Severe Salicylate Poisoning Due to Teaberry Flavoring Ingestion: A Case Report

IF 1.2 4区医学 Q3 EMERGENCY MEDICINE

Journal of Emergency Medicine Pub Date : 2025-03-01 DOI:10.1016/j.jemermed.2024.09.022

Jarod Berggren MD , Chase Jones MD , Kenneth D. Katz MD

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引用次数: 0

Abstract

Background

There are currently many commercial uses for methyl salicylate, including fragrances, flavoring, topical pain relief, and polymer restoration. Most recorded cases of human toxicity due to methyl salicylate are the result of topical or accidental exposures. However, this is a previously unreported case of an adult patient who intentionally ingested teaberry flavoring, causing life-threatening salicylism.

Case Report

A 22-year-old man presented to the emergency department with the chief symptoms of nausea, vomiting, and abdominal pain. Triage nursing noted the patient's vomit smelled strongly of wintergreen. Further history indicated the patient had ingested approximately 40 mL of teaberry oil while using it to make ice cream. The initial serum salicylate concentration was 111 mg/dL. The medical toxicology team was consulted, and the patient was given a singular dose of activated charcoal by mouth. He was also administered both an intravenous sodium bicarbonate bolus and sodium bicarbonate infusion. He was admitted to the intensive care unit and the nephrology service was consulted to initiate emergent hemodialysis. After the single hemodialysis treatment with concomitant serum and urine alkalization, the patient had progressive improvement of salicylate concentrations. He was discharged on hospital day 3 in normal condition.

Why Should an Emergency Physician Be Aware of This?

Emergency physicians should be aware of novel etiologies of life-threatening salicylate poisoning.

查看原文本刊更多论文

误食茶树香精致严重水杨酸盐中毒1例。

背景：水杨酸甲酯目前有许多商业用途，包括香料、调味剂、局部疼痛缓解和聚合物修复。大多数记录在案的水杨酸甲酯人体中毒病例是局部或意外暴露的结果。然而，这是一个以前未报道的病例，一个成年患者故意摄入茶莓香料，导致危及生命的水杨酸症。病例报告：一名22岁男性，以恶心、呕吐和腹痛为主要症状就诊于急诊科。分诊护士注意到病人的呕吐物有强烈的冬青味。进一步的病史表明，患者在使用茶莓油制作冰淇淋时摄入了大约40毫升茶莓油。初始血清水杨酸浓度为111 mg/dL。咨询了医学毒理学小组，并给病人口服单一剂量的活性炭。同时给予静脉注射碳酸氢钠丸剂和碳酸氢钠输液。他被送进了重症监护室，并咨询了肾脏病科，开始进行紧急血液透析。单次血液透析治疗合并血清和尿液碱化后，患者水杨酸浓度逐渐改善。他于第三天出院，情况正常。急诊医生为什么要意识到这一点？急诊医师应了解危及生命的水杨酸中毒的新病因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine