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Trop Doct 2009;39:236-238
doi:10.1258/td.2009.080444
© 2009 Royal Society of Medicine Press

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Short Reports

Clinical and therapeutic aspects of childhood kerosene poisoning in Djibouti

Alain Benois MD   *    Fabrice Petitjeans MD   {dagger}   Laurent Raynaud MD   {ddagger}   Eric Dardare MD   *   Hervé Sergent MD   *

* Intensive Care Unit, HIA Robert Picqué, 31 Route de Toulouse, Villenave d'Ornon; {dagger} Anethesie Reanimation, Lyon; {ddagger} Intensive Care Unit, HIA Begin, Saint Mandé, France

Correspondence to: Alain Benois, Intensive Care Unit, HIA Robert Picqué, 31 Route de Toulouse, Villenave d'Ornon, France Email: acbenois{at}voila.fr

We report a prospective and descriptive study about childhood acute poisoning with kerosene in Djibouti. Acute poisoning is a common and stable occurrence in low socioeconomic groups in Africa, where negligence is the main cause of poisoning. The respiratory system was the main target, with 41% of patients having pneumonia, which may become life-threatening, but with low mortality rate. Asymptomatic patients (35%) can be discharged, while those with pulmonary or neurological signs must be admitted for observation and supportive treatment based on oxygen administration. Our study suggests management and provides a discussion for therapeutic options and emphasizes the importance of prevention.


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