Abstract | UNLABELLED: CASE: A 2-year-old girl presented acute mental alteration secondary to presumed poisoning. Mechanical ventilation was initiated, and a single dose of activated charcoal was administered. She had an episode of vomiting during the respiratory weaning. Black-tinted tracheal secretions were suctioned through the tube immediately. Pulmonary auscultation and radiologic examination were normal. When she was extubed, she developed obstructive laryngitis. Fiberbronchoscopy was performed and showed edema and a significant amount of charcoal particles on the epiglottis, arytenoids, and arytenoepiglottic folds. Charcoal particles were removed by bronchoscopy successfully. Later evolution was normal, and no symptoms were present when she was discharged at home. COMMENTS: Obstructive laryngitis is a new major complication of activated charcoals use in upper airway. It is remarkable that this complication occurred in a protected airway. Charcoal is not an innocuous agent. This case shows that nasogastric administration of activated charcoals presents a significant degree of risk.
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Authors | Alejandro Donoso, Marcela Linares, José León, Gloria Rojas, Cristián Valverde, Milena Ramírez, Bernd Oberpaur |
Journal | Pediatric emergency care
(Pediatr Emerg Care)
Vol. 19
Issue 6
Pg. 420-1
(Dec 2003)
ISSN: 1535-1815 [Electronic] United States |
PMID | 14676494
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Charcoal
(administration & dosage, adverse effects, therapeutic use)
- Child, Preschool
- Diagnostic Errors
- Epilepsy, Generalized
(diagnosis)
- Female
- Humans
- Intubation, Gastrointestinal
- Intubation, Intratracheal
- Laryngitis
(chemically induced)
- Pneumonia, Aspiration
- Poisoning
(diagnosis, therapy)
- Respiration, Artificial
- Ventilator Weaning
- Vomiting
(complications)
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