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[Near asphyxiation of a neonate due to miconazole oral gel].

Abstract
A 17-day-old female infant with thrush was almost asphyxiated by miconazole oral gel that had been applied to the nipples of her mother's breasts. The infant recovered after her mother had removed the gel from her mouth. Thrush is most often self-limiting and medical treatment is usually unnecessary. When treatment is indicated, miconazole oral gel or nystatin can be given. To obtain a therapeutic effect, long-term contact with the oral mucosa is needed and therefore the oral gel is viscous. Small amounts of the gel should be applied to the oral mucosa. When prescribing miconazole oral gel, instructions should be given regarding the mode of administration and the risk of respiratory tract obstruction should be pointed out.
AuthorsT W de Vries, M E Wewerinke, J J de Langen
JournalNederlands tijdschrift voor geneeskunde (Ned Tijdschr Geneeskd) Vol. 148 Issue 32 Pg. 1598-600 (Aug 07 2004) ISSN: 0028-2162 [Print] Netherlands
Vernacular TitleBijna-verstikking van een zuigeling door miconazol orale gel.
PMID15382562 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Antifungal Agents
  • Gels
  • Miconazole
Topics
  • Administration, Oral
  • Antifungal Agents (administration & dosage, adverse effects)
  • Asphyxia (chemically induced, therapy)
  • Breast Feeding (adverse effects)
  • Candidiasis, Oral (drug therapy)
  • Female
  • Food Contamination
  • Gels
  • Humans
  • Infant Food
  • Infant, Newborn
  • Miconazole (administration & dosage, adverse effects)
  • Nipples

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