Hershkovitz E, Weizman Z
Dept. of Pediatrics, Soroka Medical Center, Beer Sheba.
Harefuah. 1991 May 1;120(9):512-3.
Potassium permanganate intoxication in 3 infant girls (2.5, 2.5 and 5 months old, respectively) is described. In 2 the toxic solution was mistaken for a vitamin A+D preparation due to package similarity. The main clinical symptoms included restlessness, low grade fever and inflamed oral mucosa with black-brown discoloration. There was leukocytosis with a shift to the left. Complications described by others, such as hepatic and renal damage, upper air-way obstruction, gastrointestinal ulceration, bleeding tendency, methemoglobinemia and hemolysis, were not seen in our infants. Management included hemodynamic and respiratory monitoring, oral and gastric water lavage and milk ingestion. Laboratory follow-up included CBC and hepatic and renal function tests. There were no complications, and follow-up revealed no residual abnormalities.
本文描述了3名女婴（分别为2.5个月、2.5个月和5个月大）的高锰酸钾中毒情况。其中2名婴儿因包装相似，误将有毒溶液当作维生素A+D制剂。主要临床症状包括烦躁不安、低热以及口腔黏膜发炎伴黑褐色变色。出现白细胞增多并伴有核左移。其他文献中描述的并发症，如肝肾功能损害、上呼吸道梗阻、胃肠道溃疡、出血倾向、高铁血红蛋白血症和溶血，在我们的婴儿中均未出现。治疗措施包括血流动力学和呼吸监测、口服及洗胃以及摄入牛奶。实验室随访包括血常规、肝肾功能检查。未出现并发症，随访显示无残留异常。
