In the winter months, doctors may suspect carbon monoxide poisoning in people who complain. Early diagnosis and treatment prevent complications and sequelaes. The same symptoms can be caused by influenza (flu) or other problems. He was treated with hyperbaric oxygen and discharged a good clinical condition.ĬONCLUSIONS: If there is a baby with unexplained neurologic symptoms and signs, CO poisoning should be considered in the differential diagnosis. He had a high carboxyhemoglobin measurement, and the levels of cardiac markers elevated. Upon arrival, he was lethargic, hypotonic, and crying weak. Since CO poisoning symptoms resemble those associated with the flu headache, nausea, dizziness, and fatigue the only safe way to know the difference is to. He present to the ED with fussiness and feeding difficulty. The only diagnostic test for CO poisoning is elevation of the carboxyhemoglobin level in the blood.ĬASE: We report the second youngest neonate in literature who was severely poisoned by CO and treated with hyperbaric oxygen at the ED. Key words: Acute carbon monoxide poisoning, carbon monoxide toxicity, children, hyperbaric oxygen therapy. Although CO poisoning is well defined in the adult literature, little information exists regarding CO poisoning in childhood, especially in infants. Carbon monoxide poisoning is a serious and potentially life-threatening condition that occurs when people inhale high levels of carbon monoxide gas. CO exposed children often become symptomatic. Further analysis revealed that severe symptoms were more pronounced in adolescents and that the severity of symptoms increased with age.OBJECTIVE: Children are presented with an unknown intoxication at emergency department (ED) after carbon monoxide (CO) poisoning. In this study, we managed to demonstrate the presence of more severe symptoms in patients with a COHb level of 25% or greater. A poison can be any substance that causes harm in sufficient amounts, including: over-the-counter and prescription medicines. Neurologic symptoms such as headache, syncope, seizures, and confusion were encountered more frequently in the COHb greater than 25% group compared with the group with 5% to 25% COHb levels, with adolescents having more severe symptoms than do younger patients. Poisoning occurs when someone is sufficiently exposed to a substance that can cause illness, injury or death. Two hundred eighteen patients (83.5%) had a COHb between 5% and 25% on presentation, whereas the remaining 43 patients (16.5%) had a presenting COHb of greater than 25%. Additional details on carbon monoxide and pesticide poisoning are presented in the rest of this module. The records of 261 patients were deemed sufficient for inclusion in the final analysis, 149 (57.1%) of which were female, and 112 (42.9%) were male, with a median age of 7.0 years (range, 1 month to 16 years) and a mean COHb level 16.9% (SD, 7.8%). symptoms not being recognized as a poisoning.13 Furthermore, long-term, low-dose exposures, which can be more typical of pesticides exposures, are not included in poisoning data. Comparisons were also made after dividing patients into 3 age groups: infants (0-3 years), preschool and early-school children (4-8 years), and adolescents (9-16 years). For the purpose of comparison, patients were divided into 2 groups based on COHb levels (group 1, 5%-25% group 2, >25%). Relevant information such as age, sex, source of CO, coaffected family members, month of presentation, time of presentation and presenting symptoms, duration of oxygen treatment in the emergency department, need for admission to an inpatient ward or intensive care unit, Glasgow Coma Scale scores, and administered treatments during follow-up was recorded for each patient on preprepared forms. The medical records of patients aged between 0 and 16 years with a confirmed diagnosis of CO poisoning, defined as the presence of a COHb level of more than 5%, were evaluated. This retrospective study was undertaken in Ankara Children's Hematology and Oncology Hospital, a tertiary care center, between January 2007 and March 2010. Symptoms Breathing problems, including no breathing, shortness of breath, or rapid breathing Chest pain (may occur suddenly in people with angina) Coma. The aim of this study was to investigate the presence of any link between age and presenting symptoms in children with carbon monoxide (CO) poisoning. However, studies on pediatric populations evaluating the effect of age on presenting symptoms are severely lacking. Previous studies have reported on a link between carboxyhemoglobin (COHb) levels and the severity of presenting findings.
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