An unexpected clinical course in a 29-day-old infant with ethanol exposure

Hiu-Fai Fong1, Allison A Muller

  • 1From the *Department of Pediatrics, The Children's Hospital of Philadelphia; Robert Wood Johnson Foundation Clinical Scholars Program and Leonard Davis Institute of Health Economics, The Perelman School of Medicine at the University of Pennsylvania; and †The Institute for Continuing Healthcare Education and the University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA.

Pediatric Emergency Care
|February 4, 2014
PubMed

Insights

A 29-day-old infant survived a severe blood alcohol level from ingesting formula mixed with gin. This case highlights that infants may not show typical alcohol intoxication symptoms, necessitating prompt testing for altered mental status.

Area of Science:

  • Pediatrics
  • Toxicology
  • Emergency Medicine

Background:

  • Ethanol (alcohol) exposure affects pediatric populations, primarily ambulatory children and adolescents.
  • Infants are less prone to ethanol ingestion due to limited environmental exploration, but it can occur.

Observation:

  • A case report details a 29-day-old infant presenting with a blood alcohol level of 301 mg/dL.
  • The infant ingested formula prepared with gin, a rare occurrence for such a young child.

Findings:

  • Despite the extremely high blood alcohol concentration, the infant exhibited only subtle neurologic symptoms.
  • Notably, the infant did not experience hypothermia, hypoglycemia, or cardiorespiratory compromise.

Implications:

  • Ethanol-exposed infants may present with atypical or non-obvious symptoms of acute intoxication.
  • Clinicians should maintain a low threshold for blood alcohol testing in infants with altered mental status.
  • Early diagnosis of ethanol exposure is crucial for infant health and safety.