Edit concept Question Editor Create issue ticket

Kerosene Poisoning

Poisoning by Kerosene


Presentation

  • The patient presented with encephalopathy and in the course of stay in the hospital developed renal tubular acidosis, delayed first-degree burns and myocarditis.[ncbi.nlm.nih.gov]
  • Abstract A prospective study of pulmonary radiological changes following accidental kerosene poisoning in 67 children is presented. Abnormalities were seen in 41 patients (61.2%), and these were categorized according to nine patterns.[ncbi.nlm.nih.gov]
  • Abstract Two cases of skin bullae formation after accidental ingestion of kerosene are presented. This is an uncommon complication of kerosene poisoning and a probable mechanism of their occurrence is discussed.[ncbi.nlm.nih.gov]
  • More than half of the cases (56.9%) presented within 12 hours of the accident due to persistent cough and dyspnoea.[ncbi.nlm.nih.gov]
  • The purpose of our study was to determine and present the pattern of poisoning with kerosene in Princess Rahmat hospital, Irbid, Jordan, and to assess the effects of variables such as age, season, sex and agent on poisoning frequency in Princess Rahmat[ncbi.nlm.nih.gov]
Gastric Lavage
  • In Kerosene poisoning, all are useful EXCEPT: (LQ) A Gastric lavage B Antacids C Bland diet D Intravenous fluids Ans. A Gastric lavage C/I same for gastric lavage / stomach wash/ use of Boas’ tube/ Ewald’s tube- Absolute - corrosive poisons.[gradestack.com]
  • Gastric lavage was not harmful to the patients, but there was no conclusive evidence that it was beneficial.[pediatrics.aappublications.org]
  • Avoid gastric lavage because of the risk of inhalation and hence pneumonitis. If very large amounts of kerosene have been ingested less than an hour earlier then lavage may be considered if the airway can be protected by expert intubation.[southsudanmedicaljournal.com]
  • lavage ) Washing of the skin (irrigation) — perhaps every few hours for several days Expectations (prognosis) How well a patient does depends on the amount of poison swallowed and how quickly treatment was received.[coordinatedhealth.com]
  • Gastric Lavage In Kerosene Poisoning Pregnancy Gas Early Chest stress and Anxiety – Associated with severe or In response to a large number of people with arthritis reporting pain relief from using a magnetic acelet It does turn out it is anxiety if the[ict-accordance.eu]
Cough
  • Vomiting, cough, fever and drowsiness were the most common symptoms observed. Twenty-four of 48 patients X-rayed showed pneumonia. There were no deaths. Physical findings were normal in those patients who were seen at follow-up clinic.[ncbi.nlm.nih.gov]
  • Main clinical feature was cough with difficulty in breathing in 52 (94.5%) of cases. Others features noted were central nervous system involvement (14.5%), vomiting (20%), and fever 16 (29.1%). There were 3 deaths giving the mortality of 5.5%.[ncbi.nlm.nih.gov]
  • More than half of the cases (56.9%) presented within 12 hours of the accident due to persistent cough and dyspnoea.[ncbi.nlm.nih.gov]
  • The most commonly observed symptoms were cough (67.2%), tachypnea (56.5%), fever (54.1%), and vomiting (27.8%).[ncbi.nlm.nih.gov]
  • He said that most healthy people would get nothing more than a sore throat or maybe a cough. But, since I was already suffering from a lung infection, the chemicals took me down fast. So, my Dx was changed from pneumonia to chemical pneumonitis.[healthboards.com]
Pleural Effusion
  • These included varying degrees of perihilar and lung infiltration, pulmonary cystic changes, pleural effusion, empyema, pneumomediastinum and surgical emphysema.[ncbi.nlm.nih.gov]
  • Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Respiratory complications viz pneumonia, pleural effusion and pulmonary oedema were the most common, evident in 67.3% of those who had chest radiographs.[ncbi.nlm.nih.gov]
Pleural Effusion
  • These included varying degrees of perihilar and lung infiltration, pulmonary cystic changes, pleural effusion, empyema, pneumomediastinum and surgical emphysema.[ncbi.nlm.nih.gov]
  • Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Respiratory complications viz pneumonia, pleural effusion and pulmonary oedema were the most common, evident in 67.3% of those who had chest radiographs.[ncbi.nlm.nih.gov]
Rales
  • Respiratory symptoms -Early tachypnoea ,rales hemoptysis ,gagging choking ,transient cyanosis,pumonary edema,continued non productive cough -late pnemonia( chemical and bacterial) 13.[slideshare.net]
  • While diagnosing these cases, clinical signs suggested of pulmonary and other systemic involvements like dyspnea, tachypnea, sweating, tachycardia, chest pain, cyanosis, rales, hemoptysis, seizure, phlebitis, vomiting, agitation, fever, pleuritis, cough[scialert.net]
Dyspnea
  • Initial symptoms may include chest pain and dyspnea. Over subsequent hours, pulmonary infiltrates may occur on the chest roentgenogram. Hypoxemia and pulmonary edema are common and requiring ventilatory support.[scialert.net]
Vomiting
  • The most commonly observed symptoms were cough (67.2%), tachypnea (56.5%), fever (54.1%), and vomiting (27.8%).[ncbi.nlm.nih.gov]
  • Vomiting, cough, fever and drowsiness were the most common symptoms observed. Twenty-four of 48 patients X-rayed showed pneumonia. There were no deaths. Physical findings were normal in those patients who were seen at follow-up clinic.[ncbi.nlm.nih.gov]
  • Vomiting was reported in 65%, abdominal pain in 2% and diarrhoea in 2%. There was no mortality. Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Others features noted were central nervous system involvement (14.5%), vomiting (20%), and fever 16 (29.1%). There were 3 deaths giving the mortality of 5.5%.[ncbi.nlm.nih.gov]
  • Unlike most poisoning cases where mothers always try to induce vomiting so as to get rid of the poison quickly….this is a no – no in kerosene poisoning. Do not induce vomiting!!![askthepaediatricians.com]
Abdominal Pain
  • Vomiting was reported in 65%, abdominal pain in 2% and diarrhoea in 2%. There was no mortality. Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Symptoms Airways and lungs Breathing difficulty (from inhalation) Throat swelling (may also cause breathing difficulty) Eyes, ears, nose, and throat Pain Vision loss Gastrointestinal Abdominal pain Bloody stools Burns of the esophagus (food pipe) Vomiting[coordinatedhealth.com]
  • AIRWAYS AND LUNGS Breathing difficulty (from inhalation) Throat swelling (may also cause breathing difficulty) EYES, EARS, NOSE, AND THROAT Pain Vision loss STOMACH AND INTESTINES Abdominal pain Bloody stools Burns of the esophagus (food pipe) Vomiting[medlineplus.gov]
Nausea
  • Cough. (82%) fever (69%) and vomiting and Nausea (78%) were the dominant symptoms. Radiologically Right lower lobe infiltration was seen in 52.3% in children and bilateral lower lobe infiltration was seen in 13.3 % of children.[igmpublication.org]
  • Its effects on the gastrointestinal tract include direct irritation to the pharynx, oesophagus, stomach, and small intestine, with oedema and mucosal ulceration, and it may be associated with nausea and vomiting of blood.[askthepaediatricians.com]
  • GIT FEATURES • Irritation is common • spontaneous vomiting • nausea, diarrhoea and abdominal pain 15.[slideshare.net]
  • Findings of gastritis and peptic Rheumatoid Arthritis – I am experiencing intestinal discomfort with nausea and acid reflux. banksuenden custom Stomach cramps for 3 days. Pain under left/right shoulder may occur due to various reasons.[banksuenden.eu]
  • Repeat this, but if nausea ensues, discontinue the process. If the victim vomits, save the vomit for subsequent analysis. If respirations cease or are shallow and irregular give the victim mouth–to–mouth artificial respiration.[aarogya.com]
Diarrhea
  • Acid Reflux; Constipation; Diarrhea; Diverticulitis; A.M.P. Key statistics for zinc excess hair loss keep dow pancreatic cancer.[banksuenden.eu]
  • Symptoms of kerosene poisoning include vomiting, diarrhea, stomach cramps or swelling in the stomach, coughing, restlessness, and drowsiness or unconsciousness.[livestrong.com]
  • […] nausea, vomiting Calcium chloride, glucagons (Glucagen), digoxin immune fab (Digibind) Cholinergic, muscarinic Carbamates, some mushrooms, organophosphates, physostigmine, pilocarpine (Isopto Carpine), pyridostigmine Salivation, lacrimation, urination, diarrhea[aafp.org]
Cyanosis
  • Respiratory symptoms -Early tachypnoea ,rales hemoptysis ,gagging choking ,transient cyanosis,pumonary edema,continued non productive cough -late pnemonia( chemical and bacterial) 13.[slideshare.net]
  • The signs of pneumonitis also include cough, tachypnoea and tachycardia, cyanosis, pulmonary crepitations and rhonchi.[southsudanmedicaljournal.com]
  • […] ingestion Aspiration produces a direct toxic effect on lung parenchyma resulting in a pneumonitis Hemorrhagic alveolitis can peak 3 days after ingestion Clinical Findings Respiratory symptoms can be delayed several hours after ingestion Cough and hypoxia Cyanosis[learningradiology.com]
  • In statistical study, only hemoptysis, cyanosis and kerosene odor had significant differences between two groups with p-value of 0.024.[scialert.net]
  • Young children may have cyanosis, hold their breath, and cough persistently. Older children and adults may report burning in the stomach. Aspiration pneumonitis causes hypoxia and respiratory distress.[merckmanuals.com]
Skin Bullae
  • Abstract Two cases of skin bullae formation after accidental ingestion of kerosene are presented. This is an uncommon complication of kerosene poisoning and a probable mechanism of their occurrence is discussed.[ncbi.nlm.nih.gov]
Suggestibility
  • Our study suggests management and provides a discussion for therapeutic options and emphasizes the importance of prevention.[ncbi.nlm.nih.gov]
  • All patients with central nervous system complications had severe pulmonary involvement, suggesting a close relationship between the severity of pulmonary involvement and the development of neurological complications.[ncbi.nlm.nih.gov]
  • Or perhaps you might have suggestions for hastening my bodies detoxification process? Maybe you've spun flames in South-East Asia and could recommend a fuel? Any help in this issue would be greatly appreciated! Thanks in advance all for reading...[homeofpoi.com]
  • […] management of kerosene-associated pneumonitis in children and to identify risk factors associated with severity or outcome... 2015: Clinical Toxicology # 11 Eman A Abahussain, Douglas E Ball UNLABELLED: Past studies of pediatric poisoning in Kuwait have suggested[readbyqxmd.com]
  • Paint residue on the hands or around the mouth may suggest recent paint sniffing.[merckmanuals.com]
Headache
  • I also have what I won't call a headache, but there's this kind of dull pressure in my skull, particularly behind my eyes. Other than that I feel fine.[homeofpoi.com]
  • Gastrointestinal Abdominal pain Bloody stools Burns of the esophagus (food pipe) Vomiting, possibly with blood Heart and blood Collapse Low blood pressure — develops rapidly Nervous system Convulsions Depression Dizziness Drowsiness Euphoria (“drunk” feeling) Headache[coordinatedhealth.com]
  • Gastrointestinal Abdominal pain Bloody stools Burns of the esophagus (food pipe) Vomiting, possibly with blood Heart and blood Collapse Low blood pressure -- develops rapidly Nervous system Convulsions Depression Dizziness Drowsiness Euphoria ("drunk" feeling) Headache[healthmedicinet.com]
  • INTESTINES Abdominal pain Bloody stools Burns of the esophagus (food pipe) Vomiting, possibly with blood HEART AND BLOOD Collapse Low blood pressure -- develops rapidly NERVOUS SYSTEM Convulsions Depression Dizziness Drowsiness Euphoria ("drunk" feeling) Headache[medlineplus.gov]
Encephalopathy
  • The patient presented with encephalopathy and in the course of stay in the hospital developed renal tubular acidosis, delayed first-degree burns and myocarditis.[ncbi.nlm.nih.gov]
  • Thiamine should be given before dextrose administration to prevent Wernicke encephalopathy.[aafp.org]

Workup

X-Ray Abnormal
  • Chest X-ray abnormalities were frequently seen. The patients were treated symptomatically. Only one patient died, he had been in a coma on admission to the hospital. All other patients had rapid and complete recoveries.[ncbi.nlm.nih.gov]
Chest X-Ray Abnormal
  • Chest X-ray abnormalities were frequently seen. The patients were treated symptomatically. Only one patient died, he had been in a coma on admission to the hospital. All other patients had rapid and complete recoveries.[ncbi.nlm.nih.gov]
Chest X-Ray Abnormal
  • Chest X-ray abnormalities were frequently seen. The patients were treated symptomatically. Only one patient died, he had been in a coma on admission to the hospital. All other patients had rapid and complete recoveries.[ncbi.nlm.nih.gov]
Pulmonary Infiltrate
  • Over subsequent hours, pulmonary infiltrates may occur on the chest roentgenogram. Hypoxemia and pulmonary edema are common and requiring ventilatory support.[scialert.net]
Pleural Effusion
  • These included varying degrees of perihilar and lung infiltration, pulmonary cystic changes, pleural effusion, empyema, pneumomediastinum and surgical emphysema.[ncbi.nlm.nih.gov]
  • Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Respiratory complications viz pneumonia, pleural effusion and pulmonary oedema were the most common, evident in 67.3% of those who had chest radiographs.[ncbi.nlm.nih.gov]
Pleural Effusion
  • These included varying degrees of perihilar and lung infiltration, pulmonary cystic changes, pleural effusion, empyema, pneumomediastinum and surgical emphysema.[ncbi.nlm.nih.gov]
  • Analysis of radiological data showed a wide spectrum of pulmonary changes with a high incidence of pleural effusions and pneumatocoeles.[ncbi.nlm.nih.gov]
  • Respiratory complications viz pneumonia, pleural effusion and pulmonary oedema were the most common, evident in 67.3% of those who had chest radiographs.[ncbi.nlm.nih.gov]

Treatment

  • Strategically planned interventions can be cost-effective when weighed against the treatment cost of cases of paraffin poisoning.[ncbi.nlm.nih.gov]
  • Asymptomatic patients (35%) can be discharged, while those with pulmonary or neurological signs must be admitted for observation and supportive treatment based on oxygen administration.[ncbi.nlm.nih.gov]
  • TREATMENT • HOME TREATMENTTREATMENT IN HOSPITAL 19.[slideshare.net]
  • The purpose of this book is to provide an up-to-date account of the diag nosis and treatment of all the clinically important poisons.[books.google.com]

Prognosis

  • . • CLINICAL FEATURES • COMPLICATION • INVESTIGATION • TREATMENT • PROGNOSIS • CONCLUSION • REVIEW QUESTION 4.[slideshare.net]
  • […] through a vein (IV) Oxygen Surgical removal of burned skin (skin debridement) Tube through the mouth into the stomach to wash out the stomach ( gastric lavage ) Washing of the skin (irrigation) — perhaps every few hours for several days Expectations (prognosis[coordinatedhealth.com]
  • Fluids through a vein (IV) Oxygen Surgical removal of burned skin (skin debridement) Tube through the mouth into the stomach to wash out the stomach ( gastric lavage ) Washing of the skin (irrigation) -- perhaps every few hours for several days Outlook (Prognosis[healthmedicinet.com]
  • […] through a vein (IV) Oxygen Surgical removal of burned skin (skin debridement) Tube through the mouth into the stomach to wash out the stomach ( gastric lavage ) Washing of the skin (irrigation) -- perhaps every few hours for several days Expectations (prognosis[indiatoday.intoday.in]
  • Outlook (Prognosis) How well a person does depends on the amount of poison swallowed and how quickly treatment was received. The faster a person gets medical help, the better the chance for recovery.[mountsinai.org]

Etiology

  • ETIOLOGICAL FACTORS • Inappropriate storage • attractive colour • pleasant odour • low socioeconomic status • inquisitive nature • lack of parental awareness • hot seasons 8.[slideshare.net]

Epidemiology

  • Abstract Clinical, radiological and epidemiological data from 205 children with kerosene poisoning, admitted over a period of four years to the Paediatric Department of the Chest Hospital, are analysed. All children had chest radiographs.[ncbi.nlm.nih.gov]
  • The other cases were used to examine various epidemiologic characteristics of the problem. Gastric lavage was not harmful to the patients, but there was no conclusive evidence that it was beneficial.[pediatrics.aappublications.org]
  • Epidemiology of pediatric poison exposures: an analysis of 2003 poison control center data. Clin Pediatr Emerg Med. 2005;6(2):68–75. 7. Osterhoudt K. The toxic toddler: drugs that can kill in small doses. Contemp Pediatr. 2000;3:73–88. 8.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • Certain topics are discussed in depth either because of their clinical importance or because recent data have become available concerning pathophysiology or treatment.[books.google.com]
  • PATHOPHYSIOLOGY Aspiration of hydrocaron inhibit surfactant alveolar instability, early distal air way closure ventilation perfusion mismatch hypoxia 10.[slideshare.net]

Prevention

  • Our study suggests management and provides a discussion for therapeutic options and emphasizes the importance of prevention.[ncbi.nlm.nih.gov]
  • There is a greater need to stress its prevention in order to reduce its incidence.[ncbi.nlm.nih.gov]
  • Remember prevention is always better than cure!!! Let us prevent kerosene poisoning in our children. Comments and questions are welcomed.[askthepaediatricians.com]
  • The aim of the study was to determine the incidence and treatment cost of paraffin poisoning in the Cape Peninsula, to identify high-risk areas and to discuss which measures offered the most economical and best preventive potential for this paediatric[ncbi.nlm.nih.gov]
  • Abstract ABSTRACT Introduction : Kerosene Poisoning is an important and preventable cause of morbidity and mortality in the developing world. Kerosene aspiration may be associated with pulmonary complications and sometimes death.[igmpublication.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!