Skin and mucous skin burns from manganese

Manganese is often used as a convenient and simple disinfectant. The solution of this powder has excellent antiseptic and deodorizing properties, which allows it to be used to treat certain skin or internal diseases and injuries. But you need to remember that misuse of the drug can trigger a burn from the potassium permanganate.

[1], [2], [3]

Causes of the burn from manganese

Among the causes of burns: the use of a too concentrated solution for the treatment of the skin, and in addition, accidental ingestion of the solution (most often in children). In this case, a chemical burn of the esophagus and its mucous membranes, as well as the stomach, is possible; potassium permanganate can provoke the strongest food poisoning.

[4],

Pathogenesis

An important value in the pathogenesis of acute burns with potassium permanganate is the cauterizing effect of this substance on mucous membranes, which is manifested when rinsing or douching with a strong solution or as a result of internal reception. Cauterizing action causes dyspepsia, and in addition, it can lead to the development of shock or mechanical asphyxia due to laryngeal edema. After absorption through the mucous membranes, potassium permanganate has a toxic effect on the functioning of the central nervous system, kidneys and liver, as well as the uterus (its contractile function is enhanced) and the respiratory functions of the blood (conversion of hemoglobin to mettemoglobin).

[5], [6], [7], [8]

Symptoms of the burn from manganese

The first signs of a burn of the digestive tract appear immediately after the manganese enters the body. Allocate the following symptoms:

• A sharp pain, as well as a burning sensation in the chest;
• As a result of the laryngeal edema, suffocation begins, the person lacks air;
• In the oral cavity, as well as on the lips, there are traces of necrosis of tissues with the development of necrosis, as well as burns;
• Due to spasm of the respiratory tract and pharynx, the patient becomes difficult to swallow;
• Salivation increases;
• Vomiting begins, often there is blood in it. In a similar way, the body rejects the chemical components trapped inside.

In the case of eye contact, the crystals of manganese, penetrated into the conjunctival sac, cause burns of the cornea and conjunctiva. Symptoms are severe lachrymation, pain and a fear of light. Externally - the conjunctiva becomes dark brown, rough, and besides it starts to swell. The cornea acquires the same color, and its luster decreases. Also falls vision.

[9],

A burn from a manganese in a child or a newborn

In case of a child's disease with chickenpox, it starts from the first day in a bath filled with a weak solution of manganese. In addition, newborns that have not yet healed the navel are washed in a similar way (using a slightly pink solution). But at the same time for processing the navel, you need to use a more saturated solution - a bright pink color.

In general, doctors do not recommend the use of this solution for bathing children, since in safe concentrations it is useless as a disinfectant, and the concentration necessary to obtain such an effect is fraught with a burn.

[10], [11]

Burn from the potassium permanganate on the vaginal mucosa

Douching with an excessively concentrated solution of manganese can cause very serious burns to the mucous membrane, which in the future will be regarded by doctors as pockets of erosion. In some cases, as a result of this procedure, the patients developed vaginitis.

[12]

Complications and consequences

Among the complications and consequences of a burn of the esophagus is potassium permanganate: nausea with vomiting, coughing, diarrhea with blood, and in the future the appearance of signs of hemorrhagic colitis. As the laryngeal mucosa begins to swell, choking and asphyxiation with blue skin may appear. After the potassium permanganate is absorbed into the mucous membranes, motor excitement begins, as well as phenomena characteristic of parkinsonism. With the development of methemoglobinemia, cyanosis begins with dyspnea.

If the poisoning continues to progress, symptoms such as burn shock begin to appear , and in addition, renal or hepatic insufficiency in acute form (Gospel disease, toxic hepatitis, hematuria, and anuria), collaptoid or convulsive reaction, and in addition bronchopneumonia. A pregnant woman may have a miscarriage.

[13], [14]

Diagnostics of the burn from manganese

The burn from the potassium permanganate is diagnosed by the presence of characteristic signs: pain in the throat when swallowing, increased salivation, vomiting, in which there may be blood veins or clots, pain in the pit, bloody diarrhea. Point burns from the lenses of potassium permanganate are noticeable on the skin-neck, face, chest, arms. Mucous acquire a brownish-violet shade, bleeding erosions appear on them.

In case of severe burns, a laryngeal edema is diagnosed, because of which the voice gap narrows sharply, provoking asphyxia (in this case, an immediate tracheotomy is required). The appearance of convulsions together with motor excitation is a sign of damage to brain toxins. A blood test shows an increase in the level of methemoglobin.

[15], [16]

Treatment of the burn from manganese

To treat the burn of the esophagus with potassium permanganate, the stomach must be rinsed (at the same time it is required to rinse the throat and mouth) with 2 liters of water containing 3% H2O2 solution (100 g), as well as 3% ethanic acid solution (200 g) . The peroxide together with the acid acts as a reducing agent, thereby acting as an antidote against the manganese and prevents the appearance of caustic alkali together with atomic oxygen.

This procedure should be repeated until the washing water is completely discolored. Mucous oral cavity, as well as tongue and gums need to be wiped with a napkin, which is pre-wetted in the same solutions (proportions 1 to 1). Together with this, the patient should drink a 5% solution of sodium thiosulfate (for the first 30 minutes 1-2 stacks). You can also wash the stomach with warm water, which is added with activated charcoal (10-15 g per 1 liter of liquid), and 1% solution of sodium thiosulfate. Upon completion of the washing procedures, it is necessary to take castor oil, which acts as a laxative.

In case of eye burn, 1 ml of a 5% solution of vitamin C should be injected under the conjunctiva, and a sulfonamide or ointment based on antibiotics should be placed behind the eyelids. Further, in the course of treatment, eye drops are administered with the help of corticosteroids, as well as antibacterial drops.

What to do with a burn from a potassium permanganate?

In case of skin burns with potassium permanganate, it is necessary to cool the damaged area with running cold water or to cover it with snow / ice. Cooling can relieve acute pain. If the burn has a 1st degree, the pain will disappear after cooling, and the burn will resemble only the peeling of the skin on the site of the lesion. In case of severe burns, cooling, in addition to alleviating the pain, will help prevent plasma sweating, so that large bubbles do not appear on the skin.

In case of eye burn, you need to carefully and carefully remove the manganese crystals from the conjunctival sac. To do this, wash your eyes with a 5% tannin solution (if not, use strong tea).

Medications

In case of a food burn to reduce pain, patients are prescribed narcotic painkillers, as well as liquid (for drinking) containing 0.5% novocaine solution. To prevent the risk of bleeding, patients take medicines with calcium, and also vikasol. If the patient has methemoglobinemia, he is injected with methylene blue solution.

If there is a shock, transfusion of plasma, blood, and also their substitutes is performed. In addition, the patient is administered hydrocortisone acetate and vasoconstrictive drugs (metazone, as well as norepinephrine hydrotartrate).

To prevent the development of renal failure, a bilateral paranephric neocaine blockade is performed. To eliminate seizures, barbiturates of a short type of action (such as hexenal or thiopental sodium) are used.

Vitamins

During the treatment, intensive vitamin therapy is performed: vitamin B1 (2.5% solution, 1 ml dose 2.5% IM), vitamin B12 (dosage up to 1000 mcg / day), vitamin B6 (5% solution, 3 ml dose in / m), vitamin C (40% glucose solution (500 mg with 20 ml) IV), vitamin A (daily dosage of 50-100 thousand IU IM).

Alternative treatment

Place the lesion to lubricate any oil (suitable for sea buckthorn, vegetable, etc.). In addition, you can use as an ointment a yolk or a protein of a chicken egg. Also on the burn put grated raw potatoes (1 pc.), And in addition, in some cases sprinkle with soda.

To remove pain, you can use glycerin, which treat the burned place. Sometimes sauerkraut is applied to the skin, which should often be replaced.

[17], [18], [19], [20],

Prevention

Preventive measures when bathing a child in a solution of potassium permanganate:

• The substance must be freshly prepared, and also carefully filtered. It is necessary to dilute the powder in a small amount of liquid, so that it has acquired a crimson shade, and then it is good to strain. The resulting mixture should be added to the bath with water until it gets a pale pink shade;
• It is strictly forbidden to pour the crystals of potassium permanganate into the bath, as this can cause a severe burn if the skin contacts the undissolved substance.

[21], [22], [23],

Forecast

The burn from the potassium permanganate on the skin is not considered fatal, but when you receive it, you should still consult a doctor, not relying solely on alternative medications. In case of esophagus burn, the prognosis may be unfavorable, therefore, if you (or your child) accidentally swallowed potassium permanganate crystals or drank its highly concentrated solution, you should immediately call an ambulance to avoid serious consequences.