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Civan HA, Gulcu D, Erkan T. Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate. Pediatr Gastroenterol Hepatol Nutr. 2016;19(3):207-209doi: 10.5223/pghn.2016.19.3.207.
Civan, H. A., Gulcu, D., & Erkan, T. (2016). Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate. Pediatric gastroenterology, hepatology & nutrition, 19(3), 207-209. https://doi.org/10.5223/pghn.2016.19.3.207
Civan, Hasret Ayyildiz, et al. "Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate." Pediatric gastroenterology, hepatology & nutrition vol. 19,3 (2016): 207-209. doi: https://doi.org/10.5223/pghn.2016.19.3.207
Civan HA, Gulcu D, Erkan T. Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate. Pediatr Gastroenterol Hepatol Nutr. 2016 Sep;19(3):207-209. doi: 10.5223/pghn.2016.19.3.207. Epub 2016 Sep 29. PMID: 27738603; PMCID: PMC5061663.
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Pediatr Gastroenterol Hepatol Nutr. 2016 Sep;19(3):207-209. doi: 10.5223/pghn.2016.19.3.207. Epub 2016 Sep 29.

Corrosive Esophagitis with Benzalkonium Chloride in a Two Days Old Neonate.

Pediatric gastroenterology, hepatology & nutrition

Hasret Ayyildiz Civan, Didem Gulcu, Tulay Erkan

Affiliations

  1. Department of Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.

PMID: 27738603 PMCID: PMC5061663 DOI: 10.5223/pghn.2016.19.3.207

Abstract

Benzalkonium chloride (BAC) is a caustic agent which is used in farms, homes and hospitals for cleaning skin and wounds as an antiseptic solution. It may lead to digestive system injuries in case of ingestion. We present a two-days-old newborn case which was carried to the emergency unit with complaints of poor breastfeeding, uneasiness and crying for 4-6 hours. Her mom confessed that she had given a spoon of 10% BAC solution for her cough. Initial laboratory tests were in normal ranges. A gastroscopy performed in the second hour of her admission revealed an hyperemic and edematous mucosa in the middle third of esophagus and a circumferential ulceration followed in the distal portion. Hereupon, a conservative treatment for 10 days was administered and the control gastroscopy demonstrated that the damage was almost totally improved. She was the youngest case with this etiology and successfully treated with conservative approach.

Keywords: Benzalkonium chloride; Corrosive esophagitis; Neonate

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