Yenidoğanda Alkol İntoksikasyonu: Bir Olgu Sunumu

Year 2013, Volume: 11 Issue: 1, 39 - 41, 01.06.2013

Özmert M.a. Özdemir Kazım Küçüktaşçı Özlem Şahin Alper Akpınar Hacer Ergin

https://doi.org/10.4274/Jcp.11.07

Abstract

Alkol intoksikasyonu yenidoğan döneminde oldukça nadirdir. Klinikte letarji, tremor, haŞ f ateş, hipoglisemi, hipotoni, solunum depresyonu ve koma bulguları görülmektedir. İntoksikasyon genellikle ailenin ihmali veya kazayla bebeğe alkol verilmesi şeklinde gelişmektedir. Tedavide temel prensip alkolün vücuttan eliminasyonu gerçekleşene kadar bebeğin klinik stabilizasyonunun sağlanması ve destek tedavisidir. Annesi tarafından yanlışlıkla %70 etil alkol, gaz damlası sanılarak bebeğinin ağzına damlatılırken, açılan ilaç kapağından bolca alkol döküldükten sonra hastanemiz acil sevisine 25 günlük bir kız olgu getirildi. Fizik muayenesi normal, serum etil alkol düzeyi 12,3 mg/dl 0,12 promil saptandı. Klinik stabilizasyonu sağlanan ve sadece destek tedavisi uygulanan olgu dört gün sonra şifa ile taburcu edildi. Bu olgu sunumu ile yenidoğanlarda ilaç uygulaması konusunda ailelerin ve/veya bakıcıların iyi eğitilmesi gerektiği vurgulanmak istendi

Keywords

Yenidoğan, alkol intoksikasyonu

Alcohol Intoxication in Newborn: A Case Report

Abstract

Alcohol intoxication is extremely rare in the neonatal period. Clinical presentation may be occurred by lethargy, tremor, mild fever, hypoglycemia, hypotonia, respiratory depression and coma. Intoxication usually appears as giving the baby alcohol with neglect of family or accident. The basic principle of therapy is support therapy and provision of clinical stabilization of the baby the elimination of alcohol from the body until it does. When the drops of 70% ethyl alcohol that her mother thought the gas drops unintentional was dripped to baby’s mouth, lid of drug cover was opened and poured abundantly. Afterward, a 25 days old female case was presented to our hospital emergency service. Her physical examination was normal, serum ethyl alcohol level was 3.12 mg/dl 0.12 per mil . This case, that was provided clinical stabilization and applied only supportive therapy, was discharged four days later. In this report, we wanted to emphasize that family and/or caregivers should be well-trained drug administration in neonates

Keywords

Neonate, alcohol intoxication

References

• 1. Can E, Uslu S, Bülbül A, Cömert S, Bolat F, Nuhoğlu A. Yenidoğanda alkol intoksikasyonu: Olgu sunumu. Şişli Etfal Hastanesi Tıp Bülteni 2009;43:146-8.
• 2. Brothers E, Doty CI. Ethanol toxicity. http://www.emedicine. medscape.com/article/1010220 01.04.2012.
• 3. Dalt LD, Dall’Amico R, Laverda AM, Chemollo C, Chiandetti L. Percutaneous ethyl alcohol intoxication in a one-month-old infant. Pediatr Emerg Care 1991;7:343-4.
• 4. Autret E, Sanyas P, Chantepie A, Gold F, Laugier J. Poisoning by externally administered ethanol in an infant. Arch Fr Pediatr 1982;39:823-4.
• 5. Mydler TT, Wasserman GS, Watson WA, Knapp JF. Two-weekold infant with isopropanol intoxication. Pediatr Emerg Care 1993 9:146-8.
• 6. Vivier PM, Lewander WJ, Martin HF, Kinakis JG. Isopropyl alcohol intoxication in a neonate through chronic dermal exposure: a complication of a culturally-based umbilical care practice. Pediatr Emerg Care 1994;10:91-3.
• 7. Palano GM, Praticò AD, Praticò ER, D’Agata A, Carpinato C, Sottile F et al. Accidental ethyl alcohol intoxication in a 30-dayold infant. Clinical fi ndings and neurological follow-up. Minerva Pediatr 2007;59:275-9.