title: A case of methyl ethyl ketone peroxide poisoning and a review of complications and their management.
abstract: Methyl Ethyl Ketone Peroxide (MEKP) is a highly toxic clear liquid used as a solvent. It is a strong oxidizing agent and a corrosive. Acute and chronic toxicity can occur as an occupational hazard. Ingestion is associated with corrosive burns leading to stricture formation, inhalational pneumonitis, acidosis, liver failure and renal failure. In this paper we present a case of a young patient who intentionally ingested MEKP. The patient developed multiple complications including proximal intestinal obstruction, acidosis and acute kidney injury. He was managed conservatively and recovered after a prolonged hospital stay. He had multiple inflammatory strictures on esophageal endoscopy, which improved over 3-6 moths.
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka ; Department of Pharmacology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
authors.forename: Isurujith K
authors.initials: IK
authors.lastname: Liyanage
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: Mitrakrishnan R
authors.initials: MR
authors.lastname: Navinan
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: A C A
authors.initials: AC
authors.lastname: Pathirana
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: H R I S
authors.initials: HR
authors.lastname: Herath
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: Jevon
authors.initials: J
authors.lastname: Yudhishdran
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: Nilesh
authors.initials: N
authors.lastname: Fernandopulle
authors.affiliation: National Hospital of Sri Lanka, Colombo 10, Sri Lanka.
authors.forename: Aruna
authors.initials: A
authors.lastname: Kulatunga
keywords: Management of corrosive gastrointestinal burns; Methyl Ethyl Ketone Peroxide; Occupational safety