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

Main Article Content

Kevin Chuing Shen Wong
Ahmad Khaldun Ismail
Nabil Muhammad Al Kuddoos

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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Article Details

Section
Research article
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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