Cargando…
Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report
A 28-month-old boy mistakenly received intranasal atropine sulfate instead of Otrivin (xylometazoline hydrochloride) for the treatment of adenoid hypertrophy. Later on, he came to the emergency department with anticholinergic manifestations after the administration of multiple drops. The child prese...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838643/ https://www.ncbi.nlm.nih.gov/pubmed/31381360 http://dx.doi.org/10.5144/0256-4947.2019.279 |
_version_ | 1783467258828292096 |
---|---|
author | Alaula, Lama S. Al-Kadi, Mohammad Almajed, Abdullah Alhedaithy, Riyadh |
author_facet | Alaula, Lama S. Al-Kadi, Mohammad Almajed, Abdullah Alhedaithy, Riyadh |
author_sort | Alaula, Lama S. |
collection | PubMed |
description | A 28-month-old boy mistakenly received intranasal atropine sulfate instead of Otrivin (xylometazoline hydrochloride) for the treatment of adenoid hypertrophy. Later on, he came to the emergency department with anticholinergic manifestations after the administration of multiple drops. The child presented with a tonic-clonic seizure lasting for a few minutes, followed by a brief loss of consciousness, vomiting, agitation, and irritability, all of which were stabilized by a dose of intravenous lorazepam. Subsequently, he was admitted to the pediatric intensive care unit for observation. Afterwards, he developed agitation and unsteady gait, both of which resolved after receiving neostigmine. Eventually, the child became asymptomatic and was discharged home. To the best of our knowledge, only one similar case has been reported in the literature. SIMILAR CASES PUBLISHED: 1 |
format | Online Article Text |
id | pubmed-6838643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-68386432019-11-21 Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report Alaula, Lama S. Al-Kadi, Mohammad Almajed, Abdullah Alhedaithy, Riyadh Ann Saudi Med Case Report A 28-month-old boy mistakenly received intranasal atropine sulfate instead of Otrivin (xylometazoline hydrochloride) for the treatment of adenoid hypertrophy. Later on, he came to the emergency department with anticholinergic manifestations after the administration of multiple drops. The child presented with a tonic-clonic seizure lasting for a few minutes, followed by a brief loss of consciousness, vomiting, agitation, and irritability, all of which were stabilized by a dose of intravenous lorazepam. Subsequently, he was admitted to the pediatric intensive care unit for observation. Afterwards, he developed agitation and unsteady gait, both of which resolved after receiving neostigmine. Eventually, the child became asymptomatic and was discharged home. To the best of our knowledge, only one similar case has been reported in the literature. SIMILAR CASES PUBLISHED: 1 King Faisal Specialist Hospital and Research Centre 2019-07 2019-08-05 /pmc/articles/PMC6838643/ /pubmed/31381360 http://dx.doi.org/10.5144/0256-4947.2019.279 Text en Copyright © 2019, Annals of Saudi Medicine, Saudi Arabia This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). The details of which can be accessed at http://creativecommons.org/licenses/bync-nd/4.0/ |
spellingShingle | Case Report Alaula, Lama S. Al-Kadi, Mohammad Almajed, Abdullah Alhedaithy, Riyadh Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title | Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title_full | Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title_fullStr | Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title_full_unstemmed | Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title_short | Atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
title_sort | atropine toxicity caused by erroneous intranasal administration in a pediatric patient: case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838643/ https://www.ncbi.nlm.nih.gov/pubmed/31381360 http://dx.doi.org/10.5144/0256-4947.2019.279 |
work_keys_str_mv | AT alaulalamas atropinetoxicitycausedbyerroneousintranasaladministrationinapediatricpatientcasereport AT alkadimohammad atropinetoxicitycausedbyerroneousintranasaladministrationinapediatricpatientcasereport AT almajedabdullah atropinetoxicitycausedbyerroneousintranasaladministrationinapediatricpatientcasereport AT alhedaithyriyadh atropinetoxicitycausedbyerroneousintranasaladministrationinapediatricpatientcasereport |