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Ammonia (NH3) is an irritant and corrosive gas, normally transported in liquid form under pressure in steel cylinders, and acute inhalation in high concentrations occurs mainly during workplace accidents in the agricultural and industrial sectors. The extent and severity of the damage depend on the concentration and duration of exposure to the toxin, which can cause skin, eye, and respiratory injuries and pose a risk of death. [1] Acute respiratory distress syndrome (ARDS) and acute lung injury are common complications after acute exposure to ammonia gas. [2] We present the case of a patient who was acutely exposed to high concentrations of NH3.