Stridor after ingestion of dettol and domestos.
Dettol (4.8% chloroxylenol, 9% pine oil and 12% isopropyl alcohol) has previously been reported to cause delayed upper airway obstruction when ingested, despite the product being labelled as non-poisonous. Domestos (1-5% sodium hypochlorite) is used as a household and toilet cleaner. This paper reports a rare case in which both agents were consumed together in significant quantities, and caused stridor and impending airway obstruction requiring endotracheal intubation in the emergency department. Patients who have ingested this combination of cleaning agents are at high risk of acute airway compromise, and should have expert upper airway evaluation and control as soon as possible after admission.
Graham
Colin A
CA
Department of Accident and Emergency Medicine, Southern General Hospital, Glasgow G51 4TF, Scotland, UK. cagraham@rcsed.ac.uk
D000284:Administration, Oral; D000368:Aged; D000402:Airway Obstruction / Q000139:chemically induced* / Q000628:therapy; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006801:Humans; D011041:Poisoning / Q000628:therapy; D012135:Respiratory Sounds; D012973:Sodium Hypochlorite / Q000506:poisoning*; D016896:Treatment Outcome; D014992:Xylenes / Q000506:poisoning*
D014992:Xylenes; C007027:chloroxylenol; D012973:Sodium Hypochlorite