No abstract

A previously healthy 17-year-old boy was transferred to the pediatric intensive care unit (PICU) for an accidental salicylate poisoning. Prior to the transfer, he was admitted to the dermatology unit for topical scabies treatment. The application of 20% sulfur ointment was planned, but the nurse used the wrong ointment by mistake and 20% salicylic acid in petrolatum was applied to the whole body surface area apart from the face. A few hours later, he started to complain of tinnitus. The next morning, he reported severe vertigo, impaired hearing and worsening of tinnitus, and he repeatedly vomited and had diarrhea. During the day, his symptoms slowly improved, except for the tinnitus. On the same day, he was given 20% sulfur ointment, which he mentioned to the nurse to be different from the one applied the previous day. On the next day, blood and urine analysis was performed (Table 1). The boy then mentioned the difference in ointment