Narrowing of airway caused by ingestion of methyl ethyl ketone peroxide

Abstract

<jats:p> 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. </jats:p>

A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide

“…We considered explorative surgery at this point, but it was cancelled because the patient’s vital signs had been worsening rapidly. Additionally, prednisolone should be given to treat airway edema [ 13 ].…”

A Case of Methyl Ethyl Ketone Peroxide Ingestion Complicated by Rhabdomyolysis

“…If inhaled, severe chemical pneumonitis tends to occur. MEKP can be aspirated resulting in proximal airway edema and obstruction, pneumonitis, and acute respiratory distress syndrome [7]. Our patient too had acute respiratory failure attributable to radiologically confirmed chemical pneumonitis.…”

Respiratory Complications from Acute Corrosive Poisonings in Adults

“…A similar case is observed in a 19 year old woman who intentionally ingested glutaraldehyde, commonly used as a sanitizer. This woman after 10 hours from the ingestion of the chemical, exhibited metabolic acidosis and respiratory distress, required hospitalization in intensive care and an endotracheal intubation due to the swelling of the larynx (18,19). The patients in our study showed high rates of respiratory complications and side-effects probably due to the fact that the substance was intentionally ingested as attempt for suicide.…”