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Aspiration pneumonitis caused by polyethylene glycol-electrolyte solution treated with conservative management

Ricardo A Mosquera1, Mark McDonald1, Cheryl Samuels1

  • 1High Risk Children Comprehensive Care Clinic, University of Texas Health Science of Houston, 6410 Fannin Street, Suite 500, Houston, TX 77030, USA.

Case Reports in Pediatrics
|June 24, 2014
PubMed

Insights

Accidental polyethylene glycol (PEG) solution aspiration caused lung inflammation in a child. Conservative management, without invasive procedures like bronchoalveolar lavage, proved effective for PEG pneumonitis.

Area of Science:

  • Pediatric Pulmonology
  • Gastroenterology
  • Toxicology

Background:

  • Polyethylene glycol (PEG) electrolyte solution is an osmotic laxative used for bowel preparation.
  • Accidental intratracheal instillation of PEG can lead to pneumonitis.
  • Nasogastric tube (NGT) migration is a potential risk factor for accidental tracheal instillation.

Purpose of the Study:

  • To report a case of PEG-induced pneumonitis in a pediatric patient.
  • To evaluate the efficacy of conservative management for PEG pneumonitis.
  • To discuss the management of PEG aspiration in the pediatric population.

Main Methods:

  • Case report of a 9-year-old boy with accidental PEG solution aspiration.
  • Clinical observation including monitoring of oxygenation and respiratory rate.
  • Non-invasive management approach without bronchoalveolar lavage (BAL) or intubation.

Main Results:

  • The patient developed hypoxemia and tachypnea after PEG aspiration.
  • Successful treatment was achieved with close monitoring and conservative care.
  • No invasive interventions such as BAL or intubation were required.

Conclusions:

  • PEG pneumonitis can be managed effectively with conservative measures in select pediatric patients.
  • Invasive interventions like BAL may not always be necessary for PEG aspiration.
  • Clinical judgment is crucial in determining the appropriate management strategy for PEG pneumonitis.

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