Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone

Clenbuterol is a beta-agonist that has been abused by fitness-oriented individuals for muscle growth and weight loss. We report a case of a 46-year-old man who presented tachycardic, hypokalemic, and hyperglycemic after injecting testosterone obtained from Brazil. He developed refractory hypotension...

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Detalles Bibliográficos
Autores principales: Griswold, Matthew K., Blohm, Eike, Cross, Roderick, Boyer, Edward W., Carey, Jennifer L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965169/
https://www.ncbi.nlm.nih.gov/pubmed/29849287
http://dx.doi.org/10.5811/cpcem.2017.2.33318
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author Griswold, Matthew K.
Blohm, Eike
Cross, Roderick
Boyer, Edward W.
Carey, Jennifer L.
author_facet Griswold, Matthew K.
Blohm, Eike
Cross, Roderick
Boyer, Edward W.
Carey, Jennifer L.
author_sort Griswold, Matthew K.
collection PubMed
description Clenbuterol is a beta-agonist that has been abused by fitness-oriented individuals for muscle growth and weight loss. We report a case of a 46-year-old man who presented tachycardic, hypokalemic, and hyperglycemic after injecting testosterone obtained from Brazil. He developed refractory hypotension and was started on an esmolol infusion for suspected beta-agonist toxicity. Laboratory analysis showed a detectable clenbuterol serum concentration. Analysis of an unopened ampule contained boldenone undecylenate, clenbuterol, and vitamin E. This case illustrates a novel exposure that caused beta-agonist toxicity and was treated successfully with rapid-onset beta blocker.
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spelling pubmed-59651692018-05-30 Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone Griswold, Matthew K. Blohm, Eike Cross, Roderick Boyer, Edward W. Carey, Jennifer L. Clin Pract Cases Emerg Med Case Report Clenbuterol is a beta-agonist that has been abused by fitness-oriented individuals for muscle growth and weight loss. We report a case of a 46-year-old man who presented tachycardic, hypokalemic, and hyperglycemic after injecting testosterone obtained from Brazil. He developed refractory hypotension and was started on an esmolol infusion for suspected beta-agonist toxicity. Laboratory analysis showed a detectable clenbuterol serum concentration. Analysis of an unopened ampule contained boldenone undecylenate, clenbuterol, and vitamin E. This case illustrates a novel exposure that caused beta-agonist toxicity and was treated successfully with rapid-onset beta blocker. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-05-23 /pmc/articles/PMC5965169/ /pubmed/29849287 http://dx.doi.org/10.5811/cpcem.2017.2.33318 Text en © 2017 Griswold et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Griswold, Matthew K.
Blohm, Eike
Cross, Roderick
Boyer, Edward W.
Carey, Jennifer L.
Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title_full Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title_fullStr Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title_full_unstemmed Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title_short Unsuspected Clenbuterol Toxicity in a Patient Using Intramuscular Testosterone
title_sort unsuspected clenbuterol toxicity in a patient using intramuscular testosterone
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965169/
https://www.ncbi.nlm.nih.gov/pubmed/29849287
http://dx.doi.org/10.5811/cpcem.2017.2.33318
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