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J Korean Soc Emerg Med > Volume 28(2); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(2): 218-222.
과산화수소 음독 후 지연성으로 발생한 기관식도 누공 1례
조현영, 고찬영
단국대학교병원 응급의학과
A Case of Delayed Tracheo-esophageal Fistula Complicating Acute Intoxication of Hydrogen Peroxide
Hyun-Young Cho, Chan-Young Koh
Department of Emergency Medicine, Dankook University Hospital, Cheonan, Korea
Correspondence  Chan-Young Koh ,Tel: 041-550-6840, Fax: 041-550-0524, Email: suepunk@naver.com,
Received: September 9, 2016; Revised: September 12, 2016   Accepted: December 7, 2016.  Published online: April 30, 2017.
ABSTRACT
Hydrogen peroxide is a commonly used oxidizing agent. If injected, it may result in morbidity via direct caustic injury, oxygen gas formation, and lipid peroxidation. We report a 40-year-old male patient who accidentally swallowed undiluted hydrogen peroxide (35%). The initial chest computed tomography scan showed no active lesions. He was admitted to the intensive care unit for conservative treatment. Fourteen days after treatment, uncontrolled fever and foul oder sputum occurred, which was not alleviated despite empirical antibiotics therapy. Findings on a chest computed tomography showed tracheo-esophageal fistula at the lower trachea and left main bronchus. He underwent surgical replacement surgery and was discharged without complication after 52 days of admission.
Key words: Hydrogen peroxide, Poisoning, Caustics, Tracheo-esophageal fistula
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