Smoke inhalation injury in a 2-year-old domestic fire victim.


Journal

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356

Informations de publication

Date de publication:
May 2020
Historique:
received: 20 12 2018
revised: 06 11 2019
accepted: 25 01 2020
pubmed: 21 3 2020
medline: 25 2 2021
entrez: 21 3 2020
Statut: ppublish

Résumé

Smoke inhalation injury is common in victims of domestic fires, among whom children are the most vulnerable. Cyanide poisoning may occur in addition to carbon monoxide poisoning and is challenging to diagnose. In France, the recommended antidotes are hydroxocobalamin for cyanide and hyperbaric oxygen for carbon monoxide. We managed a 26-month-old girl who sustained smoke inhalation injury with both carbon monoxide and cyanide poisoning during a house fire. Despite hydroxocobalamin and sodium thiosulfate therapy combined with hyperbaric oxygen, she had residual neurological impairments 3 months after the injury. The treatment challenges and detailed neurological follow-up data are described.

Identifiants

pubmed: 32192813
pii: S0929-693X(20)30025-7
doi: 10.1016/j.arcped.2020.01.008
pii:
doi:

Substances chimiques

Cyanides 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

223-226

Informations de copyright

Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

G Geslain (G)

Pediatric Intensive Care Unit, Raymond-Poincaré Hospital, AP-HP, 92380 Garches, France. Electronic address: guillaume.geslain@aphp.fr.

B Tilea (B)

Radiology, Robert-Debré Hospital, AP-HP, 75019 Paris, France.

F Heraut (F)

Physiological Explorations, Raymond-Poincaré Hospital, AP-HP, 92380 Garches, France.

R Rubinsztajn (R)

Pediatric Intensive Care Unit, Raymond-Poincaré Hospital, AP-HP, 92380 Garches, France.

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Classifications MeSH