1. Camphor poisoning is exclusively
seen in Hindus for whom camphor is an important
component of puja material.
2. Todlers 1 to 3 years are commonly
involved since they have easy access to camphor when
they are playing arround grandparents busy in performing
puja with camphor arround.
3. Most common presentation is
afebrile seizures.
4. Camphor is so rapid acting that
child gets seizures within seconds of camphor ingestion.
5. Very small doses can cause
seizures. I remember a 1-year-old child brought with
seizures who had consumed prasad of coconut piece just
coated with camphor because both camphor and coconut
were lying in close vicinity in same puja thali.
6. Camphor poisoning is so common in
our region that I have made a dictum that any small
child if brought with afebrile seizures for the first
time in life, always ask history of camphor ingestion.
In 50 to 60% cases I could get positive history.
Generally parents do not provide history of camphor
ingestion unless asked for and I have seen patients
getting investigated in detail for that afebrile seizure
episode in form of CSF/CT/EEG etc, which is unnecessary
if you can extract the correct history.
7. Generally a single dose of IV
midazolam was found to be enough and patient became
totally normal within one or two hours, with no residual
deficit.
All the above observations are based not
on literature but purely on personal experience and evidence
in pediatric practice over last 32 years.