Successful Management of Adolescent Bupropion Overdose with Intravenous Lipid Emulsion Therapy.
Bupropion
Wellbutrin
antidepressant
lipid emulsion therapy
overdose
Journal
Journal of pediatric intensive care
ISSN: 2146-4618
Titre abrégé: J Pediatr Intensive Care
Pays: Germany
ID NLM: 101592756
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
15
05
2019
accepted:
11
06
2019
entrez:
2
11
2019
pubmed:
2
11
2019
medline:
2
11
2019
Statut:
ppublish
Résumé
Bupropion overdose in the pediatric setting poses significant potential for toxicity. We present the case of a 15-year-old female patient presenting with intentional bupropion overdose resulting in generalized tonic-clonic seizures, severe acidosis, vomiting, and tachycardia after ingestion of between 1,650 to 9,000 mg (24-133 mg/kg) of bupropion. The patient was admitted to pediatric intensive care unit (PICU) where toxicity was resolved promptly following administration of intravenous lipid emulsion (ILE) infusion. ILE is a first-line treatment for other forms of toxicity including unintended local anesthetic administration. ILE use is not a first-line treatment in this setting, but this case presents a positive subsequent patient outcome.
Identifiants
pubmed: 31673461
doi: 10.1055/s-0039-1693483
pii: 1900024
pmc: PMC6821528
doi:
Types de publication
Case Reports
Langues
eng
Pagination
242-246Informations de copyright
© Thieme Medical Publishers.
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