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CASE STUDY: Cinnamon Aspiration in a Toddler Causing Severe ARDS Requiring Surfactant and Extracorporeal Membrane Oxygenation
  • +3
  • Gene Peir,
  • Kaitlyn Boggs,
  • Pela Soto,
  • Matthew Sharron,
  • Iman Sami,
  • Terry Dean
Gene Peir
Children's National Hospital
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Kaitlyn Boggs
Children's National Hospital
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Pela Soto
Children's National Hospital
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Matthew Sharron
Children's National Hospital
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Iman Sami
Children's National Health System
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Terry Dean
UCSF Benioff Children's Hospital
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Abstract

As many as 6% of reported cinnamon poisonings cause significant clinical effects, however descriptions of pulmonary toxicity have not yet been reported. Here, we present a pediatric patient’s hospital course following powdered cinnamon aspiration. The early presentation with hypercapnia and lower airways obstructions evolved to hypoxemic respiratory failure and severe pediatric acute respiratory distress syndrome requiring a 7-day course of veno-venous extracorporeal membrane oxygenation, 16 ventilator-days, and 3 diagnostic and therapeutic bronchoscopies with 2 applications of surfactant therapy. The sum of these modalities contributed to this patient’s survival and subsequent return to respiratory baseline 6 months post-hospitalization.

Peer review status:IN REVISION

19 Jul 2021Submitted to Pediatric Pulmonology
20 Jul 2021Assigned to Editor
20 Jul 2021Submission Checks Completed
21 Jul 2021Reviewer(s) Assigned
11 Sep 2021Review(s) Completed, Editorial Evaluation Pending
11 Sep 2021Editorial Decision: Revise Minor