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J Emerg Med ; 59(6): 900-905, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32917443

ABSTRACT

BACKGROUND: Glutaraldehyde is a commonly used disinfectant in most hospitals. It is known to be an irritating agent to the airway. With the exception of one small-quantity (75 mL) ingestion, no large-volume ingestion has been previously reported. CASE REPORT: A 59-year-old man presented with history of large-volume (500 mL) consumption of a solution containing 10% glutaraldehyde and developed respiratory distress, as well as gastrointestinal and kidney injury. His ingestion necessitated a feeding jejunostomy tube placement and tracheostomy. His condition improved with supportive care and he was discharged after 1 month with no long-term sequelae. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Ingestion of this easily accessible agent, which may initially seem clinically benign, warrants close observation. Emergent airway stabilization and supportive care is crucial to the survival of the patient.


Subject(s)
Acidosis , Acute Kidney Injury , Laryngeal Edema , Acute Kidney Injury/chemically induced , Eating , Humans , Male , Middle Aged , Tracheostomy
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