Acute management of caustic injury patient in low-resource settings

Dewanti, Sisilia; Kholili, Ulfa

doi:10.1016/j.ijscr.2022.106871

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Although the clinical diagnosis may become evident in the presence of the patient’s relevant history, the most severe forms of intoxication tend to exhibit a very complex picture. Involvement of respiratory structures may lead to laryngospasm, stridor, dyspnea, hemoptysis, dysphonia, or respiratory distress signs [ 38 , 39 , 40 , 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Severe Intentional Corrosive (Nitric Acid) Acute Poisoning: A Case Report and Literature Review

Stoica

Lionte

Palaghia

et al. 2023

JPM

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Despite being one of the most debilitating conditions encountered in the field of toxicology, there is a lack of neutralization measures for the toxins involved in acute corrosive poisoning, and this promotes progressive contact injury of deep tissues after poisoning has occurred. Multiple controversies still surround management strategies during the acute phase of poisoning and the long-term follow-up of the patient. Here, we report a severe case of intentional poisoning with nitric acid complicated by extensive injury of the upper digestive tract, multiple stricture formation, and complete dysphagia. Serial endoscopic dilation and insertion of a jejunostomy feeding tube were necessary, and underlying psychiatric illness negatively affected the outcome of the patient. We conclude that an interdisciplinary approach is necessary to properly reduce the extent of lesions and sequelae induced by corrosion. Early endoscopic mapping of injuries is of major importance to better predict the evolution and possible complications of poisoning. Interventional and reconstructive surgical procedures may significantly improve the life expectancy and quality of life of patients following intoxication with corrosive substances.

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