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Impacted button-battery masquerading as croup

Christopher I Cruz1, Darshan Patel

  • 1Department of Pediatrics, Westchester Medical Center, New York Medical College, Valhalla, New York 10595, USA.

The Journal of Emergency Medicine
|February 5, 2013
PubMed

Insights

Button-battery ingestion requires prompt medical evaluation. Management strategies for foreign body ingestion, particularly button batteries, are evolving based on patient factors and updated guidelines.

Area of Science:

  • Pediatric Emergency Medicine
  • Toxicology
  • Gastroenterology

Background:

  • Foreign body ingestion is a common reason for pediatric emergency department visits.
  • Button-battery ingestion presents a unique and potentially serious challenge in pediatric care.

Observation:

  • A case report details a 1-year-old boy with asthma experiencing acute respiratory distress due to button-battery ingestion.
  • Initial conventional therapies were unsuccessful, necessitating a chest radiograph for diagnosis.

Findings:

  • The chest radiograph confirmed button-battery ingestion, leading to successful removal.
  • Management decisions for button-battery ingestion are multifactorial, considering patient age, symptoms, battery size, and location.

Implications:

  • Revised guidelines from the National Battery Ingestion Hotline offer updated management protocols for button-battery ingestions.
  • This case highlights the importance of diagnostic imaging and adherence to current guidelines for foreign body ingestion in children.
Abstract

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