Abstract:

Although it’s rare in childhood, the transmission of foreign bodies through the veins can lead to fatal complications. Most of the phenomena in literature are the result of the accidental delivery of intra-ernal nutrition formulas through the veins. As far as we know, our event is the first case in which cow milk is made from the veins. In the presentation of this fact, we are discussing the clinical picture and treatment of the 17-year-old girl nursing student developing after she was injected with intravenous pastoriasis and homogenized cow’s milk with the reason she was worried about the result. A 17-year-old girl was brought to our emergency unit after she injected cow’s milk from her vessels. In the bed; angioedema, gastrointestinal complaints, dyspnea, tachycardia and with it resistant low blood pressure. Later, in laboratory findings, leukositosis and D-dimer height developed. In the clinical appearance of our patient and in the laboratory findings it was diagnosed with anaphylaxis with specific IgE positivity in cow’s milk. At the beginning, adrenaline, corticosteroid and antihistaminic therapy were applied to our case. Inotropic medications and broad spectrum antibiotics, including catecolamine, were added to the treatment for resistant low blood pressure and sepsis prevention. To prevent high D-dimer levels and embolic events, low molecular weight heparin treatment was given. After treatment efforts, the symptoms of sepsis, thrombosis, embolism and multi-organ insufficiency did not develop. On the sixth day of hospitalization, the incident was discharged without neurological complications and inherently. While the development of a table, such as sepsis and septic shock, after such an attempt is usually expected, the development of anaphylactic table, which was previously present in our patient but unnoticed, linked to mild beef milk sensitivity, has been surprising.

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