Case: Near Drowning

A boy of 13 months admitted in our hospital after 4 days of drowning with unconsciousness and repeated convulsion.

He was drowned in salt water pond four days back and stayed drowned for half an hour. After recovery from the pond, he was admitted in the local health centre but with no improvement.

On admission in our hospital he was unconscious and hypotonic. his GCS score was 4/15,
Hr-136/m, BP-120/70 mmHg, He was dysnoec but there was no other chest finding.
Opthalmoscope finding was normal.

His CBC, electrolytes was found normal.X-ray chest -normal.

He was labeled as a case of Near Drowning.

His convulsion was difficult to control. After repeated trial with Inj Phenobarbitone, Phenytoin and mannitol , it was controlled after after 2 days. By the next, few days though he regained his consciousness, but he developed spasticity of the limbs, visual impairment and hearing defect.


Dr. Badrud Doza
Dr. Fahim

Link: Drowning