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Kerosene poisoning


Definition:

Kerosene is an oil used as a fuel for lamps, as well as heating and cooking. This article discusses the harmful effects from swallowing or breathing in kerosene.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

Alternative Names:

Lamp oil poisoning; Coal oil poisoning

Poisonous Ingredient:
  • Hydrocarbons, substances that contain only hydrogen and carbon.
Where Found:
  • Kerosene (a fuel used for heating and cooking)
  • Some lamp fuels

Note: This list may not be all-inclusive.

Symptoms:

Airways and lungs:

  • Breathing difficulty (from inhalation)
  • Throat swelling (may also cause breathing difficulty)

Eyes, ears, nose, and throat:

  • Pain
  • Vision loss

Gastrointestinal system:

  • Abdominal pain
  • Bloody stools
  • Burns of the esophagus (food pipe)
  • Vomiting, possibly with blood

Heart and blood:

  • Collapse
  • Low blood pressure -- develops rapidly

Nervous system:

  • Convulsions
  • Depression
  • Dizziness
  • Drowsiness
  • Euphoria ("drunk" feeling)
  • Headache
  • Loss of alertness (unconsciousness)
  • Seizures
  • Staggering
  • Weakness

Skin:

  • Burns
  • Irritation
Home Care:

Get medical help right away. Do NOT make the person throw up unless told to do so by poison control or a health care professional.

If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do NOT give water or milk if the person is unconscious (has a decreased level of alertness).

If the person breathed in the poison, immediately move him or her to fresh air.

Before Calling Emergency:

Determine the following information:

  • The person's age, weight, and condition
  • The name of the product (ingredients and strengths, if known)
  • The time it was swallowed
  • The amount swallowed
Poison Control:

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

See: Poison control center - emergency number

What to Expect at the Emergency Room:

The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:

  • Breathing support, including tube through the mouth into the lungs, and breathing machine (ventilator)
  • Bronchoscopy -- camera down the throat to see burns in the airways and lungs
  • Chest x-ray
  • EKG (heart tracing)
  • Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
  • Fluids through a vein (IV)
  • Surgical removal of burned skin (skin debridement)
  • Tube through the mouth into the stomach to wash out the stomach (gastric lavage)
  • Washing of the skin (irrigation) -- perhaps every few hours for several days
Outlook (Prognosis):

How well a person does depends on the amount of poison swallowed and how quickly treatment was received. The faster a person gets medical help, the better the chance for recovery.

Swallowing kerosene may cause damage to the linings of the mouth, throat, esophagus (food pipe), stomach, and intestines. If kerosene gets into the lungs (aspiration), serious and, possibly, permanent lung damage can occur.

Damage can continue to occur for several weeks after the poison was swallowed. Death may occur as long as a month later.

References:

Lee DC. Hydrocarbons. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 158.

Mirkin DB. Benzene and related aromatic hydrocarbons. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 94.


Review Date: 1/29/2014
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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