Liyanage IK, Navinan MR, Pathirana ACA, Herath HRIS, Yudhishdran J, Fernandopulle N, Kulatunga A. A case of
methyl ethyl ketone peroxide poisoning and a review of complications and their management.
J Occup Med Toxicol 2015;
10:26. [PMID:
26236387 PMCID:
PMC4521457 DOI:
10.1186/s12995-015-0071-8]
[Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Accepted: 07/28/2015] [Indexed: 01/21/2023] Open
Abstract
Methyl Ethyl Ketone Peroxide (MEKP) is a highly toxic clear liquid used as a solvent. It is a strong oxidizing agent and a corrosive. Acute and chronic toxicity can occur as an occupational hazard. Ingestion is associated with corrosive burns leading to stricture formation, inhalational pneumonitis, acidosis, liver failure and renal failure. In this paper we present a case of a young patient who intentionally ingested MEKP. The patient developed multiple complications including proximal intestinal obstruction, acidosis and acute kidney injury. He was managed conservatively and recovered after a prolonged hospital stay. He had multiple inflammatory strictures on esophageal endoscopy, which improved over 3–6 moths.
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