Magali Labadie1, Elisabeth O'Mahony1, Lise Capaldo1, Arnaud Courtois1,2, Thierry Lamireau3,2, Patrick Nisse4, Ingrid Blanc-Brisset5, Emmanuel Puskarczyk6. 1. Poison Control Center of Bordeaux, Pellegrin Hospital. 2. Bordeaux University, Oenology Research Unit, EA 4577, USC 1366 INRA, Institute for Wine and Vine Sciences, Bordeaux University, Villenave d'Ornon. 3. Hepato-Gastroenterology Unit, Children Hospital, University Hospital, Bordeaux. 4. Poison Control Center of Lille, Regional University Hospital, Lille. 5. Poison Control Center of Paris, Fernand Widal Hospital Assistance Publique Hôpitaux de Paris, Paris, France. 6. Poison Control Center of Nancy, Central Hospital, University hospital, Nancy.
Abstract
BACKGROUND: Although the ingestion of button batteries is an infrequent situation, it leads to a significant risk of causing serious damage. OBJECTIVE: This study was carried out to describe all the cases of button battery ingestion recorded by the French Poison Control Centers over 16 years. PATIENTS AND METHODS: All the cases of button battery ingestion were recorded from 1 January 1999 to the end of June 2015, analysed (age, sex, number of ingested button batteries, clinical signs and treatments) and graded for severity according to the poisoning severity score. RESULTS: The incidence of button batteries ingestions was constant over the 16-year period, with an average of 266±98.5 cases per year and a total of 4030 cases. Nevertheless, 21 cases were severe and two deaths occurred. Interestingly, for the two patients who died, the battery was stuck in the oesophagus and they presented anorexia and/or dysphagia, abdominal pain and fever and in one case, a melena 3 weeks after ingestion. Importantly, these symptoms were observed even if the battery was expelled in one fatal case. CONCLUSION: Ingestions of button batteries still occur and may cause serious damage, especially in children, and if the button battery is stuck in the oesophagus as it might cause severe symptoms. Patients who have ingested a button battery must be directed to the emergency department for medical evaluation, even if the button battery has been expelled from the body and even more if gastrointestinal symptoms are present.
BACKGROUND: Although the ingestion of button batteries is an infrequent situation, it leads to a significant risk of causing serious damage. OBJECTIVE: This study was carried out to describe all the cases of button battery ingestion recorded by the French Poison Control Centers over 16 years. PATIENTS AND METHODS: All the cases of button battery ingestion were recorded from 1 January 1999 to the end of June 2015, analysed (age, sex, number of ingested button batteries, clinical signs and treatments) and graded for severity according to the poisoning severity score. RESULTS: The incidence of button batteries ingestions was constant over the 16-year period, with an average of 266±98.5 cases per year and a total of 4030 cases. Nevertheless, 21 cases were severe and two deaths occurred. Interestingly, for the two patients who died, the battery was stuck in the oesophagus and they presented anorexia and/or dysphagia, abdominal pain and fever and in one case, a melena 3 weeks after ingestion. Importantly, these symptoms were observed even if the battery was expelled in one fatal case. CONCLUSION: Ingestions of button batteries still occur and may cause serious damage, especially in children, and if the button battery is stuck in the oesophagus as it might cause severe symptoms. Patients who have ingested a button battery must be directed to the emergency department for medical evaluation, even if the button battery has been expelled from the body and even more if gastrointestinal symptoms are present.
Authors: Elizabeth M Sinclair; Maneesha Agarwal; Matthew T Santore; Cary G Sauer; Erica L Riedesel Journal: Pediatr Emerg Care Date: 2022-03-29 Impact factor: 1.602
Authors: Rishabh Sethia; Hannah Gibbs; Ian N Jacobs; James S Reilly; Keith Rhoades; Kris R Jatana Journal: Laryngoscope Investig Otolaryngol Date: 2021-04-15