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Asia Pacific Journal of Medical Toxicology، جلد ۱۳، شماره ۴، صفحات ۱۷۱-۱۷۴
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Liquefied Petroleum Gas Poisoning in a Child: A Case Report from a Low-Middle Income Country |
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| چکیده انگلیسی مقاله |
Introduction: Liquefied Petroleum Gas (LPG) is primarily a mixture of propane and butane, and in Pakistan, it typically contains 95-100% propane. With the increasing use of LPG, a rise in poisoning cases has been observed.Case report: We are reporting the case of a 5-year-old male who presented to the pediatric emergency department with unconsciousness lasting approximately 30 minutes after being found near an LPG cylinder in the kitchen. Upon arrival, the patient was tachycardic, with a Glasgow Coma Scale (GCS) score of 11/15. The systemic examination was unremarkable, and the electrocardiogram (ECG) showed a normal sinus rhythm. However, troponin-I levels were elevated at 135 ng/L (normal range: 0-57 ng/L), and blood gases revealed mild acidosis with bicarbonate levels of 16.8. A repeat troponin-I measurement showed a significant increase to 749 ng/L, prompting initiation of inotropic support with epinephrine. After 12 hours, troponin-I levels began to decrease. The patient remained in the Pediatric Intensive Care Unit (PICU) for 36 hours before being discharged in stable condition.Discussion: Propane gas is heavier than air, causing it to flow along the floors. It acts as an asphyxiating gas, displacing oxygen in the lungs and making breathing difficult. Propane primarily affects the respiratory, nervous, and cardiovascular systems.Conclusion: This case highlights the importance of admitting children exposed to LPG to higher care units for close monitoring, as initial cardiac enzyme levels and ECG may appear normal but can rapidly worsen. Serial monitoring of cardiac enzymes and electrocardiograms is crucial to prevent lethal arrhythmias and cardiac dysfunction. |
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| کلیدواژه‌های انگلیسی مقاله |
Liquefied petroleum gas, propane, pediatric poisoning, Low-Middle Income, Pakistan |
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| نویسندگان مقاله |
| Abid Jamali
Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| Latif Shamasuddin
Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| Aimen Yunus
Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| Nadeem Ullah Khan
Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
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| نشانی اینترنتی |
https://apjmt.mums.ac.ir/article_25511.html |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Case Report |
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