Silicosis complicated by progressive massive fibrosis in a glass industry worker.: Case report

Abstract

Silica is a mineral composed of oxygen and silicon, present in most rocks and soil, and widely used for its versatility in industries such as construction and glass manufacturing. Objective: To describe the working conditions to which employees are exposed during silica fabrication and grinding processes. Materials and methods: Information was collected within a single period, using a cross-sectional, qualitative, and interpretive approach. We present the case of a 40-year-old male, with no significant personal medical history, who experienced continuous and substantial exposure for more than a decade while working as a “desbastado” operator and glass grinder, without adequate personal protective equipment. He developed a productive cough and progressive dyspnea that became increasingly difficult to control; after completing the diagnostic protocol, he was diagnosed with a disabling condition that prevents him from continuing occupational activities. Conclusion: This case highlights the association between pneumoconiosis due to silica exposure and occupational risk in the glass industry, as well as the existing underreporting, since the disease is often not considered among differential diagnoses. Despite current regulations in Mexico, risk management remains insufficient, allowing silicosis to persist and cause progressive deterioration in workers’ health. This emphasizes the need to strengthen the implementation and evaluation of preventive measures in this type of occupational activity.