Acute Pediatric Toxic Ingestion of Automotive Grease: Full Remission via Conservative Management

Salah Eldin Abdel Hag Abdel Haleem1– 31Department of Pharmacology, Faculty of Medicine, Al-Baha University, Al-Baha, Kingdom of Saudi Arabia; 2Department of Pharmacology, Faculty of Medicine, University of Bahri, Khartoum, Sudan; 3Center for Addiction Sciences, Universiti Malaya, Federal Territory, Kuala Lumpur, MalaysiaCorrespondence: Salah Eldin Abdel Hag Abdel Haleem, Email [email protected]: The accidental ingestion of automotive lubrication grease presents a distinct clinical challenge due to its high-viscosity semi-solid matrix and thickener profile. They are chemically complex, characterized by long, open carbon chains, a metallic salt group, and potentially toxic polycyclic aromatic hydrocarbons (PAHs). Given its common domestic availability, automotive grease represents a source of potential accidental poisoning. This report details the case of a 5-year-old girl who ingested automotive lubrication grease and subsequently developed acute gastroenteritis. Her symptoms included abdominal pain, excessive bowel movements, excessive salivation, and belching. At presentation, she was fully conscious but displayed irritability and stress. Initial investigations proved inconclusive, failing to yield a definitive diagnosis. Patient stabilization was successfully achieved through oral water intake for irrigation and intravenous fluid administration. Significant improvement was observed following the administration of ondansetron and prednisolone. A complete remission occurred once the ingested substance was passed in the stools. This is a rare and significant clinical presentation of pediatric ingestion of automotive grease with successful conservative management. The case emphasizes the importance of timely intervention and meticulous follow-up in managing unusual toxic exposures in emergency settings.Keywords: pediatric toxicology, hydrocarbon ingestion, petroleum distillate, supportive treatment, emergency medicine