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Published on: March 14, 2018
Ingestion of tea tree oil (Melaleuca oil) by a 4-year-old boy
Marilyn C Morris1, Aaron Donoghue, Jennifer A Markowitz
1Department of Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. morrisma@email.chop.edu
Insights
A child experienced severe neurological symptoms, including ataxia and unresponsiveness, after ingesting tea tree oil. Prompt medical intervention led to a full recovery, highlighting the potential toxicity of this popular antiseptic.
Area of Science:
- Toxicology
- Pediatric Neurology
Background:
- Tea tree oil (TTO) is a widely used topical antiseptic derived from Melaleuca alternifolia.
- Its popularity has increased, with TTO found in numerous consumer products, often lacking adequate warning labels.
Observation:
- A 4-year-old boy presented with acute ataxia and unresponsiveness approximately 30 minutes after accidental ingestion of a small amount of TTO.
- The child required endotracheal intubation by emergency medical services due to the severity of his neurological impairment.
Findings:
- Neurological status gradually improved over a 10-hour period following the adverse event.
- The patient experienced a complete recovery and remained well upon follow-up assessment.
Implications:
- Healthcare providers must be aware of the potential neurotoxicity associated with tea tree oil ingestion, even in small quantities.
- Increased awareness and clear product labeling are crucial to prevent accidental pediatric poisonings from TTO-containing products.
Abstract:
A 4-year-old boy ingested a small quantity of tea tree oil. Within 30 minutes, he became ataxic and shortly thereafter progressed to unresponsiveness; he was endotracheally intubated by paramedics. His neurologic status improved gradually over 10 hours, and he remains well on follow-up. Tea tree oil is an increasingly popular topical antiseptic that is available in a wide variety of products, often without warning labels. Healthcare providers should be aware of the common uses of tea tree oil, as well as its potential toxicity.

