Ingestion of Fireworks: Rare Cause of Poisoning in Children

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dc.contributor.authorYukseldraya, Hasan
dc.contributor.authorGummy, Melton
dc.contributor.authorYucel, Aylin
dc.contributor.authorEnergin, Meltem
dc.contributor.authorDemirci, Serafettin
dc.date.accessioned2024-02-23T14:21:17Z
dc.date.available2024-02-23T14:21:17Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractBackground Mistaken ingestion of all manner of toxic matter is common in childhood, but poisoning with fireworks and matchsticks is rare. Fireworks usually contain 10% yellow phosphorus and 50% potassium chlorate. Potassium chlorate is an extremely reactive and toxic agent that is used in fireworks and matchstick heads. Methods Eleven cases (7 females and 5 males; median age, 36 months [ranging from 24 to 48 months]) of poisoning after ingestion of fireworks and matchstick(s), between February 2008 and June 2014, were reviewed. Results The most common initial symptom was vomiting except for 2 cases in this group. Biochemical tests indicated that hyperphosphatemia was present in all patients, 8 patients (72.7%) had subclinical hepatic injury, 1 (9%) had acute hepatic failure, and 2 patients had no clinical or biochemical evidence of hepatic damage. Three patients had renal impairment, but none of them required dialysis. All of the patients recovered with supportive therapy except for 2 cases. One patient underwent cadaveric liver transplantation, whereas the other died because of circulatory dysfunction and respiratory failure due to pulmonary alveolar hemorrhage. Conclusions Without prompt intervention, poisoning with fireworks carries high morbidity and mortality in children. It can cause pulmonary hemorrhage, in addition to other organ damage, including liver and kidney. Hyperphosphatemia is common, as it was seen in all of the study patients.en_US
dc.identifier.doi10.1097/PEC.0000000000001450
dc.identifier.endpage219en_US
dc.identifier.issn0749-5161
dc.identifier.issn1535-1815
dc.identifier.issue3en_US
dc.identifier.pmid29538264en_US
dc.identifier.scopus2-s2.0-85062429615en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage216en_US
dc.identifier.urihttps://doi.org/10.1097/PEC.0000000000001450
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13531
dc.identifier.volume35en_US
dc.identifier.wosWOS:000462638500017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofPediatric Emergency Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPoisoningen_US
dc.subjectFireworksen_US
dc.subjectYellow Phosphorusen_US
dc.titleIngestion of Fireworks: Rare Cause of Poisoning in Childrenen_US
dc.typeArticleen_US

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