion in commercial aircraft bleed air systems. The pathophysiology of this syndrome is not well understood. A 42-year-old male pilot developed duty-limiting symptoms consistent with aerotoxic syndrome following exposure to airline cabin fumes and recurrence of symptoms following re-exposure despite apparent full recovery from the initial exposure event. Given his persistent symptoms and concern for immediate debilitation/incapacitation if re-exposed, the pilot was deemed medically unqualified for return to commercial piloting duties and a disability determination was made. Consideration of aerotoxic syndrome in aircrew members with unusual or episodic symptoms of neuro/cognitive dysfunction is essential for further characterizing this occupational illness, guiding medical management, and understanding its impact on aviation workforce health.

Keywords: aerotoxic syndrome; organophosphate; tricresyl phosphate; neurotoxicity; aerospace medicine; fume event; acute brain injury (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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