Abstract
This case involves a 2-year-old female who ingested some of her father’s prescribed medication. She presented early to the emergency department where she received activated charcoal. On a follow-up call from the local poison control center 3 days later, she had developed vomiting, agitation, and appeared to have increased work of breathing. We review possible causes for the patient’s symptoms including thyroid hormone toxicity, lithium toxicity, and management guidelines for her specific overdose.
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References
Cytomel [package insert]. Pfizer, New York. 2014. http://labeling.pfizer.com/ShowLabeling.aspx?id=703. Accessed 28 Apr 2015.
Das G, Krieger M. Treatment of thyrotoxic storm with intravenous administration of propranolol. Ann Int Med. 1969;70:985–8.
Ho J, Jackson R, Johnson D. Massive levothyroxine ingestion in a pediatric patient: a case report and discussion. CEJM. 2011;13(3):165–8.
Holland KE, Frieden IJ, Frommelt PC, Mancini AJ, Wyatt D, Drolet BA. Hypoglycemia in children taking propranolol for the treatment of infantile hemangioma. Arch Dermatol. 2010;146(7):775–8.
Kaiserman I, Avni M, Sack J. Kinetics of the pituitary-thyroid axis and the peripheral thyroid hormones in 2 children with thyroxine intoxication. Horm Res. 1995;44(5):229–37.
Lazar I, Kalter-Leibovici O, Pertzelan A, Weintrob N, Josefsberg Z, Phillip M. Thyrotoxicosis in prepubertal children compared with pubertal and postpubertal patients. J Clin Endocrinol Metab. 2000;85:3678–82.
Lewander WJ, Lacouture PG, Silva JE, Lovejoy FH. Acute thyroxine ingestion in pediatric patients. Pediatrics. 1989;84(2):262–5.
Litovitz TL, White JD. Levothyroxine ingestions in children: an analysis of 78 cases. Am J Emerg Med. 1985;3(4):297–300.
Majlesi N, Greller HA, McGuigan MA, Caraccio T, Su MK, Chan GM. Thyroid storm after pediatric levothyroxine ingestion. Pediatrics. 2010;126(2):e470–3. http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=20643722.
Mandel SH, Magnusson AR, Burton BT, Swanson JR, LaFranchi SH. Massive levothyroxine ingestion. Conservative management. Clin Pediatr. 1989;28(8):374–6.
Mariotti S, Marino E, Cupin C, et al. Low serum thyroglobulin as a clue to the diagnosis of thyrotoxicosis factitia. N Engl J Med. 1982;307:410–2.
Milner MR, Goldman ME. Diltiazem for the treatment of thyrotoxicosis. Arch Intern Med. 1989;149(5):1217.
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Murphy, C., McKay, C. (2017). Case 13 Thyroid Supplement Ingestion. In: Dye, L.R., Murphy, C., Calello, D.P., Levine, M.D., Skolnik, A. (eds) Case Studies in Medical Toxicology. Springer, Cham. https://doi.org/10.1007/978-3-319-56449-4_13
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DOI: https://doi.org/10.1007/978-3-319-56449-4_13
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