title: [Acute oral double intoxication with caustic substance--a case report].
abstract: Acute oral caustic ingestion may cause serious multiorgan failure. We described a case of patient who ingested twice large amount of liquid sodium hydroxide as a suicidal attempt. According to our knowledge this is the first case report of acute oral double intoxication with caustic substance in the medical literature. Late sequela (as esophagus stricture) after caustic ingestion may lead to extreme cachexia in spite of endoscopic and surgical treatment. Dual caustic ingestion obstructs the diagnostic and treatment and worsens patient's prognosis.
authors.affiliation: Katedra i Klinika Chorób Wewnetrznych, Geriatrii i Toksykologii Klinicznej, Akademii Medycznej w Gdańsku.
authors.forename: Hanna
authors.initials: H
authors.lastname: Kujawska-Danecka
authors.forename: Jacek
authors.initials: J
authors.lastname: Sein Anand
authors.forename: Zygmunt
authors.initials: Z
authors.lastname: Chodorowski
authors.forename: Robert
authors.initials: R
authors.lastname: Ciechanowicz
mesh_terms: D000284:Administration, Oral; D001991:Bronchitis / Q000139:chemically induced; D002057:Burns, Chemical / Q000209:etiology*; D002424:Caustics / Q000506:poisoning*; D004940:Esophageal Stenosis / Q000139:chemically induced*; D004941:Esophagitis / Q000139:chemically induced; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced; D006801:Humans; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011041:Poisoning / Q000175:diagnosis* / Q000628:therapy*; D012008:Recurrence; D012131:Respiratory Insufficiency / Q000139:chemically induced; D012972:Sodium Hydroxide / Q000506:poisoning*; D013406:Suicide, Attempted; D017211:Treatment Failure
chemical_list: D002424:Caustics; D012972:Sodium Hydroxide