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[Alcoholic coma by accidental poisoning in children].

M Le Conte, I Saint-Jacques, R Cagnat

    La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
    |March 1, 1978
    PubMed
    Summary

    Alcoholic coma in children, though rare from accidental poisoning, is a severe condition requiring prompt diagnosis to prevent irreversible brain damage. Definitive diagnosis relies on blood alcohol measurement, distinguishing it from other causes of hypoglycemia.

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    Area of Science:

    • Pediatric toxicology
    • Neurology

    Background:

    • Alcoholic coma in children is an uncommon cause of toxic-induced coma compared to drug or household product exposures.
    • Early diagnosis is crucial due to the potential for severe poisoning and irreversible cerebral lesions.

    Observation:

    • Alcoholic coma typically presents as a generalized (flask) coma without focal neurological signs.
    • Associated symptoms can include hypothermia and hypoglycemia.

    Findings:

    • Hypoglycemia can mimic alcoholic coma, making blood alcohol level measurement essential for accurate diagnosis.
    • Accurate diagnosis differentiates alcoholic coma from other causes of altered consciousness in children.

    Implications:

    • Highlights the importance of considering alcoholic poisoning in pediatric differential diagnoses for coma.

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  • Emphasizes the need for rapid diagnostic testing (blood alcohol levels) in suspected cases to guide timely and appropriate treatment.