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Case Reports in Emergency Medicine
Volume 2014 (2014), Article ID 503205, 3 pages
http://dx.doi.org/10.1155/2014/503205
Case Report

Delayed Upper-Airway Injury after Accidental Alkaline Ingestion

Department of Emergency Medicine, University of Florida, 1329 SW 16th Street, P.O. Box 1000186, Gainesville, FL 32610-0186, USA

Received 29 January 2014; Accepted 25 May 2014; Published 9 June 2014

Academic Editor: Yahia A. Raja’a

Copyright © 2014 Matthew F. Ryan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 62-year-old man presented to the emergency department one week after accidentally drinking an alkaline cleaning agent stored in unlabeled bottle. The day of the incident the patient presented to an outside hospital where he was admitted for an upper endoscopy of the esophagus which was found to be negative for acute injury. An initial chest X-ray taken the day of the incident was also found to be normal. After discharge the patient continued to have a sore throat and marked dysphagia which caused him to vomit repeatedly. Moreover, the patient began to develop chest pain with associated shortness of breath. We present a case of delayed airway injury and tracheal thickening and associated chest pain after alkaline ingestion and we discuss herein the pathophysiology and management of alkaline ingestions.