Multiple organ failure following lamp oil aspiration.
A 26-month-old previously healthy boy of 15 kg was admitted to our hospital due to cyanosis following the aspiration of lamp oil. Aspiration resulted from the patient's father inducing emesis by digital stimulation of the boy's throat after the patient had ingested an unknown amount of lamp oil. Endotracheal intubation was done on the second hospital day in the Pediatric Intensive Care Unit (PICU) due to respiratory failure manifested by hypercapnia and hypoxemia. Mechanical ventilation, including high frequency oscillatory ventilation (HFOV) with iNO at 20 ppm, was started. However, he developed a spiked fever and developed an acute respiratory distress syndrome, a pneumothorax, and diffuse subcutaneous emphysema. His course was further complicated by anuric renal failure, rhabdomyolysis, severe hepatitis, pancytopenia, elevation of cardiac enzymes, and disseminated intravascular coagulation over the following days. He died on the ninth day of hospitalization because of multiorgan failure.
Yu
Mei-Ching
MC
The Division of Nephrology, Chang Gung Children Hospital, Lin-Kou Medical Center, Chang Gung University College of Medicine, Taipei, Taiwan.
Lin
Ja-Liang
JL
Wu
Chang-Teng
CT
Hsia
Shao-Hsuan
SH
Lee
Fan
F
D002675:Child, Preschool; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000139:chemically induced* / Q000503:physiopathology; D009821:Oils / Q000506:poisoning*; D010232:Paraffin / Q000506:poisoning*; D011015:Pneumonia, Aspiration / Q000139:chemically induced* / Q000503:physiopathology; D053120:Respiratory Aspiration
D009821:Oils; D010232:Paraffin; C015418:paraffin oils