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Jagadish Kumar, K.
- Eucalyptus Oil Poisoning
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Authors
Affiliations
1 Department of Pediatrics, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, IN
2 Department of Pediatrics, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, IN
1 Department of Pediatrics, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, IN
2 Department of Pediatrics, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, IN
Source
Toxicology International (Formerly Indian Journal of Toxicology), Vol 22, No 1 (2015), Pagination: 170-171Abstract
A 6-year-old boy presented with status epilepticus within 10 min of accidental ingestion of 10 ml of Eucalyptus oil. He had eight episodes of tonic-clonic convulsions which were controlled with intravenous (i.v.) phenytoin and valproate. There was no previous history of seizures.His Kidney function tests (KFTs), Liver function tests (LFTs), blood sugar, and serum calcium were normal.His electroencephalogram (EEG) showed spikes. Child improved tremendously within 20 h and was discharged.
- Myocarditis Complicating Viper Snake Bite in a Child
Abstract Views :568 |
PDF Views:4
Authors
Affiliations
1 Department of Pediatrics, JSS Medical College, JSS University, Mysore, IN
1 Department of Pediatrics, JSS Medical College, JSS University, Mysore, IN
Source
Toxicology International (Formerly Indian Journal of Toxicology), Vol 24, No 2 (2017), Pagination: 211-215Abstract
Snake bites are important medical emergencies in clinical practice. Viper bite envenomation classically comprise of local cellulitis, coagulopathy and nephrotoxicity. Cardiovascular manifestations are rarely reported which usually include non-specific ECG changes.We report 12 year old boy who developed shock and myocarditis following viper envenomation along with coagulopathy and kidney injury.Keywords
Viper Envenomation, Shock, Myocarditis, Coagulopathy, AKI.References
- David A Warrell. Guidelines for the management of snake-bites. World Health Organization, New Delhi. 2010. India.
- Agarwal A, Kumar T, Ravindranath K S, Bhat P, Manjunath C N, Agarwal N. Sinus node dysfunction complicating viper bite. Asian Cardiovascular and Thoracic Annals. 2015; 23: 212-214.
- Thewjitcharoen Y, Poopitaya S. Ventricular Tachycardia, A Rare Manifestation of Russell’s Viper Bite: Case Report. J Med Assoc Thai 2005; 88:1931-1933.
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- Kularatne S A M. Epidemiology and clinical picture of the russell’s viper (daboia russelii russelii) bite in Anuradhapura, Sri lanka: a prospective study of 336 patients. Southeast Asian J Trop Med Public Health.2003;34:855-861.
- Seneviratne S L, Gunatilake S B, Fonseka M M, Adhikari A A, de Silva H J. Lack of myocardial damage following Sri Lankan Russell’s viper and hump-nosed viper bites. Ceylon Med J 1999;44:70-73.
- Bhatt A, Menon A A, Bhat R, Ramamoorthi K. Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite. BMJ Case Rep. 2013; 2013: bcr2013200336.
- Kularatne S A M, Silva A, Weerakoon K, Maduwage K, Walathara C, Ran Paranagama R, Mendis S. Revisiting Russell’s Viper (Daboia russelii) Bite in Sri Lanka: Is Abdominal Pain an Early Feature of Systemic Envenoming?. PLoS One. 2014; 9(2): e90198.
- Caforio A L P, Pankuweit S, Arbustini E, Basso C, Gime-no-Blanes J, Felix S B et al.
- Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013;34:2636-2648.
- Gupta P, Mahajan N, Gupta R, Gupta P, Chowdhary I, Singh P, Gupta A K, Kakkar M. Cardiotoxicity Profile of Snake Bite. JK Science.2013;15:169-173.
- A Child with Coma, Hypotension, Respiratory Depression and Cardiac Conduction Disturbance - Carbamazepine Poisoning
Abstract Views :568 |
PDF Views:4
Authors
Affiliations
1 Department of Paediatrics, JSS Medical College, JSS University, Mysore, IN
1 Department of Paediatrics, JSS Medical College, JSS University, Mysore, IN
Source
Toxicology International (Formerly Indian Journal of Toxicology), Vol 24, No 3 (2017), Pagination: 309-312Abstract
Previously healthy child presenting with coma, hypotension and respiratory depression is challenge to the treating clinician. The wide availability of anticonvulsants increases the risk of overdose, may be intentional or accidental. Adequate history taking is very important to clinch the diagnosis. The clinical spectrum of carbamazepine poisoning may range from drowsiness to profound coma with respiratory failure. Cardiotoxicity is rare, presents primarily as conduction disturbances. Here with we report a 14 year old boy who presented with coma, respiratory depression, hypotension and cardiac involvement. The diagnosis of carbamazepine toxicity was revealed only after adequate history taking and toxicology screening.Keywords
Carbamazepine, Coma, Conduction Disturbance, Hypotension, Screening.References
- Spiller HA. Management of carbamazepine overdose. Pediatr Emerg Care. 2001; 17:452-456.
- Pediatric Carbamazepine Toxicity Treatment & Management. Author: Muhammad Waseem. Chief Editor: Timothy E Corden.Updated: March 10,2016. http://emedicine.medscape.com/article/1011240-treatment.
- Lifshitz M, Gavrilov V, Sofer S.Signs and symptoms of carbamazepine overdose in young children. Pediatr Emerg Care. 2000;16:26-27.
- Gheshlaghi F, Yaraghi A, Soh EH, Ghoreishi A. Relationship of Cardiovascular Complications with Level of Consciousness in Patients with Acute Carbamazepine Intoxication. Med Arh. 2012; 66: 9-11.
- Bridge TA, Norton RL, Robertson WO.Pediatric carbamazepine overdoses. Pediatr Emerg Care. 1994;10:260-263.
- Schmidt S, Schmitz-Buhl M. Signs and symptoms of carbamazepine overdose. J Neurol 1995; 242:169-173.
- Spiller HA, Krenzelok EP. Carbamazepine overdose: serum concentration less predictive in children. J Toxicol Clin Toxicol. 1993;31:459-460
- Ciszowski K, Szpak D, Jenner B. The influence of carbamazepine plasma level on blood pressure and some ECG parameters in patients with acute intoxication. Przegl Lek.2007; 64: 248-251
- Apfelbaum J D, Caravati E M, Kerns W P et al. Cardiovascular effects of carbamazepine toxicity. Ann Emerg Med. 1995; 25: 631-635.
- Patel VH, Schindlbeck MA, Bryant SM. Delayed elevation in carbamazepine concentrations after overdose: a retrospective poison center study. Am J Ther. 2013; 20:602-606.