Edit concept 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]
  • 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]
  • 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]
Cervical Lymphadenopathy
  • Temperature of 38.9 C, mild pallor but was dehydrated with significant cervical lymphadenopathy. He was also found to be in respiratory distress evidence by flaring of alae nasi, intercostal recession and tachypnoea (RR 52/min).[nigeriamedj.com]
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]
  • Keywords: Hydrocarbon, kerosene aspiration, pleural effusion How to cite this article: Prasad R, Karmakar S, Sodhi R, Karmakar S. Bilateral hemorrhagic pleural effusion due to kerosene aspiration.[lungindia.com]
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]
  • […] breathing superficial and frequency, pulse fast and weak, blood pressure, body temperature rise or fall, the occurrence of aspiration pneumonia, children with chills, fever, severe cough, chest pain, hemoptysis, bruising, Increased, the lungs appear rales[healthfrom.com]
  • 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
  • Gasoline poisoning Gasoline has dissolved fat and lipid-like properties, into the body after the body's nervous system selective damage from the respiratory tract, you can cause severe cough, chest pain, followed by fever, hemoptysis, dyspnea, cyanosis[healthfrom.com]
  • In bathroom cleaner group dyspnea was most common symptom observed. All three fatalities of our study were from the bathroom cleaner group, the subjects had ingested strong acids.[bmcpediatr.biomedcentral.com]
  • 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]
Gastric Lavage
  • Gastric lavage was not harmful to the patients, but there was no conclusive evidence that it was beneficial.[pediatrics.aappublications.org]
  • 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]
  • For oral poisoning, if ingested into a small amount, no vomiting and gastric lavage. A large number of misuse should be made after a cannula with endotracheal intubation.[healthfrom.com]
  • 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]
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]
  • Vomit examination Vomit can be analyzed.[healthfrom.com]
  • 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]
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]
  • Poisoning patients immediately feel thirsty, pharynx and stomach burning sensation; followed by nausea, vomiting (vomit can be blood), abdominal pain, diarrhea, fecal blood and urinary pain and other serious symptoms, should immediately take the relevant[healthfrom.com]
  • 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]
Nausea
  • Mild poisoning symptoms are dizziness, headache, nausea, vomiting, gait instability, ataxia. High concentration of inhalation occurs in toxic encephalopathy.[healthfrom.com]
  • 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]
  • […] food-pipe; this may affect the nose, ears, and eyes Respiratory difficulties, if the chemical is inhaled Throat inflammation may cause difficulty in swallowing, breathing Skin burns Vision abnormalities including loss of vision Headache and lethargy Nausea[dovemed.com]
Diarrhea
  • Poisoning patients immediately feel thirsty, pharynx and stomach burning sensation; followed by nausea, vomiting (vomit can be blood), abdominal pain, diarrhea, fecal blood and urinary pain and other serious symptoms, should immediately take the relevant[healthfrom.com]
  • Acid Reflux; Constipation; Diarrhea; Diverticulitis; A.M.P. Key statistics for zinc excess hair loss keep dow pancreatic cancer.[banksuenden.eu]
  • WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms Diarrhea and Rapid heart rate (pulse) and including Food poisoning and Kidney Diseases gastric or duodenal ulcers.[ict-accordance.eu]
  • Symptoms of kerosene poisoning include vomiting, diarrhea, stomach cramps or swelling in the stomach, coughing, restlessness, and drowsiness or unconsciousness.[livestrong.com]
  • Signs of oral kerosene poisoning include diarrhea, nausea, and vomiting.[lungindia.com]
Cyanosis
  • Examine Gasoline, kerosene poisoning inspection Kerosene poisoning Cyanosis or pale, breathing superficial, rapid heartbeat, pulse thin, blood pressure drop.[healthfrom.com]
  • 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]
Thrombosis
  • HISTOPATHOLOGY -bronchospasm - interstitial inflammation -atelactasis -emphysema -hyperemia -infiltration of polymorphonuclear cells -vascular thrombosis -bronchial and bronchiolar necrosis -intraalveolar hemorrhage and edema 11.[slideshare.net]
Headache
  • Mild poisoning symptoms are dizziness, headache, nausea, vomiting, gait instability, ataxia. High concentration of inhalation occurs in toxic encephalopathy.[healthfrom.com]
  • 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]

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]
Mediastinal Shift
  • Diagnosis of tension pneumothorax can be on clinical ground and confirmed by a chest x-ray film which shows a hyperlucent hemithorax, a separation of the visceral from the parietal pleural, flattening of diaphragm and mediastinal shift to the contralateral[nigeriamedj.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]
  • Keywords: Hydrocarbon, kerosene aspiration, pleural effusion How to cite this article: Prasad R, Karmakar S, Sodhi R, Karmakar S. Bilateral hemorrhagic pleural effusion due to kerosene aspiration.[lungindia.com]

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 Summarization of Treatment of Gasoline and Kerosene Poisoning Departments: Other departments of the emergency department Treatment: drug treatment supportive treatment Treatment cycle: 1-3 weeks Cure rate: 90% Commonly used drugs: bumetanil[healthfrom.com]
  • TREATMENT • HOME TREATMENTTREATMENT IN HOSPITAL 19.[slideshare.net]

Prognosis

  • This is mostly the case with mild poisoning Since, kerosene is a poisonous substance, the severity of damage to the body, and consequently the prognosis, is dependent on the amount of chemical ingested and promptness with which treatment is provided In[dovemed.com]
  • . • 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]

Etiology

  • Etiology Gasoline, kerosene poisoning etiology Misuse kerosene or gasoline or inhalation of high concentrations of kerosene or gasoline vapor. Acute poisoning: anesthetic effect on the central nervous system.[healthfrom.com]
  • ETIOLOGICAL FACTORS • Inappropriate storage • attractive colour • pleasant odour • low socioeconomic status • inquisitive nature • lack of parental awareness • hot seasons 8.[slideshare.net]

Epidemiology

  • 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]
  • View Article Google Scholar Mahdi AH, Taha SA, Al Rifai MR: Epidemiology of accidental home poisoning in Riyadh (Saudi Arabia). Journal of Epidemiology and Community Health. 37: 291-295. 10.1136/jech.37.4.291.[bmcpediatr.biomedcentral.com]
  • 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]
  • 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]
  • 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]

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!