| Article Details : |
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| | | Article Name : | | | Pneumonia química associada à intoxicação por
hidrocarboneto: Relato de caso1
| | Author Name : | | | TUANNY ABREU DE SOUZA, LUCIANA GONÇALVES SIQUEIRA
| | Publisher : | | | Bridge Center | | Article URL : |  | | | Abstract : | | | Objective: to report a case report of an infant with a history of
kerosene poisoning.
Methodology: consultation with sources such as Medline,
Covhrane and Up to date, including 1992 - 2018, for topics such as
exogenous intoxication, hydrocarbon poisoning, kerosene poisoning,
chemical pneumonia and pneumonitis, occurring in the pediatric age
group.
Case report: 1.5-year-old infant, brought to the emergency
room by her parents for kerosene ingestion. Parents inform the
pediatrician of childrens Hospital induction of vomiting in the infant
after kerosene ingestion and not fixation of the gaze. On examination
at the childrens Hospital, mental confusion was noted in the infant.
Conduct with blood test, biochemistry, chest x-ray, consultation with
local toxicology center. Admission to the ICU of the hospital due to
vomiting and ARDS, clinical signs of shock and psychomotor agitation
on handling, and later development of renal failure and consequent
multiple organ failure.
Discussion: the evolution of infant death within 48 hours
after kerosene ingestion is in the 1% level described in the literature, as
well as the symptoms described. Supportive diagnostic tests such as Xray and blood showed the organic impairment of the infant. This example shows the high hazardousness of kerosene hydrocarbon, very
present in family homes due to its high use as an illuminant and easy
availability for purchase.
Conclusion: accidental ingestion of hydrocarbons by children
may result in chemical pneumonia which, most of them evolve
benignly, some cases may progress to progressive respiratory failure
requiring intensive support. In these cases, the result may be death as
in the case described in this article. Orientation of the population is the
best form of prevention for cases of poisoning in pediatrics. | | Keywords : | | | exogenous poisoning, hydrocarbon poisoning, kerosene
poisoning, chemical pneumonia, pneumonitis, pediatric age group. |
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