Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing

Bismuth iodoform paraffin paste (BIPP) gauze is widely used as an antiseptic wound packing in otolaryngology, head, and neck surgery. Uncommonly, BIPP can cause intoxication. Our report highlights an elderly patient who developed encephalopathy and overt myoclonus after nasopharyngectomy secondary t...

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Detalles Bibliográficos
Autores principales: Tan, Rong, Neo, Shermyn, Gan, Jereme, Fu, Ernest, Lim, Ming Yann, Li, Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570226/
https://www.ncbi.nlm.nih.gov/pubmed/34754681
http://dx.doi.org/10.7759/cureus.18530
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author Tan, Rong
Neo, Shermyn
Gan, Jereme
Fu, Ernest
Lim, Ming Yann
Li, Hao
author_facet Tan, Rong
Neo, Shermyn
Gan, Jereme
Fu, Ernest
Lim, Ming Yann
Li, Hao
author_sort Tan, Rong
collection PubMed
description Bismuth iodoform paraffin paste (BIPP) gauze is widely used as an antiseptic wound packing in otolaryngology, head, and neck surgery. Uncommonly, BIPP can cause intoxication. Our report highlights an elderly patient who developed encephalopathy and overt myoclonus after nasopharyngectomy secondary to intoxication by the components of the BIPP gauze. The patient’s impaired renal function, the amount of BIPP packing and the extensive nature of his wound likely predisposed him to BIPP toxicity. The myoclonus and delirium resolved promptly after removal of the BIPP packs. Clinicians should be aware of the clinical features of BIPP intoxication because of its common usage.
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spelling pubmed-85702262021-11-08 Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing Tan, Rong Neo, Shermyn Gan, Jereme Fu, Ernest Lim, Ming Yann Li, Hao Cureus Neurology Bismuth iodoform paraffin paste (BIPP) gauze is widely used as an antiseptic wound packing in otolaryngology, head, and neck surgery. Uncommonly, BIPP can cause intoxication. Our report highlights an elderly patient who developed encephalopathy and overt myoclonus after nasopharyngectomy secondary to intoxication by the components of the BIPP gauze. The patient’s impaired renal function, the amount of BIPP packing and the extensive nature of his wound likely predisposed him to BIPP toxicity. The myoclonus and delirium resolved promptly after removal of the BIPP packs. Clinicians should be aware of the clinical features of BIPP intoxication because of its common usage. Cureus 2021-10-06 /pmc/articles/PMC8570226/ /pubmed/34754681 http://dx.doi.org/10.7759/cureus.18530 Text en Copyright © 2021, Tan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Tan, Rong
Neo, Shermyn
Gan, Jereme
Fu, Ernest
Lim, Ming Yann
Li, Hao
Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title_full Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title_fullStr Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title_full_unstemmed Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title_short Myoclonus From Intoxication by Bismuth Iodoform Paraffin Paste (BIPP) Nasopharyngeal Packing
title_sort myoclonus from intoxication by bismuth iodoform paraffin paste (bipp) nasopharyngeal packing
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570226/
https://www.ncbi.nlm.nih.gov/pubmed/34754681
http://dx.doi.org/10.7759/cureus.18530
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