A 7-year-old boy was brought to the emergency room with burning sensations in his throat, difficulty breathing, and other symptoms after accidentally drinking a few mL of kerosene from a water bottle the night before. On examination, the boy had drowsiness, rapid breathing and heart rate, fever, and signs of pneumonia. Tests showed hypoxemia, hypocarbia, and fine perihilar opacity on chest x-ray. The diagnosis was kerosene poisoning based on the history and symptoms affecting the respiratory, gastrointestinal, central nervous, and renal systems. The boy was treated with oxygen, bronchodilators, antibiotics, intravenous fluids, and intubation to manage complications including aspiration pneumonia, seizures, and

1. Kerosene
poisoning
Presented by-
Dr. Ravi Gupta
Intern(Batch-17-18)

2. CASE
A 7 year old boy came in emergency room of
our hospital with complaints of burning
sensation in poisoning and difficulty in
breathing. His mother gave history that he
sipped few ml of kerosene kept in water
bottle mistaken to be water, during last night.

3. On history taking-
Patient also complain of
Breathlessness
High grade fever
Diarrhoea
Drowsiness
Smell of kerosene in breath, vomitus and urine

4. On examination
• Drowsiness, giddiness
• RR-15/min,PR-120bpm,temperature-100.6 F
• On auscultation- b/l fine crepitations
• Chest radiograph- fine perihilar opacity, bilateral infiltration,
atelectasis
• CBC-9.2mg/dl
• ABG-hypoxemia and hypocarbia

5. Diagnosis ?
•Case of poisoning?
•Which poison?

6. What is kerosene
• It is petroleum distillates obtain by fractional distillation
of crude oil
• Kerosene oil is most common petroleum distillate causing
accidental poisoning in children
Fatal Dose-10-50ml
Fatal period- few hrs

7. Action on body
•Local irritation to the mucosa of GIT after
absorption it has-neurotoxic, nephrotoxic
and respiratory depressing effect

8. Management
1. Supportive care
2. NPO, I/V fluids
3. Respiratory system- O2 & Bronchodilator
4. Antibiotic- for high grade fever
unresponsive
Intubation (target of SpO2~95%)

9. Complications
Respiratory system-
Aspiration pneumonitis(m/c),Bronchodilator
CNS- seizures, memory loss
CVS- myocarditis, cardiomyopathy

10. Medicolegal
importance
• Accidental poisoning in infants
and children
• Homicidal attempts by pouring
kerosene on cloths and igniting
them
• Aspiration may occur during
attempting to siphon off

11. References
• Parikh's textbook of medical jurisprudence forensic
medicine and toxicology
• Essentials of Forensic Medicine and Toxicology Book
by K. S. Narayan Reddy
• Textbook Of Forensic Medicine And Toxicology:
Principles And Practice by Krishan Vij
• Google images

12. THANK YOU