Eucalyptus oil poisoning in childhood: 41 cases in south-east Queensland
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1Emergency Department, Mater Misericordiae Children's Hospital, South Brisbane, Queensland, Australia.
Insights
Oral eucalyptus oil poisoning in children is often asymptomatic, even with large ingestions. Most children recover well with gastrointestinal decontamination, suggesting eucalyptus oil may be less toxic than previously thought.
Area of Science:
- Toxicology
- Pediatrics
Background:
- Assessing the toxicity of common household substances in pediatric populations is crucial for public health.
- Eucalyptus oil is a widely available essential oil with potential for accidental ingestion by children.
Observation:
- A retrospective analysis of 42 pediatric oral eucalyptus oil poisoning cases was conducted.
- The majority of children (80%) remained asymptomatic, irrespective of the ingested volume.
- Only a small number of children presented with symptoms, and none required advanced life support.
Findings:
- No correlation was found between the volume of eucalyptus oil ingested and the presence of symptoms.
- Gastrointestinal decontamination is recommended for significant ingestions or symptomatic cases.
- Outcomes were generally favorable with minimal clinical complications.
Implications:
- Eucalyptus oil may possess a lower toxicity profile in children than previously assumed.
- Clinical management should focus on decontamination and supportive care for symptomatic cases.
- Further research into the pediatric toxicology of essential oils is warranted.
Abstract:
Forty-two cases of oral eucalyptus oil poisoning in children under 14 years of age were identified in a defined population between 1 July 1984 and 30 June 1991, and 41 were subjected to retrospective case note analysis. Thirty-three children (80%) were entirely asymptomatic. This group included all of the four children reported to have ingested more than 30 mL of eucalyptus oil. Only two of the remaining children had symptoms or clinical signs on presentation to hospital. No child required advanced life-support. There was no correlation between the amount of eucalyptus oil taken and the presence of symptoms. If the estimated volume ingested is large, or symptoms are evident, on presentation at hospital gastrointestinal decontamination should lead to a good outcome with few clinical problems. Eucalyptus oil may be a less toxic compound than has previously been believed.
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