Case Of Accidental Ingestion Research Articles

Accidental Oleandrum (Nerium Oleander L.) Ingestion: Anatomo-Pathological consequences in livestock species

The oleander (Nerium oleander L.) is a flowering and evergreen shrub or small tree, belonging to the Dogbane family, cultivated as ornamental plants in gardens and public city areas. These plants, distributed originally in Asia and Mediterranean area, grow in many parts of the world, particularly in warm temperate and subtropical regions. Oleander is considered noxious weed and its toxicity has been known since ancient times. All parts of plants, including stems, leaves, young shoots, flowers, nectar, sap and products induced by combustion are toxic. The poisoning effects of plant induced sever negative changes especially in the heart, also in the lung, in the liver and in the kidney. Accidental and experimental cases of oleander poisonings have been described in several species. Several cases of accidental ingestion in human and animals have been reported from across the world. Therefore, this review summarizes the main anatomo-pathological effects found in livestock species after accidental oleandrum poisoning.

FDA urges proper disposal of unused or expired medications

Unused or expired medicines in the home have long been a major safety concern, and the Drug Enforcement Administration (DEA) has sponsored “take‐back” days in which patients can return unwanted medications to avoid the possibility of someone taking the drugs from their medicine cabinets. Prescription medications are involved in many cases of accidental ingestion by children.

Queimadura oral por ingestão acidental de ácido: Relato de caso clínico

Introdução: Queimaduras da mucosa oral podem ser ocasionadas devido traumas térmicos, químicos ou elétricos, podendo causar uma lesão severa não somente na mucosa oral, mas sim em região esôfago e estômago, levando a uma necrose tecidual ou até uma perfuração das estruturas. Objetivo e relato de caso: O presente artigo tem como objetivo relatar um caso clínico de ingestão acidental de substância ácida e realizar uma revisão de literatura discutindo a importância do cirurgião dentista na equipe multidisciplinar de um serviço de emergência, atuando no diagnóstico e tratamento das lesões de queimaduras químicas. Conclusão: Algo indispensável para a restauração da função e recuperação adequadas desses pacientes.

A case of accidental ingestion and medical retrieval of dental implant hex driver

Accidental aspiration and ingestion of the dental instrument and material is an infrequent occurrence in dental practice. The location of the foreign body should be confirmed with radiographs. Radiographic examination will allow the correct diagnosis and the treatment to be conducted according to the specific situation of the object in the lungs or gastrointestinal tract. This is a case report of an accidental ingestion and medical retrieval of dental implant hex driver.

Formalin induced Corrosive Mucosal Injury: A Rare Case Report

Formalin is an aqueous solution of formaldehyde (37%), which is a pungent and highly reactive gas. Ingestion of formalin is infrequent due to its strong odour and irritant effects. Here, we report a case of accidental ingestion of formalin in a five-year-old child. This child was referred to our hospital with a history of accidental ingestion of 30 mL of formalin at home. Following the intake she developed vomiting and mild abdominal pain. Arterial blood gases at admission were as follows: pH: 7.39, pCO2: 30.4 mm Hg, pO2: 102 mm Hg, bicarbonate: 19.8 mmol/L, lactate: 1.2 mmol/L. Routine haematological, liver and kidney investigations revealed no significant abnormality. Oesophago-gastro duodenoscopy indicated corrosive injury to stomach and oesophagus. Supportive care treatment was provided with broad spectrum antibiotics, intravenous fluids, antiemetics, proton pump inhibitors and gastrointestinal mucosal protectant like sucralfate. She showed improvement with the treatment and was later started on a clear liquid diet which gradually advanced to soft diet. Thus, the gastrointestinal system appears to be primarily affected due to formalin intoxication. In the absence of a specific antidote, such poisoning cases need to be treated symptomatically. Prompt supportive treatment can avoid fatal consequences.

Unknowing ingestion of Brugmansia suaveolens leaves presenting with signs of anticholinergic toxicity: a case report

BackgroundBrugmansia suaveolens is the commonest species under the Solanacea (“Angels Trumpet” in English; “Attana” in Sinhalese) plant family in Sri Lanka. It contains alkaloids like scopolamine, atropine and hyoscyamine which can cause an anticholinergic toxindrome. There have been a few reported cases of accidental ingestion of Brugmansia seeds among children, seeds being the most toxic part, but no such reported cases of Brugmansia leaves poisoning among adults.Case presentationA 60-year-old-female Sinhalese presented with acute confusion, delirium, and agitation. She had ingested a herbal drink made from leaves of an unknown plant from her garden prior to onset of symptoms. She had urinary retention, mydriasis and sinus tachycardia. She was managed supportively with activated charcoal and hydration and the delirium completely resolved within 15 hours. The presented unkown plant leaves were identified as Brugmansia suaveolens.ConclusionAlthough seeds are the most toxic plant part in most cases of Brugmansia poisoning, leaves also have a significant degree of toxicity. It is important that medical professionals promptly recognize the features of anticholinergic syndrome, and have a high index to suspect Brugmansia poisoning and start prompt treatment. It is also important to improve awareness of toxic plants among the general community to prevent toxicities and fatalities.

Surgical retrieval of a swallowed denture in a schizophrenic patient: a case report

BackgroundAccidental foreign body ingestion is a common phenomenon in children between 6 months to 6 years of age. In adults, foreign body ingestion is commonly observed in the geriatric population and in patients with psychiatric disorders. Over 80% of ingested foreign bodies pass uneventfully through the intestinal tract. Endoscopic retrieval is needed in about 20% while surgical intervention is indicated in less than 1%. Herein we report an extremely rare case of esophagocutaneous fistula following operative retrival of an impacted denture in the esophagus with spontaneous healing within 3 weeks. A similar case to the best of our knowledge has so far not been reported previously.Case presentationA case of accidental ingestion of a dental prosthesis in a 35-year old schizophrenic patient is presented. The patient was referred to our department after accidentally swallowing one of his dental prosthesis. Surgical retrieval was indicated after two unsuccessful endoscopic retrieval attempts. The denture was retrieved following a longitudinal incision of the esophagus via a left cervical approach. The postoperative course was complicated by a clinically suspected esophagocutaneous fistula which was managed conservatively via nothing per os with enteral feeding via a nasogastric tube. Secretion ceased 3 weeks later and a fistula could not be found on contrast enhanced radiographic examination with gastrographin®.ConclusionEsophagocutaneous fistula represents a rare but serious complication following foreign body ingestion. An interdisciplinary management including an early surgical consultation should be considered in patients with foreign body impaction in the esophagus following failure of endoscopic retrieval.

Acute Pipazethate HCl (Selgon, Eipico Egypt, Egypt) Toxicity: Case Report

Pipazethate HCl is a centrally acting non-narcotic antitussive which is infrequently used nowadays. The toxicity of this drug is rarely reported in the literature. We were encountered with a case of accidental ingestion of Pipazethate HCl in a 3-years-old child presented with neurological symptoms in the form of somnolence, disturbed sensorium, respiratory symptoms in the form of respiratory distress and cardiac dysrhythmias in the form of Torsade de pointes. The patient was managed at a critical care unit using supportive measures for neurological symptoms, shock state and respiratory distress. Arrhythmic complications were managed using magnesium sulphate and maintained on lidocaine infusion. After two days under observation, the child was discharged home safely.

異なるCT所見を示したPTP誤飲の2症例

異なるCT所見を示したPTP誤飲の2症例

Concomitant Crown and Piece of Tray Ingestion: A Case Report

The ingestion of a foreign body is a complication often seen in the hospital emergency rooms. The dental university hospital, where instruments and products are manipulated in the mouth, is an environment of risk. Previously, accidental foreign body ingestion during a routine dental procedure was reported by different groups. However, ingestion of multiple foreign bodies during a routine dental impression procedure is uncommon. Here, we describe a clinical case of accidental ingestion of concomitant crown and piece of tray. Some clinical implications are discussed, mainly emphasizing the care needed to prevent such an accident. J Med Cases. 2016;7(11):478-479 doi: http://dx.doi.org/10.14740/jmc2654w

Fatal Paint thinner ingestion-A case report

Household poisons can cause serious damage to the health of children. Turpentine is a volatile hydrocarbon used in polishes, solvents, paints and textile industry. It is capable of causing serious toxicity, whether ingested or inhaled. When hydrocarbons are aspirated into the lung, they cause chemical pneumonitis, acute respiratory distress syndrome (ARDS), and rarely pneumatoceles and pneumothorax. We report a case of accidental ingestion of turpentine oil by a 13 year old female child brought to SAMC and PGI, Indore, leading to aspiration pneumonitis and ultimately causing death after 6 days of hospitalization.

Accidental Corrosive Acid Ingestion Resulting in Isolated Pyloric Stenosis: A Rare Phenomenon

Accidental corrosive ingestion is a common occurrence in developing nations. In most of the cases these agents damage the oesophagus and stomach. Isolated injury of pylorus of stomach has a relatively low incidence. We report such a case of accidental ingestion of corrosive acid, which resulted in isolated stenosis of the pyloric antrum. The diagnosis was confirmed by Barium meal and endoscopy. The patient underwent gastro jejunostomy and recovered well after the surgery. A brief discussion of mechanism of corrosive injury, clinical features, investigations and management follows.

Dead Sea Water Intoxication

Near drowning in the Dead Sea is associated with both respiratory manifestations and severe electrolyte abnormalities. It is often difficult to distinguish between the contributions of sea water aspiration or ingestion to clinical manifestations. We present a unique case of accidental ingestion of a large amount of Dead Sea water through a gastrostomy tube in which a patient with familial dysautonomia presented with severe electrolyte disturbances. Forced diuresis with large amounts of intravenous fluids resulted in clinical and biochemical improvement. Full recovery was achieved after 2 days of treatment.

肛門括約筋を貫通して摘出された裁縫針誤飲の１例

（症例）42歳女性，既往歴：23年前からうつ病，20年前にも針を誤飲．自殺企図にて３日前に５cmほどの縫針５本をプリンと一緒に飲んだという．排便時に肛門痛を自覚し当院を救急受診した．初診時，肛門部皮膚には異常は認めなかった．胸腹部X線写真にて上腹部に１本，下腹部に２本の陰影を認めた．腹部CTにて胃・上部および下部直腸内に陰影を確認でき，下部直腸では管腔外に脱出している可能性が示唆された．初診12時間後に肛門部右前方皮下に異物を触知し局所麻酔下に針を摘出した．胃内の針は内視鏡下に摘出した．上部直腸内に残存する針は２日後には自然排出を確認した．誤飲した針が肛門括約筋外から排泄された症例は極めて稀である．針のような臓器損傷の可能性が高い異物は，アプローチしやすい部位に存在する場合は積極的に摘出処置を行い，それ以外の部位では誤飲から日が浅ければ経過観察することも可能であると考えられた．

Accidental ingestion of a barbed wire broach and its endoscopic retrieval: Prevention better than cure

Ingestion of instruments is a potential complication that can occur during dental procedures. We report a case of accidental ingestion of an endodontic barbed wire broach during root canal treatment and its subsequent retrieval by endoscopic methods. Although prevention is the best approach, proper management of such an event is also crucial. The objective of this report is to draw attention to the potentially serious complications that can occur if preventive techniques are not practised, and to discuss the accepted guidelines for management of such an event.

Management of foreign body ingestion in children: experience with 42 cases.

Ingestion of foreign bodies occurs frequently in children, but there are no definite management guidelines. We reviewed 42 pediatric cases of accidental ingestion of foreign bodies with or without symptoms during the past 10 years. In decreasing order of frequency, the foreign bodies included: coins, sharp objects (needle, pin), bones (fish and chicken bone), metal object, food, seeds, plastic material, magnets, jewelry ring, and others. The majority of children were 5 years old or younger. At the time of presentation, the vast majority of objects were located in the esophagus. Sixty percent of the patients had symptoms, such as abdominal pain, vomiting and cough. Management included observation, esophagoscopy, panendoscopy, and laparotomy. Four patients (9.5%) had complications. One patient who ingested a magnet suffered from esophageal perforation with mediastinitis. Two had deep neck abscess due to esophageal penetration by bones. Another patient had hemorrhagic gastritis after swallowing a coin. All patients discharged after treatment, and none died.

Ingestão de corpo estranho

The great majority of the ingested foreign bodies (92,5%) enters into the gastrointestinal tract, and only a few of cases go to the respiratory tract. Eighty to 90% of those that go into the gastrointestinal tract are spontaneously eliminated but 10- 20% must be removed by endoscopy and 1% needs to be surgically removed. The authors report a case of accidental ingestion of a foreign body (toothbrush) by a 20-year-old patient.

Accidental Poisoning with Podophyllin

Podophyllin is available without prescription and is commonly used in the topical treatment of warts. We describe a case of accidental ingestion of podophyllin, mistaken for cough linctus, and its resultant toxicity.