A case of accidental benzalkonium chloride (10 %) ingestion

Külbay, Hayriye; Cevik, Sebnem Eren; Vural, Zeynep Tuzcular

doi:10.5455/tjfmpc.165553

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…9 In an another case reported by Kulbay H et al, the patient was found to have multiple lesions in the esophagus and stomach caused due to accidental ingestion of a BAC compound. 10 However, in both of these reported cases, the patients had consumed highly concentrated BAC solution (10%) whereas in the present report, the BAC solution was of lower concentration (<10%).…”

Section: Discussioncontrasting

confidence: 63%

Severe Esophagitis and Chemical Pneumonitis as a Consequence of Dilute Benzalkonium Chloride Ingestion: A Case Report

et al. 2021

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Background: Benzalkonium chloride (BAC) has been used as an active ingredient in a wide variety of compounds such as surface disinfectants, floor cleaners, pharmaceutical products and sanitizers. Solutions containing <10% concentration of BACs typically do not cause serious injury. As the available data regarding acute BAC toxicity is limited, we report a case of dilute benzalkonium chloride ingestion resulting in bilateral chemical pneumonitis and significant gastrointestinal injury requiring mechanical ventilatory support. The Case: A 42-year-old male presented with complaints of nausea, vomiting and excessive amount of blood mixed oral secretions after accidental ingestion of approximately 100ml of BAC solution (<10%). Later he developed respiratory distress with falling oxygen saturation for which he was intubated and mechanical ventilatory support was administered. Computed tomography (CT) chest was suggestive of bilateral chemical pneumonitis and upper gastrointestinal (GI) endoscopy revealed diffuse esophageal ulcerations. The patient was managed with intravenous fluids, corticosteroids, proton pump inhibitor, empiric antibiotics, and total parenteral nutrition. Conclusion: The present case report emphasizes that dilute BAC compounds can cause severe respiratory and gastrointestinal injuries. Immediate and aggressive medical treatment is crucial for improving patient outcomes and reducing complication rates.

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Section: Discussioncontrasting

confidence: 63%

Severe Esophagitis and Chemical Pneumonitis as a Consequence of Dilute Benzalkonium Chloride Ingestion: A Case Report

et al. 2021

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“…It is used in hand sanitizers. This substance used in a concentration above 0.1% irritates the skin and mucous membranes [11].…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of Accidental Ingestion of Hand Sanitizer

Alizadeh

Moazen

Pourbadakhshan

et al. 2021

IJMTFM

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Background: children are exposed to numerous chemicals, such as hand sanitizers and their associated poisoning. Awareness of such poisoning symptoms and their management is critical for healthcare providers, as it can induce dangerous conditions. This study evaluated the clinical and paraclinical parameters of children who ingested hand sanitizers. Methods: In the first 6 months of 2020, the cases of children who accidentally ingested hand sanitizer and were referred to Akbar Hospital in Mashhad City, Iran (Referral pediatric poisoning center) were evaluated in this cross-sectional study. The relevant medical information and laboratory parameters were recorded. Results: In total, 20 patients were evaluated; of whom, 80% were male. The Mean±SD age of the study subjects was 4.9±4.2 years (2-15y). The ingestion was accidental in the study participants. The amount of ingestion approximately equaled a sip (3-7cc). All clinical and laboratory parameters were normal according to their age. Only 1(5%) case presented metabolic acidosis. No study subject manifested hypoglycemia or the loss of consciousness. Thus, they only received supportive care and were observed for ≥12 hours. Conclusion: Based on the present study results and absence of symptoms in the explored cases of hand sanitizer ingestion, the suitability of hand sanitizer solutions. Therefore, the formulation of these products should be carefully evaluated

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“…Exposure to self-induced corrosive chemical poisoning in an adult is rare. In 2014 Kelby et al 21 reported a case of a member of medical staff who ingested 10% benzalkonium chloride (chemical disinfectant) accidentally. The patient was treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

“…The patient was treated conservatively. 21 The The common self-induced chemical poisoning is a pesticide, harpic, phenol, savlon, and detergent poisoning. Manjhi et al 23 reported a case of ingestion of floor cleaning agents with complaints of vomiting, burning sensation in chest, dyspnea, hematemesis and loss of consciousness after four hours.…”

Section: Discussionmentioning

confidence: 99%

A 35-Year-Old Male with Virocid-Chemical Disinfectant Poisoning

Khanum¹,

Islam²,

Akter³

et al. 2019

J Enam Med Col

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Virocid is a highly concentrated potent broad-spectrum disinfectant which is used in different sectors such as animal husbandry (poultry, pigs, cattle), agriculture, food processing, hospitals, horticulture, animal transport, feed storage, fish farming, personal hygiene etc. Here we report a case of a 35-year-old male poultry owner who attempted suicide following ingestion of about 10 mL of virocid (chemical disinfectant) and presented with severe burning sensation from throat to the epigastric region, abdominal pain, generalized muscle weakness, several episodes of vomiting and respiratory distress. The patient was treated conservatively along with mechanical ventilator support. After improving condition on 3rd day ventilator support was withdrawn and patient was shifted to step-down ICU. On 4th day the patient was transferred to general ward after consulting with psychiatrist and was discharged on the next day with an advice to follow-up every seven days interval. Two weeks later he was found quite normal. J Enam Med Col 2019; 9(3): 193-196

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A case of accidental benzalkonium chloride (10 %) ingestion

Cited by 6 publications

References 6 publications

Severe Esophagitis and Chemical Pneumonitis as a Consequence of Dilute Benzalkonium Chloride Ingestion: A Case Report

Severe Esophagitis and Chemical Pneumonitis as a Consequence of Dilute Benzalkonium Chloride Ingestion: A Case Report

The Outcomes of Accidental Ingestion of Hand Sanitizer

A 35-Year-Old Male with Virocid-Chemical Disinfectant Poisoning

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