Abstract
Bir aylık kız hasta, ailesi tarafından yanlışlıkla D vitamini yerine siğil ilacından (5-flourosil ve salisilik asit) üç damla verilmesinin farkına varılması üzerine çocuk acil servisine başvurdu. Genel durumu orta, huzursuz, dudaklarda ve orofarinkste hiperemik alanlar mevcuttu. Diğer sistem muayeneleri doğaldı. İlk 24 saat içinde yapılan üst gastrointestinal sistem endoskopisinde ikinci derece özofagus yanığı tespit edildi. Orali kesilerek intravenöz sıvı tedavisi ve proton pompa inhibitörü verildi. Tedavisi tamamlanan hasta oral sükralfat ve proton pompa inhibitörü tedavisi ile taburcu edildi. Hasta halen komplikasyonsuz şekilde ayaktan takip edilmektedir.
Koroziv madde içimlerinde ilk 24 saat içerisinde endoskopik değerlendirme yapılmalıdır. Endoskopik bulgularda mide mukozasında hemoraji, erozyon ve nekroz varsa hasta perforasyon yönünden yakın takip edilmelidir. Bu sayede komplikasyonların önüne geçilerek soluk,atrofik mukoza morbidite ve mortalite oranları azaltılabilir. Ailelere çocuklarına verdikleri ilaçların isim ve içeriklerine dikkat edilmesi konusunda eğitimler verilmelidir.
Keywords
References
- 1. Litovitz TL, Bailey KM, Schmitz BF, Holm KC, Klein-Schwartz W. 1990 Annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med 1991; 9: 461509.
- 2. Urganci N, Usta M, Kalyoncu D, Demirel E. Corrosive substance ingestion in children. Indian J Pediatr 2014; 81: 675-679
- 3. Çakır N. Deney Tüpünden Eczane Rafına: Bir Antimikrobiyal Nasıl Geliştirilir? ANKEM Derg 2010;24:174-181. 4. Akılcı A, Dağıstanlı S., Aydınkarahaliloğlu D., Şardaş S. Ulusal Farmakovijilans Sistemi. Türk Farmakoloji Derneği Klinik Farmakoloji Çalışma Grubu Elektronik Bülteni www.tdf.or g.tr/kfcg.html 2005;3:19-22.
- 4. Kasap E, Özütemiz AÖ. Pet Şişedeki Tehlike: Korozif Özofajit. Güncel Gastroenteroloji Dergisi. 2006; 10: 29-35.
- 5. Küçükkartallar T, Koroziv madde içimine bağlı mide nekrozu ve perforasyonu Genel tıp dergisi. 2008; 18(4):165-168.
- 6. Contini S, Swarray-Deen A, Scarpignato C. Oesophageal Corrosive Injuries in Children: a forgotten social and health challenge in developing countries. Bulletin of the WHO. 2009;87(12):950–95.
- 7. Wasserman RL, Ginsburg CM. Caustic substance injuries. J Pediatr 107: 169–74, 1985.
- 8. Huang YC, Hsuan Ni Y, Shiee Lai H, Hwei Chang M: Corrosive esophagitis in children. Pediatr Surg Int. 2004; 20: 207–10.
- 9. Goldman LP, Weigert JM. Corrosive substance ingestion: a review. Am.J.Gastroenterology.1984 ; 79(2): 85-89
- 10. Mamede RC, Mello Filho FV De. Treatment of caustic ingestion an analysis of 239 cases. Dis Esophagus 2002; 15: 210
- 11. Jong AL de, Macdonald R, Ein S. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Othorhinolaryng 2001; 57: 203
Abstract
A one-month-old girl was admitted to the pediatric emergency room by her family after accidentally given three drops of wart medication (5-fluorosil and salicylic acid) instead of vitamin D. The general condition was moderate, restless, and hyperemic areas were present on the lips and oropharynx. Other system examinations were natural. A second degree esophageal burn was detected in the endoscopy performed within the first 24 hours. Proton pump inhibitor and intravenous fluid was given. The patient whose treatment was completed, was discharged with oral sucralfate and proton pump inhibitor treatments. She is still on follow-up without any complications.
Endoscopic evaluation should be done within the first 24 hours following accidentally given corrosive substance to children. If there is hemorrhage, erosion, pale-atrophic mucosa and necrosis in the gastric mucosa in the endoscopic findings, the patient should be followed closely for perforation. In this way, complications can be prevented and mortality rates can be reduced. Families should also be trained on paying attention to the names and contents of the drugs given to children.
Keywords
References
- 1. Litovitz TL, Bailey KM, Schmitz BF, Holm KC, Klein-Schwartz W. 1990 Annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med 1991; 9: 461509.
- 2. Urganci N, Usta M, Kalyoncu D, Demirel E. Corrosive substance ingestion in children. Indian J Pediatr 2014; 81: 675-679
- 3. Çakır N. Deney Tüpünden Eczane Rafına: Bir Antimikrobiyal Nasıl Geliştirilir? ANKEM Derg 2010;24:174-181. 4. Akılcı A, Dağıstanlı S., Aydınkarahaliloğlu D., Şardaş S. Ulusal Farmakovijilans Sistemi. Türk Farmakoloji Derneği Klinik Farmakoloji Çalışma Grubu Elektronik Bülteni www.tdf.or g.tr/kfcg.html 2005;3:19-22.
- 4. Kasap E, Özütemiz AÖ. Pet Şişedeki Tehlike: Korozif Özofajit. Güncel Gastroenteroloji Dergisi. 2006; 10: 29-35.
- 5. Küçükkartallar T, Koroziv madde içimine bağlı mide nekrozu ve perforasyonu Genel tıp dergisi. 2008; 18(4):165-168.
- 6. Contini S, Swarray-Deen A, Scarpignato C. Oesophageal Corrosive Injuries in Children: a forgotten social and health challenge in developing countries. Bulletin of the WHO. 2009;87(12):950–95.
- 7. Wasserman RL, Ginsburg CM. Caustic substance injuries. J Pediatr 107: 169–74, 1985.
- 8. Huang YC, Hsuan Ni Y, Shiee Lai H, Hwei Chang M: Corrosive esophagitis in children. Pediatr Surg Int. 2004; 20: 207–10.
- 9. Goldman LP, Weigert JM. Corrosive substance ingestion: a review. Am.J.Gastroenterology.1984 ; 79(2): 85-89
- 10. Mamede RC, Mello Filho FV De. Treatment of caustic ingestion an analysis of 239 cases. Dis Esophagus 2002; 15: 210
- 11. Jong AL de, Macdonald R, Ein S. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Othorhinolaryng 2001; 57: 203
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | CASE REPORTS |
| Authors | |
| Publication Date | September 23, 2021 |
| Submission Date | November 8, 2020 |
| Published in Issue | Year 2021 Volume: 15 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 6 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.