Narrowing of airway caused by ingestion of methyl ethyl ketone peroxide


Bozdemir M. N. , Yildiz M., Seyhanli E. S. , Gurbuz S., Kilicaslan İ. , Karlidag T.

Human and Experimental Toxicology, cilt.30, sa.12, ss.2002-2006, 2011 (SCI Expanded İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Konu: 12
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1177/0960327111407230
  • Dergi Adı: Human and Experimental Toxicology
  • Sayfa Sayıları: ss.2002-2006

Özet

Although ingestion of methyl ethyl ketone peroxide (MEKP) is rare, it carries a high risk of morbidity and mortality. This paper reports the first such case from Turkey in which a 70-year-old man unintentionally ingested MEKP in his kitchen. The patient was brought into the emergency department (ED) within 1 hour of ingestion, with the symptoms of sore throat, shortness of breath, nausea and vomiting. Visual examination of the oropharynx revealed minor burns and uvular edema. A laryngoscope examination performed in the ED showed superficial mucosal injury with edema of the oropharynx, uvula, posterior pharynx, epiglottis, arytenoids and vocal cords. Lateral cervical radiography revealed a narrowing of airway due to a thickened epiglottis. After the diagnostic evaluation was completed, the patient was admitted to the gastroenterology intensive care unit for monitoring of adverse reactions. During follow-up, the patient made an uneventful recovery. Ingestion of MEKP generally results from accidental ingestion from a container. Therefore, these containers should be kept in safe places. In addition, the priority following the ingestion of MEKP should be given to maintain open and adequate airway in the ED. © The Author(s) 2011.