Ammonium Bifluoride Poisoning: Our Eight-year Experiences
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2018, Vol 5, Issue 1
Abstract
Introduction: The aim of the study was to discuss clinical effects, treatment options and outcomes of pediatric ammonium bifluoride (ABF) poisoning. Methods: This study was designed as retrospective case series. We analyzed the medical records of children who were hospitalized for ABF poisoning between January 2009 and October 2017. Results: The median calcium level on arrival to the hospital was 9.26 mg/dL (minimum-maximum: 4.6-10.9). The median calcium level 2 hours after arrival was 6.44 mg/dL (minimum-maximum: 2-9.2). One patient arrived at the hospital within 3 hours after poisoning and the calcium level on arrival was 4.8 mg/dL. It means that the time elapsed between ABF ingestion and hospital arrival is one of the most important prognostic factors for survival. In our practice, we start 25-75 mg/kg calcium gluconate infusion for hypocalcemia. In our two cases inappropriate dose of calcium gluconate infusion was given to the patients (5 mg/kg in one and 20 mg/kg in the other patient) and both of them died. Conclusion: Although it is a rare condition, this study probably represents the largest sample of patients with pediatric ABF poisoning. Patients, who received oral calcium lactate therapy in addition to intravenous calcium therapy, survived despite the presence of life-threatening ventricular dysrhtymias. We assume that oral calcium lactate therapy was associated with improved survival in ABF toxicity. Future studies on oral calcium lactate therapy and its effects on the survival are needed.
Authors and Affiliations
Serkan Özsoylu, Başak Akyıldız, Adem Dursun
Keywords
Related Articles
- EP ID EP379089
- DOI 10.4274/cayd.43534
- Views 115
- Downloads 0
Methemoglobinemia Associated with Prilocaine Use in Circumcision
Methemoglobinemia (MetHb) occurs when the ferric iron with the valence of +2 contained in hemoglobin becomes +3 ferric iron due to various exogenous and endogenous reasons. MetHb shifts the oxygen dissociation curve to t...
Chronic Hepatitis C Virus Infection in Hemodialysis Patients: Treatment Outcomes and Drug-drug Interactions Management
Objectives: The aim of this study was to evaluate the success of the paritaprevir/ritonavir/ombitasvir/dasabuvir (PROD), ledipasvir/sofosbuvir (LDV/ SOF) and peginterferon (Peg-IFN) alfa-2a in the elimination of chronic...
Retrospective Analysis of Cases with Guillain-Barré Syndrome in Pediatric Intensive Care Unit
Amaç: Çalışmamızda Guillain-Barré sendromu nedeniyle çocuk yoğun bakımı ünitesinde takip edilmiş olan olguların tedavi yaklaşımları ve tedaviye yanıtlarının karşılaştırılarak tartışılması amaçlanmıştır. Yöntemler: Çocuk...
Penetran Tracheal Injury: A Rakshe Accident
Tracheal injury is a rare pathology, but 30% of all cases can be fatal and 50% of those patients will deteriorate in couple of hours and may lead to death. The course of treatment must be scheduled by clinical status and...
A Rare Case of Tacharhytmia Presenting with Cardiomyopathy: Permanent Junctional Reciprocating Tachycardia
Permanent junctional reciprocating tachycardia is a rare type of supraventricular tachycardia. Incessant tachycardia may result in dilated cardiomyopathy and the patients may have a diagnosis of idiopathic dilated cardio...