Michigan State University College of Human Medicine, Grand Rapids, MI, United States of America.
Corewell Health Medical Group, Helen DeVos Children's Hospital Emergency Department, Grand Rapids, MI, United States of America.
Am J Emerg Med. 2023 Jul;69:219.e1-219.e2. doi: 10.1016/j.ajem.2023.04.042. Epub 2023 May 3.
Alcohol intoxication is a common ingestion in pediatrics with close to 10,000 reports to poison control centers annually. Hypoglycemia, neurological depression (ataxia, coma, nystagmus, etc.) and unstable vitals (hypothermia, hypotension, bradycardia, and respiratory depression) are common presentations. The patient is a 3 month old female who was brought into the Emergency Department (ED) for one day of decreased oral intake and inconsolability. Vital signs were reassuring. Physical exam revealed gaze preference to the right with inability to look left, dysconjugate gaze, and hypotonia. Work-up including CT of the head, and urinalysis was unremarkable. Urine drug screen was found to be positive for ethanol with follow up serum ethanol at 162 mg/dL. With conservative management the patient returned to her baseline. On follow-up with her pediatrician, it was elicited that the mother inadvertently used a water bottle of vodka to mix the patient's formula. This case adds to the paucity of literature of abnormal presentations of alcohol intoxication in an infant.
酒精中毒在儿科中很常见，每年有近 10000 例报告给中毒控制中心。低血糖、神经抑制（共济失调、昏迷、眼球震颤等）和不稳定的生命体征（体温过低、低血压、心动过缓和呼吸抑制）是常见的表现。患者为 3 个月大的女性，因 1 天的摄入减少和无法安抚而被送入急诊部。生命体征正常。体格检查显示，她的目光向右注视，无法向左看，眼球运动不协调，且有低张力。包括头部 CT 和尿液分析在内的检查均无异常。尿液药物筛查显示乙醇阳性，随后的血清乙醇水平为 162mg/dL。经过保守治疗，患儿恢复到基线水平。在与儿科医生的随访中，得知母亲无意中使用了装伏特加的水瓶来混合患儿的配方奶。这个病例增加了婴儿酒精中毒异常表现的文献记载的匮乏。
