Hydrocarbon Poisoning in Children: A 5-Year Retrospective Study

Lifshitz, Matitiahu; Sofer, Shaul; Gorodischer, Rafael

doi:10.1580/1080-6032(2003)014[0078:hpicay]2.0.co;2

Cited by 64 publications

(75 citation statements)

References 18 publications

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“…[2][3][4] The ultimate result of hydrocarbon aspiration is interstitial inflammation, intraalveolar hemorrhage and edema, hyperaemia, bronchial necrosis, and vascular necrosis. 5,6 The hemorrhagic alveolitis and bronchial and vascular necrosis can result in a hemorrhagic pleural effusion, which has been rarely reported. 7 Following poisoning, respiratory effects occur as a result of aspiration and ingestion leading to lipoid pneumonitis that increases the transpulmonary pressure.…”

Section: Discussionmentioning

confidence: 99%

“…n induced pneumothorax and empyema have been reported in literature but pyopneumothorax is a rare entity. 4,8 Lifshitz et al, 5 carried out a 4-year follow up study between 1995-1999 and reported that 118 (43%) out of 274 cases with hydrocarbon poisonings had pneumonia, hypoxia and fever; pneumonia was interstitial and bilateral; and it was associated with vomiting. 4 Pleurisy and pneumothorax were not reported in these cases.…”

Section: Discussionmentioning

confidence: 99%

“…If there is an increase in leukocytosis and infiltration findings as well as fever after the first 24-48 hours, antibiotic treatment should be added owing to secondary bacterial pneumonia risk. [3][4][5][6][7][8][9][10] Thoracal tube drainage was carried out for spontaneous pneumothorax and pleural effusion in our case. Our patient recovered satisfactorily following the initial treatment consisting of oxygen inhalation, antibiotics, inhaled steroids and salbutamol, and supportive measures without any residual pulmonary sequela.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary complications of chemical pneumonia; a case report

et al. 2016

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Hydrocarbon aspiration (HA) can cause significant lung disease by inducing an inflammatory response, hemorrhagic exudative alveolitis, and loss of surfactant function. The most serious side effect of HA is aspiration pneumonia. Pneumothorax, pneumatocele, acute respiratory distress syndrome (ARDS), pulmonary abscess, bronchopleural fistula, bilateral hemorrhagic pleural effusion and pyopneumothorax were previously reported. Hereby we report a patient hospitalized due to aspiration pneumonia who developed pleurisy and pneumothorax after drinking paint thinner. It is presented as it was seldom reported in children to cause distinct pulmonary complications. Patients with complaints associated with hydrocarbon poisoning must be fully evaluated. They must not be discharged from the hospital early and must be followed for at least 48 hours even if they don't have respiratory symptoms. It should be kept in mind that severe pulmonary complications can develop in patients with chemical pneumonia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pulmonary complications of chemical pneumonia; a case report

et al. 2016

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“…5,6 La alveolitis hemorrágica y la necrosis de los bronquios y vascular pueden causar derrame pleural hemorrágico, una situación raramente notificada. No se recomienda inducir el vómito en el tratamiento de la ingesta de derivados de hidrocarburos.…”

Section: Presentación De Un Casounclassified

“…Si aumenta la leucocitosis y se observan infiltrados y fiebre después de las primeras 24 a 48 horas, debe agregarse un tratamiento antibiótico debido al riesgo de neumonía bacteriana secundaria. [3][4][5][6][7][8][9][10] A nuestro paciente se le colocó una sonda de drenaje torácico por la presencia del neumotórax espontáneo y el derrame pleural. El paciente se recuperó satisfactoriamente después del tratamiento inicial con oxígeno inhalado, antibióticos, esteroides y salbutamol inhalados y tratamiento complementario, sin secuelas pulmonares residuales.…”

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Complicaciones pulmonares de la neumonía química. A propósito de un caso

2016

Arch Argent Pediat

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ResumenLa aspiración de hidrocarburos puede causar un daño significativo a los pulmones al inducir una respuesta inflamatoria, alveolitis exudativa hemorrágica y pérdida de la función del tensioactivo pulmonar. El efecto secundario más grave de la aspiración de hidrocarburos es la neumonía por aspiración. Anteriormente se han notificado casos de neumotórax, neumatocele, síndrome de dificultad respiratoria aguda (SDRA), absceso pulmonar, fístula broncopleural, derrame pleural bilateral hemorrágico y pioneumotórax. En este artículo presentamos el caso de un paciente hospitalizado debido a neumonía por aspiración que desarrolló pleuritis y neumotórax después de ingerir disolvente para pintura. Se presenta este caso ya que raramente se ha informado en niños como causa de complicaciones pulmonares diferentes. Es necesario evaluar integralmente a los pacientes con complicaciones asociadas a la intoxicación por hidrocarburos. Debe evitarse el alta hospitalaria temprana de los pacientes, quienes deben ser controlados durante, al menos, 48 horas, aunque no tengan síntomas respiratorios. Debe considerarse que los pacientes con neumonía química pueden tener complicaciones pulmonares graves. IntRoduccIónLos hidrocarburos son un grupo heterogéneo de sustancias compuestas principalmente por moléculas de carbono e hidrógeno. En la vida moderna son bastante abundantes. Algunos de complicaciones pulmonares de la neumonía química. A propósito de un caso Pulmonary complications of chemical pneumonia; a case report los hidrocarburos más frecuentemente utilizados son la nafta, el aceite lubricante, el aceite para motor, el aguarrás, el líquido para encendedores, la nafta, la parafina y el querosén.1 Los disolventes para pintura están en el grupo de hidrocarburos volátiles. Las intoxicaciones agudas por hidrocarburos suelen causar neumonía química y, raramente, producen neumatocele, absceso pulmonar, derrame pleural y SDRA.1,2 Si bien en los niños es frecuente observar intoxicación por hidrocarburos, previamente no se han notificado muchos casos pediátricos de neumonía, pleuritis y neumotórax. A continuación presentamos el caso de un niño con neumonía química grave junto con pleuritis y neumotórax como resultado de la ingesta de disolvente para pintura. PResentAcIón de un cAsoSe observó que un paciente masculino de 9 años de edad con retraso mental había sido hospitalizado una semana antes en otro centro asistencial, donde fue tratado con antibióticos después de tener disnea tras beber accidentalmente disolvente para pintura de un vaso que sus padres habían dejado en el lugar. Dado que no presentaba mejoría clínica ni radiológica, sino por el contrario había empeorado, se lo trasladó a nuestro hospital. Sus antecedentes pre-y posnatales no presentaban incidentes. Según su familia, el retraso mental se hizo evidente al mes de vida durante su primera hospitalización por convulsiones febriles. Los antecedentes familiares eran inespecíficos, excepto en el caso de su padre, que había tenido epilepsia. En el examen físico se observó que s...

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Respiratory complications following hydrocarbon aspiration in children

Makrygianni

Palamidou

Kaditis

2016

Pediatric Pulmonology

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Accidental hydrocarbon ingestion may lead to aspiration and chemical pneumonitis in children. In this review article, the clinical course of hydrocarbon pneumonitis, chest radiographic abnormalities, complications, and treatment interventions are summarized. Most children remain asymptomatic and without complications following ingestion of a hydrocarbon. In approximately 15% of ingestions, aspiration pneumonitis occurs and evolves over the first 6-8 hr presenting with fever, tachypnea, hypoxemia, and tachycardia. A symptom zenith is reached within 48 hr followed by progressive improvement. Up to 5% of pneumonitis cases progress rapidly to acute respiratory failure. Chest radiographic abnormalities develop by 4-8 hr after ingestion, but they are not always predictive of clinical pneumonitis. Patients with history of hydrocarbon ingestion should be monitored for 6-8 hr in the emergency department and a chest radiogram should be obtained at the end of the observation period. Spontaneous or induced emesis and gastric lavage have been related to aspiration pneumonitis. Children who are symptomatic are admitted to the hospital for cardiorespiratory status monitoring and supportive care. Approximately 90% of hospitalized patients have a benign clinical course. Increased work of breathing with or without altered sensorium and seizures are indications for admission to the intensive care unit. Hypoxemia unresponsive to supplemental oxygen and/or severe central nervous system involvement require mechanical ventilation. Corticosteroids do not seem to offer any benefit and antibiotics are administered in cases of bacterial superinfection. Pneumatoceles may become evident after the first 6-10 days of symptoms on follow-up chest radiograms and they resolve up to 6 months later. Pediatr Pulmonol. 2016;51:560-569. © 2016 Wiley Periodicals, Inc.

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Hydrocarbon Poisoning in Children: A 5-Year Retrospective Study

Cited by 64 publications

References 18 publications

Pulmonary complications of chemical pneumonia; a case report

Pulmonary complications of chemical pneumonia; a case report

Complicaciones pulmonares de la neumonía química. A propósito de un caso

Respiratory complications following hydrocarbon aspiration in children

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