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(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.

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Presentation on theme: "(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also."— Presentation transcript:

1 (A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also in the room, and the parents reported that the vomitus smelled like the rubefacient (a very strong, pleasant smell of wintergreen or mint). A sample of the rubefacient balm was available (most of the package label was worn off, and the remaining label, printed in Chinese, did not identify the ingredients). (B) Positive ferric chloride reaction. Application of ferric chloride to the product yielded a purple color (positive ferric chloride test). In its natural state, ferric chloride is translucent brown, and upon reaction with salicylate it produces a purple hue. (Photo contributor: Robert J. Hoffman, MD.) Source: Chapter 17. Toxicology, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: October 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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