• Eur. J. Pediatr. · Jul 2013

    Review Case Reports

    Bilateral vocal palsy following coin cell lithium battery ingestion: a case report and review.

    • Mathieu Simonin, Irène D'Agostino, Mélanie Lebreton, Olivier Jughon, Jamil Hamza, and Mehdi Oualha.
    • Service de Réanimation Chirurgicale Pédiatrique, Hôpital Necker Enfants-Malades, Assistance Publique- Hôpitaux de Paris, Faculté de Médecine, Université Paris-Descartes, 149, Rue de Sèvres, 75743 Paris Cedex 15, France.
    • Eur. J. Pediatr. 2013 Jul 1; 172 (7): 991-3.

    UnlabelledButton battery ingestion in children is not a rare occurrence and may be unwitnessed and can be soon life-threatening or responsible for severe sequelae. We report herein an original history of previously healthy 16-month-old boy with an unwitnessed and misdiagnosis of lithium cell coin battery ingestion which leads to bilateral vocal palsy. The patient underwent a unilateral posterior cordotomy and was successfully extubated.ConclusionEarly recognition of a lithium cell coin battery for rapid removal, even if insufficient at first, is the main condition to limit complications. Unusual upper respiratory distress in a young child should alert practitioners in performing a chest and neck X-ray without undue delay.

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