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Toddler with seizures due to ingesting camphor at an Indian celebration
Erica A Michiels1, Suzan S Mazor
1Division of Emergency Medicine, Seattle Children's Hospital, 4800 Sand PointWay NE B5520, Seattle,WA 98105, USA.
Insights
A child experienced seizures after ingesting ceremonial camphor tablets during an Indian celebration. This highlights a unique risk of pediatric camphor toxicity from culturally specific practices.
Area of Science:
- Toxicology
- Pediatrics
- Cultural Anthropology
Background:
- Camphor, a volatile substance, is used in various cultural and religious ceremonies.
- Ingestion of camphor can lead to significant toxicity, particularly in children.
- Traditional Indian ceremonies sometimes involve the use of camphor tablets.
Observation:
- A 3-year-old girl presented with seizures, unresponsiveness, and abnormal posturing after attending an Indian celebration.
- The child had a history of vomiting and hyperactivity preceding the seizure episode.
- The symptoms were temporally associated with potential ingestion of ceremonial camphor tablets.
Findings:
- This case represents the first reported instance of seizures following the ingestion of ceremonial camphor tablets at an Indian ceremony.
- Inadequate packaging and the quantity of camphor used in such ceremonies pose a risk.
- The pediatric population is particularly vulnerable to camphor toxicity from this source.
Implications:
- Healthcare professionals should consider culturally specific sources of poisoning, such as ceremonial camphor.
- Increased awareness is needed regarding the risks associated with camphor use in cultural practices.
- Improved packaging and education are crucial to prevent pediatric camphor toxicity in these settings.
Abstract:
We report a 3-year-old girl who presented to the emergency department with seizures. Earlier in the evening, the patient was with her parents at an Indian celebration where she vomited once and then became hyperactive. Fifteen minutes later, she became unresponsive and had an episode characterized by eye blinking, teeth grinding, and posturing that lasted 2 to 3 minutes. To our knowledge, this is the first report of seizure after ingestion of ceremonial camphor tablets at an Indian ceremony. Given the inadequate packaging and use of many grams of camphor at these ceremonies, the pediatric population specifically is at risk for camphor toxicity from this source. Health care professionals should be aware of this unique and culturally specific source of potential camphor toxicity.
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