Premium
Resolution of Delayed Altered Mental Status Associated with Hydrogen Peroxide Ingestion Following Hyperbaric Oxygen Therapy
Author(s) -
Heide Stuart J. Vander,
Seamon Jason P.
Publication year - 2003
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1197/s1069-6563(03)00320-8
Subject(s) - medicine , ingestion , hydrogen peroxide , hyperbaric oxygen , anesthesia , altered mental status , emergency department , intensive care medicine , pediatrics , psychiatry , chemistry , organic chemistry
Case Report: An 82‐year‐old women presented with altered mental status, seizure, and apnea after an accidental ingestion of concentrated hydrogen peroxide. Ingestion of concentrated peroxide can result in gas embolism of the cerebral vasculature. After hyperbaric treatment, the patient had prompt and full neurologic recovery. To the best of the authors' knowledge, this is the first reported case of reversal of significant altered mental status associated with hydrogen peroxide ingestion in temporal relation with hyperbaric oxygen therapy. Emergency physicians need to be aware of the dangers of peroxide ingestion and may wish to consider hyperbaric oxygen as a potential additional treatment for severe cases.