title: Narrowing of airway caused by ingestion of methyl ethyl ketone peroxide.
abstract: Although ingestion of methyl ethyl ketone peroxide (MEKP) is rare, it carries a high risk of morbidity and mortality. This paper reports the first such case from Turkey in which a 70-year-old man unintentionally ingested MEKP in his kitchen. The patient was brought into the emergency department (ED) within 1 hour of ingestion, with the symptoms of sore throat, shortness of breath, nausea and vomiting. Visual examination of the oropharynx revealed minor burns and uvular edema. A laryngoscope examination performed in the ED showed superficial mucosal injury with edema of the oropharynx, uvula, posterior pharynx, epiglottis, arytenoids and vocal cords. Lateral cervical radiography revealed a narrowing of airway due to a thickened epiglottis. After the diagnostic evaluation was completed, the patient was admitted to the gastroenterology intensive care unit for monitoring of adverse reactions. During follow-up, the patient made an uneventful recovery. Ingestion of MEKP generally results from accidental ingestion from a container. Therefore, these containers should be kept in safe places. In addition, the priority following the ingestion of MEKP should be given to maintain open and adequate airway in the ED.
authors.affiliation: Department of Emergency Medicine, School of Medicine, Selcuk University, Konya, Turkey. drnuribozdemir@yahoo.com.tr
authors.forename: M N
authors.initials: MN
authors.lastname: Bozdemir
authors.forename: M
authors.initials: M
authors.lastname: Yildiz
authors.forename: E S
authors.initials: ES
authors.lastname: Seyhanli
authors.forename: S
authors.initials: S
authors.lastname: Gurbuz
authors.forename: I
authors.initials: I
authors.lastname: Kilicaslan
authors.forename: T
authors.initials: T
authors.lastname: Karlidag
mesh_terms: D000059:Accidents; D000284:Administration, Oral; D000368:Aged; D000402:Airway Obstruction / Q000139:chemically induced* / Q000209:etiology / Q000473:pathology; D002057:Burns, Chemical / Q000150:complications / Q000209:etiology / Q000473:pathology; D002074:Butanones / Q000506:poisoning*; D004487:Edema / Q000139:chemically induced / Q000150:complications / Q000473:pathology; D004825:Epiglottis / Q000187:drug effects / Q000473:pathology; D006801:Humans; D008297:Male; D009960:Oropharynx / Q000187:drug effects / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D002074:Butanones; C011007:methyl ethyl ketone peroxide