| Fatal outcome of a sand aspiration. | |
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MedLine Citation:
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PMID: 18546004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although extensive deep aspiration of sand, gravel, or dirt is a very rare incident, its consequences may be severe ranging from the necessity of immediate intensive care to death. Cases reported so far were due to external causes such as cave-ins, near drowning, or being buried under sand masses. We report a case of a 2 1/2-year-old boy who ingested sand while playing in a sandbox with his older brother. Despite early resuscitation and endotracheal intubation efforts, he died subsequently showing clinical signs of asphyxia due to airway obstruction. Autopsy revealed sand masses obstructing the trachea and lobar bronchi of both lungs as well as brain edema, while no signs of blunt trauma, forced sand ingestion, or preexisting medical conditions were found. This case demonstrates that fatal self-administered sand aspiration may occur in early childhood. The pathophysiology of the lethal outcome with regard to the physical properties of sand and implications for the clinical assessment of emergency situations are discussed. |
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Authors:
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M Kettner; F Ramsthaler; B Horlebein; P H Schmidt |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-06-11 |
Journal Detail:
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Title: International journal of legal medicine Volume: 122 ISSN: 0937-9827 ISO Abbreviation: Int. J. Legal Med. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-10-06 Completed Date: 2009-03-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9101456 Medline TA: Int J Legal Med Country: Germany |
Other Details:
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Languages: eng Pagination: 499-502 Citation Subset: IM |
Affiliation:
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Institute of Forensic Medicine, Johann Wolfgang Goethe University Frankfurt am Main, Kennedyallee 104, 60596, Frankfurt am Main, Germany. M.Kettner@med.uni-frankfurt.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Airway Obstruction
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complications,
etiology Asphyxia / etiology* Brain Edema / pathology Bronchi / pathology Child, Preschool Forensic Pathology Humans Inhalation* Male Play and Playthings* Silicon Dioxide / adverse effects* Trachea / pathology |
| Chemical | |
Reg. No./Substance:
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7631-86-9/Silicon Dioxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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