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Radiological Case of the Month

Radiological Case of the Month Abstract CLINICAL HISTORY.—A 22-month-old boy was admitted to the Los Angeles Childrens Hospital two hours after he had ingested approximately 2 oz of a petroleum distillate. The mother reported the infant did not vomit, but he began to cough immediately and, subsequently, became drowsy and lethargic. A radiograph of the chest was obtained (Fig 1), and the stomach was lavaged with saline. During the first two weeks of hospitalization, the infant was extremely ill with tachypnea, tachycardia, fever, and manifestations of central nervous system depression. Multiple antibiotics were administered, and, after the first week, steroid therapy was initiated. Fever persisted intermittently for the first month of his two months' hospitalization. Denouement and Discussion The radiographic and clinical pictures were quite striking, and representative of that seen with ingested furniture polish. This was in contrast with roentgenograms of children who have ingested kerosene or other petroleum products. With the latter, one sees References 1. Co-operative Kerosene Poisoning Study , Pediat 29:648, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Radiological Case of the Month

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1965.02090030725021
Publisher site
See Article on Publisher Site

Abstract

Abstract CLINICAL HISTORY.—A 22-month-old boy was admitted to the Los Angeles Childrens Hospital two hours after he had ingested approximately 2 oz of a petroleum distillate. The mother reported the infant did not vomit, but he began to cough immediately and, subsequently, became drowsy and lethargic. A radiograph of the chest was obtained (Fig 1), and the stomach was lavaged with saline. During the first two weeks of hospitalization, the infant was extremely ill with tachypnea, tachycardia, fever, and manifestations of central nervous system depression. Multiple antibiotics were administered, and, after the first week, steroid therapy was initiated. Fever persisted intermittently for the first month of his two months' hospitalization. Denouement and Discussion The radiographic and clinical pictures were quite striking, and representative of that seen with ingested furniture polish. This was in contrast with roentgenograms of children who have ingested kerosene or other petroleum products. With the latter, one sees References 1. Co-operative Kerosene Poisoning Study , Pediat 29:648, 1962.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Dec 1, 1965

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