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Lithium Battery Ingestion: An Unusual Cause of Bilateral Cord Palsy
Gautam Bir Singh1, Ravinder Chauhan1, Deepak Kumar1
1Department of Otorhinolaryngology, Head & Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, Shaheed Bhagat Singh Marg, New Delhi 110001, India.
Insights
Lithium battery ingestion in children can cause rare but life-threatening bilateral vocal cord palsy. Early recognition and monitoring are crucial for infants with respiratory distress after battery removal.
Area of Science:
- Pediatric Otolaryngology
- Toxicology
- Emergency Medicine
Background:
- Lithium battery ingestion is a known hazard in children.
- Bilateral vocal cord palsy is a rare but severe complication.
- Lack of awareness among clinicians can lead to missed diagnoses.
Purpose of the Study:
- To report a unique case of bilateral vocal cord palsy in an infant following lithium battery ingestion.
- To highlight the importance of recognizing this rare complication.
- To emphasize cautious monitoring in at-risk pediatric patients.
Main Methods:
- Case report of an infant with bilateral vocal cord palsy post-lithium battery ingestion.
- Review of existing medical literature on lithium battery ingestion and vocal cord complications.
- Clinical observation and management of the presented case.
Main Results:
- The infant presented with a unique clinical manifestation of bilateral vocal cord palsy.
- This presentation was previously unreported in medical literature.
- The case underscores the potential for severe airway compromise.
Conclusions:
- Bilateral vocal cord palsy is a critical, often overlooked, complication of pediatric lithium battery ingestion.
- Increased awareness and vigilant monitoring are essential for early detection and management.
- Prompt recognition can prevent severe respiratory distress and improve patient outcomes.
Abstract:
Bilateral vocal cord palsy is a rare but life threatening complication of lithium battery ingestion in children. This complication is mostly missed by otorhinolaryngologists due to lack of awareness on the cited subject. We present one such rare case in an infant, where the clinical presentation was found to be unique but hitherto unreported in the medical literature. This clinical record discusses this case in light of the scant current medical literature on the subject and highlights the importance of cautious monitoring of patients presenting with signs of respiratory distress after lithium battery removal.
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