Laryngeal oedema caused by accidental ingestion of Oil of Wintergreen

Botma, Marissa; Colquhoun-Flannery, W.; Leighton, S. E. J.

doi:10.1016/s0165-5876(01)00453-0

Cited by 30 publications

(9 citation statements)

References 5 publications

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“…As such, the clinical features of methyl salicylate poisoning are identical to those observed after poisoning with other salicylates (18). Salicylate toxicity is dependent upon the ingested formulation and dosage, patient age, and the acuity of ingestion, with those at the extremes of age and with chronic intoxications at greatest risk.…”

Section: Clinical Manifestationsmentioning

confidence: 83%

Are one or two dangerous? Methyl salicylate exposure in toddlers

Davis

2007

The Journal of Emergency Medicine

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Section: Clinical Manifestationsmentioning

confidence: 83%

Are one or two dangerous? Methyl salicylate exposure in toddlers

Davis

2007

The Journal of Emergency Medicine

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“…Historically, iron ingestion has been the most important cause of fatal ingestion in children in the USA,39 and due to the frequent prescription of iron supplements to pregnant or nursing mothers, it is strongly associated with the birth of a sibling 40. Other drugs capable of causing metabolic acidosis are similarly readily available to children, such as paracetamol,41 ibuprofen,42 43 metformin,44 and salicylates, including not only aspirin,45 but also methyl salicylate (oil of wintergreen)46 or bismuth subsalicylate (Pepto-Bismol) 47. Adolescents who ingest excessive quantities of niacin in an effort to beat drug screening may also develop increased anion gap metabolic acidosis 48…”

Section: Elevated Anion Gap Metabolic Acidosismentioning

confidence: 99%

A clinical approach to paediatric acid–base disorders

Carmody

Norwood

2012

Postgraduate Medical Journal

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Acid-base disorders are common in pediatric patients. We present a simple methodology for assessing both simple and complex acid-base disorders that is applicable to patients of all ages, and focus specifically on the usefulness of this approach in the pediatric patient. The application of four simple rules in sequence will define even the most complicated acid-base disturbance. However, because acid-base disorders are manifestations of systemic disorders, the primary value of characterizing them is that each generates a unique differential diagnosis. For each of the cardinal acid base disorders, the common and clinically-relevant causes in pediatric patients are explored. Additional diagnostic tools (including the serum anion gap, the delta-delta, the alveolar-arterial gradient, urine anion gap, and urine chloride), certain easily-recalled mnemonics, and empiric rules of thumb are also useful in specific situations. The treatment of acid-base disturbances is also considered, though treatment is generally best directed at the underlying disorder.

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“…One teaspoon of wintergreen oil contains more salicylate than 20 300 mg aspirin tablets. Aspirin or salicylate-allergic patients should be wary of ingesting wintergreen-scented or wintergreen-flavored foods [56].…”

Section: Wintergreenmentioning

confidence: 99%