Abstract
A one-month-old girl was admitted to the pediatric emergency room by her family after accidentally given three drops of wart medication (5-fluorosil and salicylic acid) instead of vitamin D. The general condition was moderate, restless, and hyperemic areas were present on the lips and oropharynx. Other system examinations were natural. A second degree esophageal burn was detected in the endoscopy performed within the first 24 hours. Proton pump inhibitor and intravenous fluid was given. The patient whose treatment was completed, was discharged with oral sucralfate and proton pump inhibitor treatments. She is still on follow-up without any complications.Endoscopic evaluation should be done within the first 24 hours following accidentally given corrosive substance to children. If there is hemorrhage, erosion, pale-atrophic mucosa and necrosis in the gastric mucosa in the endoscopic findings, the patient should be followed closely for perforation. In this way, complications can be prevented and mortality rates can be reduced. Families should also be trained on paying attention to the names and contents of the drugs given to children.
Keywords: Corrosive, Esophageal, Burn
References
- Litovitz TL, Bailey KM, Schmitz BF, Holm KC, Schwartz WK. 1990 Annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med 1991;9:461-509.
- Urganci N, Usta M, Kalyoncu D, Demirel E. Corrosive substance ingestion in children. Indian J Pediatr 2014;81:675-9.
- Çakır N. Deney tüpünden eczane rafına: Bir antimikrobiyal nasıl geliştirilir? ANKEM Derg 2010;24:174-81.
- Akılcı A, Dağıstanlı S, Aydınkarahaliloğlu D, Şardaş S. Ulusal farmakovijilans sistemi. Türk farmakoloji derneği klinik farmakoloji çalışma grubu elektronik bülteni www.tdf.or g.tr/kfcg.html 2005;3:19-22.
- Kasap E, Özütemiz AÖ. Pet şişedeki tehlike: korozif özofajit. Güncel Gastroenteroloji Dergisi 2006;10:29-35.
- Küçükkartallar T. Koroziv madde içimine bağlı mide nekrozu ve perforasyonu. Genel Tıp Dergisi. 2008;18:165-8.
- Contini S, Swarray-Deen A, Scarpignato C. Oesophageal corrosive injuries in children: a forgotten social and health challenge in developing countries. Bulletin of the WHO 2009;87:950–95.
- Wasserman RL, Ginsburg CM. Caustic substance injuries. J Pediatr 1985;107:169–74.
- Huang YC, Hsuan Ni Y, Shiee Lai H, Chang MH. Corrosive esophagitis in children. Pediatr Surg Int 2004;20:207–10.
- Goldman LP, Weigert JM. Corrosive substance ingestion: a review. Am J Gastroenterology 1984;79:85-9.
- Mamede RC, Mello Filho FV De. Treatment of caustic ingestion an analysis of 239 cases. Dis Esophagus 2002;15:210.
- Jong AL de, Macdonald R, Ein S. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Othorhinolaryng 2001;57:203.
- Vural F, Çiftçi S, Vural B. Sık Karşılaşılan İlaç Uygulama Hataları ve İlaç Güvenliği Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2014;4:271-5.
- Ali R, Shadeed A, Fitian H, Zyoud SH. The difficulties experienced during the preparation and administration of oral drugs by parents at home: a cross-sectional study from Palestine. BMC Pediatr 2020;198:1-8.
- Waasdorp Hurtado, Christine E, Kramer Robert E. Salicylic Acid Ingestion Leading to Esophageal Stricture, Pediatric Emergency Care 2010;26:146-8.
- Baskin D, Urganci N, Abbasoğlu L, Alkim C, Yalçin M, Karadağ C, et al. A standardised protocol for the acute management of corrosive ingestion in children. Pediatr Surg Int 2004;20:824-8.
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Copyright © 2021 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.