Coins and battery button ingested by pediatric patients during the COVID-19 pandemic: a comparison between 2019 and 2020
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Abstract
Introduction: Amid the spread of coronavirus disease, children remained in their homes for extended periods, and are more susceptible to domestic accidents. Children aged one to six years are the most prone to the ingestion of foreign body, and coins are the most commonly ingested. The incidence of accidents involving button batteries has increased due to its frequent use in toys and presents corrosive properties. Objectives: The series of cases aims to report the recurrence of coin and battery ingestion, upon the current 2020 pandemic, and to compare to the number of cases in the same period of 2019. Description: The reported cases portray four children, who were consulted at the children’s emergency room between March and June 2020. Three children ingested coins and only one ingested button battery. The presented symptoms were nausea, coughing, dysphagia, sialorrhea and vomiting, with the exception being the battery ingestion case, which was asymptomatic. After the diagnosis, obtained through radiography, the coins were endoscopically retrieved, and the button battery surgically removed. Comments: The main difficulty in the diagnostic is the non-witnessed ingestion by the guardians, a situation that slows down the initiation of treatment and increases risk of complications. Pediatricians should consider the suspicion of foreign body ingestion in the presence of the reported symptoms, following up with the appropriate investigation. In addition, the alert for the prevention of child domestic accidents should always be carried out in pediatric consultations.
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References
1. Haddad N, Wilson JD, Farda D, Levi JR. Pediatric button battery ingestion: publication trends in the literature. Am J Otolaryngol. 2020;41(3): 102401. Disponível em: https://doi.org/10.1016/j.amjoto.2020.102401.
2. Rahmani SH, Faridaalaee G, Dehkharghani MZ, Pouryahya P. Coin ingestion in an 8-year-old child: an atypical presentation. Emergency Medicine and Trauma Care Journal. 2019;2019(2). Disponível em: https://grfpublishers.com/article/view/MTM2/Coin-Ingestion-in-an-8-Year-Old-Child-An-Atypical-Presentation.
3. Blevrakisa E, Raissakib M, Xenakia S, et al. Multiple magnet ingestion causing intestinal obstruction and entero-enteric fistula: Which imaging modality besides radiographs? A case report. Annals of Medicine and Surgery. 2018;31:29-33. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004778/. Acesso em: 22 set. 2020.
4. Gurevich Y, Sahn B, Weinstein T. Foreign body ingestion in pediatric patients. Current Opinion in Pediatrics. October 2018;30(5): 677-682. Disponível em: https://europepmc.org/article/med/30036203.
5. Rios G, Rodríguez L, Lucero T, et al. Endoscopic findings associated with button battery ingestion in children: do we need to change the protocol for managing gastric location? Pediatric Emergency Care. 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29369264/.
6. Varga A, Kovács T; Saxena AM. Analysis of Complications After Button Battery Ingestion in Children. Pediatric Emergency Care. 2018;34(6):443-446. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29369262/. Acesso em: 22 set. 2020.
7. Ministério da Educação (BR). Portaria nº 343, de 17 de março de 2020. Dispõe sobre a substituição das aulas presenciais por aulas em meios digitais enquanto durar a situação de pandemia do Novo Coronavírus - COVID-19. Diário Oficial da União. 18 mar 2020;Seção 1. Disponível em: http://www.in.gov.br/en/web/dou/-/portaria-n-376-de-3-de-abril-de-2020-251289119. Acesso em: 21 set. 2020.
8. Krom H, Visser M, Hulst, JM, et al. Serious complications after button battery ingestion in children. European Journal of Pediatrics. 2018;177:1063-1070. Disponível em: https://doi.org/10.1007/s00431-018-3154-6.
9. Singh N, Chong J, Ho J, et al. Predictive factors associated with spontaneous passage of coins: a ten-year analysis of paediatric coin ingestion in Australia. International Journal of Pediatric Otorhinolaryngology. 2018;113:266-271. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0165587618303902?via%3Dihub. Acesso em 22 set. 2020.
10. Semple T, Calder AD, Ramaswamy M, McHugh K. Button battery ingestion in children: a potentially catastrophic event of which all radiologists must be aware. Br J Radiol. 2018; 91: 20160781. Disponível em: https://doi.org/10.1259/bjr.20160781.
11. Leinwand K, Brumbaugh DE, Kramer RE. Button Battery Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions. Gastrointest Endosc Clin N Am. 2016;26(1):99-118. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26616899/.
12. Kramer R, Lerner D, Lin T, et al. Management of ingested foreign bodies in children: a clinical report of the naspghan endoscopy committee. J Pediatr Gastroenterol Nutr. 2015; 60:562-574. Disponível em: https://pubmed.ncbi.nlm.nih.gov/25611037/.
13. Volker J, Volker C, Schendzielorz P, et al. Pathophysiology of esophageal impairment due to button battery ingestion. International Journal of Pediatric Otorhinolaryngology. 2017;100:77-85. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28802391/. Acesso em: 22 set. 2020.
14. Suchismita A, Ranjan R, Jha AK, et al. Complicated Cases of Lithium Battery Ingestion: Delay can be Deadly. Journal of Digestive Endoscopy. 2018;9(4):184-187. Disponível em: https://www.researchgate.net/publication/331016199_Complicated_cases_of_lithium_battery_ingestion_Delay_can_be_deadly. Acesso em: 22 set. 2020.
15. Safadi MAP. The intriguing features of Covid-19 in children and its impact on the pandemic. Jornal de Pediatria. 2020;96(3): 265-268. Disponível em: https://doi.org/10.1016/j.jped.2020.04.001.