Alizadeh Anahita, Rakhshanizadeh Forough
Department of Clinical Toxicology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Caspian J Intern Med. 2021 Winter;12(1):103-106. doi: 10.22088/cjim.12.1.103.
Loss of consciousness in children can be caused by a wide spectrum of factors, including infection, metabolic disorders, trauma, and poisoning which requires timely and accurate evaluation.
In this paper, we introduce a three-year-old boy who was first referred to the Emergency ward of Mashhad Imam Reza Hospital due to unconsciousness. Having spent a few days in a hotel, this boy, who was a visitor to Mashhad, lost consciousness. During evaluations, hypotension and severe high anion gap metabolic acidosis was observed. Finally, the patient was diagnosed with ethylene glycol poisoning.
Poisoning should be considered as one of the most likely diagnoses in children with loss of consciousness. The identification of the clinical symptoms and the use of appropriate diagnostic algorithms is essential for timely diagnosis and appropriate treatment of specific cases of toxicity.
儿童意识丧失可由多种因素引起，包括感染、代谢紊乱、创伤和中毒，这需要及时准确的评估。
在本文中，我们介绍一名三岁男孩，他因意识丧失首次被转诊至马什哈德伊玛目礼萨医院急诊科。这个来马什哈德旅游的男孩在一家酒店住了几天后失去了意识。在评估过程中，观察到低血压和严重的高阴离子间隙代谢性酸中毒。最终，该患者被诊断为乙二醇中毒。
中毒应被视为儿童意识丧失最可能的诊断之一。识别临床症状并使用适当的诊断算法对于及时诊断和适当治疗特定中毒病例至关重要。
