Citation

Bozdemir MN, Yildiz M, Seyhanli ES, Gurbuz S, Kilicaslan I, Karlidag T. Hum. Exp. Toxicol. 2011; 30(12): 2002-2006.

Affiliation

Department of Emergency Medicine, School of Medicine, Selcuk University, Konya, Turkey.

Copyright

(Copyright © 2011, SAGE Publishing)

DOI

10.1177/0960327111407230

PMID

21508070

Abstract

Although ingestion of methyl ethyl ketone peroxide (MEKP) is rare, it carries a high risk of morbidity and mortality. This paper reports the first such case from Turkey in which a 70-year-old man unintentionally ingested MEKP in his kitchen. The patient was brought into the emergency department (ED) within 1 hour of ingestion, with the symptoms of sore throat, shortness of breath, nausea and vomiting. Visual examination of the oropharynx revealed minor burns and uvular edema. A laryngoscope examination performed in the ED showed superficial mucosal injury with edema of the oropharynx, uvula, posterior pharynx, epiglottis, arytenoids and vocal cords. Lateral cervical radiography revealed a narrowing of airway due to a thickened epiglottis. After the diagnostic evaluation was completed, the patient was admitted to the gastroenterology intensive care unit for monitoring of adverse reactions. During follow-up, the patient made an uneventful recovery. Ingestion of MEKP generally results from accidental ingestion from a container. Therefore, these containers should be kept in safe places. In addition, the priority following the ingestion of MEKP should be given to maintain open and adequate airway in the ED.

Language: en