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.