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Percutaneous ethyl alcohol intoxication in a one-month-old infant
L D Dalt1, R Dall'Amico, A M Laverda
1Department of Paediatrics, University of Padova, Italy.
Insights
A one-month-old infant developed ethanol intoxication from alcohol-soaked umbilical cord treatments. This case highlights the dangers of percutaneous alcohol absorption in neonates and the need for toxicology screening in drowsy infants.
Area of Science:
- Neonatal Medicine
- Pediatric Toxicology
Background:
- Umbilical cord care practices can pose risks.
- Traditional remedies may have unforeseen consequences.
Observation:
- A one-month-old infant presented with unexplained lethargy.
- The infant had ethanol intoxication attributed to alcohol-soaked gauze on the umbilical stump.
Findings:
- Percutaneous absorption of ethanol occurred through the umbilical stump and adjacent skin.
- Prolonged application of ethanol-soaked materials led to systemic toxicity.
Implications:
- Healthcare providers must be aware of the risks of percutaneous alcohol absorption in infants.
- Toxicology screening is crucial for diagnosing lethargy of unknown origin in neonates.
- Alternative, safer methods for umbilical cord care should be promoted.
Abstract:
A one-month-old child was referred to our hospital for unexplained lethargy. She was found to be intoxicated from ethanol-soaked gauze pads which had been applied to the umbilical stump and contiguous skin for several days for the purpose of promoting umbilical cord detachment. We emphasize the importance of considering the risk of percutaneous alcohol absorption, especially in young infants, and the necessity of toxicology screening in every child with drowsiness of unknown etiology.