Compton Jonathon, Masoud John Azat, McCray Edwin, Singh Anmol, Terala Harshit, Mohomed Fasil
Internal Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA.
Emergency Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.
Cureus. 2022 Apr 27;14(4):e24538. doi: 10.7759/cureus.24538. eCollection 2022 Apr.
Acute alcohol intoxication is a common presentation to emergency departments. The intoxication of young pediatric patients is extremely rare. We present a case of a two-year-old female who presented to the emergency department with altered mentation, incontinence, and hypoglycemia. Over the next two days, the patient was treated with fluid replacement, and her hypoglycemia was managed. She was then discharged with no complications. While infant ethanol intoxication has a relatively low mortality rate, it can still be potentially fatal due to complications. Few studies have examined the morbidity associated with these presentations. This case demonstrates the importance of prompt identification and management to avoid a catastrophic outcome. Further research on the enzyme kinetics and long-term effects of early ethanol exposure resulting in hypoglycemia and ketosis is warranted.
急性酒精中毒是急诊科常见的就诊情况。小儿患者的酒精中毒极为罕见。我们报告一例两岁女性患儿，因意识改变、大小便失禁和低血糖就诊于急诊科。在接下来的两天里，该患者接受了补液治疗，低血糖得到了控制。随后她出院，无并发症。虽然婴儿乙醇中毒的死亡率相对较低，但仍可能因并发症而致命。很少有研究探讨这些症状相关的发病率。本病例表明了及时识别和处理以避免灾难性后果的重要性。有必要进一步研究早期乙醇暴露导致低血糖和酮症的酶动力学及长期影响。
