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Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate

  • Civan, Hasret Ayyildiz (Department of Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul University Cerrahpasa Medical Faculty) ;
  • Gulcu, Didem (Department of Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul University Cerrahpasa Medical Faculty) ;
  • Erkan, Tulay (Department of Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul University Cerrahpasa Medical Faculty)
  • 투고 : 2015.12.17
  • 심사 : 2016.01.16
  • 발행 : 2016.09.30

초록

Benzalkonium chloride (BAC) is a caustic agent which is used in farms, homes and hospitals for cleaning skin and wounds as an antiseptic solution. It may lead to digestive system injuries in case of ingestion. We present a two-days-old newborn case which was carried to the emergency unit with complaints of poor breastfeeding, uneasiness and crying for 4-6 hours. Her mom confessed that she had given a spoon of 10% BAC solution for her cough. Initial laboratory tests were in normal ranges. A gastroscopy performed in the second hour of her admission revealed an hyperemic and edematous mucosa in the middle third of esophagus and a circumferential ulceration followed in the distal portion. Hereupon, a conservative treatment for 10 days was administered and the control gastroscopy demonstrated that the damage was almost totally improved. She was the youngest case with this etiology and successfully treated with conservative approach.

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참고문헌

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피인용 문헌

  1. Benzalkonium chloride induced corrosive balanoposthitis in a man requiring clean intermittent catheterization vol.4, pp.2, 2016, https://doi.org/10.1002/iju5.12253