• Bezalel Hakkeem, Siju Varghese Abraham, Kassyap Cheru Kandiyil, Mark Silverberg, Bensy Mathew, Velichapat Ramakrishnan Ramakrishnan, Thalakottur Kuriakose Joseph, and Bhaskarankartha Vikraman.
• Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India; Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
• J Emerg Med. 2020 Dec 1; 59 (6): 900-905.

BackgroundGlutaraldehyde is a commonly used disinfectant in most hospitals. It is known to be an irritating agent to the airway. With the exception of one small-quantity (75 mL) ingestion, no large-volume ingestion has been previously reported.Case ReportA 59-year-old man presented with history of large-volume (500 mL) consumption of a solution containing 10% glutaraldehyde and developed respiratory distress, as well as gastrointestinal and kidney injury. His ingestion necessitated a feeding jejunostomy tube placement and tracheostomy. His condition improved with supportive care and he was discharged after 1 month with no long-term sequelae. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Ingestion of this easily accessible agent, which may initially seem clinically benign, warrants close observation. Emergent airway stabilization and supportive care is crucial to the survival of the patient.Copyright © 2020 Elsevier Inc. All rights reserved.

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