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A 7-Day-Old Male Infant With Carbon Monoxide Poisoning Treated With Hyperbaric Oxygen
Caner Turan1, Ali Yurtseven, Mehmet Baki Beyter
1From the Division of Emergency Medicine, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.
Insights
Carbon monoxide (CO) poisoning in infants is rare but serious. Prompt diagnosis and hyperbaric oxygen treatment are crucial for preventing severe complications in neonates with CO poisoning.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Neonatal Care
Background:
- Carbon monoxide (CO) poisoning is well-documented in adults, but data on pediatric cases, particularly in neonates, is limited.
- Unexplained neurological symptoms in infants can be challenging to diagnose.
- Carboxyhemoglobin levels are the definitive diagnostic marker for CO poisoning.
Observation:
- A case report details the second youngest neonate in medical literature experiencing severe CO poisoning.
- The infant presented to the emergency department with non-specific symptoms like fussiness and feeding difficulties.
- Clinical presentation included lethargy, hypotonia, weak cry, elevated carboxyhemoglobin, and cardiac markers.
Findings:
- The neonate received hyperbaric oxygen therapy in the emergency department.
- The infant was discharged in good clinical condition following treatment.
- This case highlights the potential for severe CO poisoning in neonates.
Implications:
- Carbon monoxide poisoning should be a key consideration in the differential diagnosis for neonates with unexplained neurological symptoms.
- Early identification and intervention, including hyperbaric oxygen therapy, can prevent long-term complications and sequelae.
- This case underscores the importance of considering environmental toxins in neonatal presentations.
Objective:
Children are presented with an unknown intoxication at emergency department (ED) after carbon monoxide (CO) poisoning. Although CO poisoning is well defined in the adult literature, little information exists regarding CO poisoning in childhood, especially in infants. The only diagnostic test for CO poisoning is elevation of the carboxyhemoglobin level in the blood.
Case:
We report the second youngest neonate in literature who was severely poisoned by CO and treated with hyperbaric oxygen at the ED. He present to the ED with fussiness and feeding difficulty. Upon arrival, he was lethargic, hypotonic, and crying weak. He had a high carboxyhemoglobin measurement, and the levels of cardiac markers elevated. He was treated with hyperbaric oxygen and discharged a good clinical condition.
Conclusions:
If there is a baby with unexplained neurologic symptoms and signs, CO poisoning should be considered in the differential diagnosis. Early diagnosis and treatment prevent complications and sequelaes.
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