A CASE OF MYOCARDIAL INJURY IN AN INFANT WITH CARBON MONOXIDE POISONING

Received 2020-08-18; Accepted 2021-09-10; Published 2021-10-12

Authors

  • Kevin Chuing Shen Wong Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.
  • Ahmad Khaldun Ismail Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.
  • Nabil Muhammad Al Kuddoos Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.

DOI:

https://doi.org/10.22452/jummec.vol25no1.9

Keywords:

Carbon monoxide, Clinical toxicology, Emergency, Paediatric

Abstract

Carbon monoxide poisoning is described as “silent killer” because carbon monoxide is an odourless, colourless, tasteless gas and the clinical presentation is non-specific. A two-month-old boy presented with rapid breathing, irritable, and refused to be fed. The symptoms occurred approximately 1 h after waiting with his father in the car with the engine running. The father also presented with symptom of carbon monoxide poisoning. The child had respiratory distress and sinus tachycardia. The child’s carboxyhaemoglobin level was normal, but the father’s level was elevated. Serum lactate and troponin I were raised. He was given 100% normobaric oxygen and was admitted. Subsequently his condition improved and was discharged the next day. Infants are more prone to the effects of carbon monoxide poisoning. When an infant suddenly become unwell, high index of suspicion and detail collaborative history are required so that carbon monoxide poisoning will not be missed out.

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Author Biographies

Kevin Chuing Shen Wong, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.

Department of Emergency Medicine

Medical Officer

Ahmad Khaldun Ismail, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.

Department of Emergency Medicine

Associate Professor & Consultant Emergency Physician

Nabil Muhammad Al Kuddoos, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur.

Department of Emergency Medicine

Medical Officer

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Published

2022-01-20

Issue

Vol. 25 No. 1 (2022)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia.