Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate

Benzalkonium chloride (BAC) is a caustic agent which is used in farms, homes and hospitals for cleaning skin and wounds as an antiseptic solution. It may lead to digestive system injuries in case of ingestion. We present a two-days-old newborn case which was carried to the emergency unit with compla...

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Published inPediatric gastroenterology, hepatology & nutrition Vol. 19; no. 3; pp. 207 - 209
Main Authors Civan, Hasret Ayyildiz, Gulcu, Didem, Erkan, Tulay
Format Journal Article
LanguageKorean
Published 2016
Subjects
Neonate
Corrosive esophagitis
Benzalkonium chloride
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Summary:Benzalkonium chloride (BAC) is a caustic agent which is used in farms, homes and hospitals for cleaning skin and wounds as an antiseptic solution. It may lead to digestive system injuries in case of ingestion. We present a two-days-old newborn case which was carried to the emergency unit with complaints of poor breastfeeding, uneasiness and crying for 4-6 hours. Her mom confessed that she had given a spoon of 10% BAC solution for her cough. Initial laboratory tests were in normal ranges. A gastroscopy performed in the second hour of her admission revealed an hyperemic and edematous mucosa in the middle third of esophagus and a circumferential ulceration followed in the distal portion. Hereupon, a conservative treatment for 10 days was administered and the control gastroscopy demonstrated that the damage was almost totally improved. She was the youngest case with this etiology and successfully treated with conservative approach.
Bibliography:KISTI1.1003/JNL.JAKO201629561843916
ISSN:2234-8646
2234-8840