Fatal asthma or anaphylaxis?
Open Access
- 1 September 2002
- journal article
- case report
- Published by BMJ in Emergency Medicine Journal
- Vol. 19 (5), 415-417
- https://doi.org/10.1136/emj.19.5.415
Abstract
Only three cases of non-cardiogenic pulmonary oedema secondary to high dose verapamil ingestion have been described in the literature. This report describes two girls, who developed pulmonary oedema in the course of massive dose verapamil ingestion (total of 6000 mg and 7200 mg). Left ventricule size and function was normal on transthoracic echocardiograms in both of these patients. They were treated successfully with mechanical ventilatory support. The report emphasises that this fatal complication may be seen with verapamil overdose and underlying mechanisms and therapeutic approach are discussed.Keywords
This publication has 18 references indexed in Scilit:
- Histamine and tryptase levels in patients with acute allergic reactions: An emergency department–based studyJournal of Allergy and Clinical Immunology, 2000
- Epidemiology of anaphylaxis in Olmsted County: A population-based studyJournal of Allergy and Clinical Immunology, 1999
- Epinephrine absorption in children with a history of anaphylaxisJournal of Allergy and Clinical Immunology, 1998
- Multiphasic Anaphylaxis: An Uncommon Event in the Emergency DepartmentAcademic Emergency Medicine, 1997
- Lung immunopathology in cases of sudden asthma deathEuropean Respiratory Journal, 1997
- Airway structure and inflammatory cells in fatal attacks of asthmaEuropean Respiratory Journal, 1996
- Sudden death in asthma in childhoodForensic Science International, 1994
- Fatal and Near-Fatal Anaphylactic Reactions to Food in Children and AdolescentsNew England Journal of Medicine, 1992
- Anaphylactic shock occurring outside hospitalsAllergy, 1989
- Biphasic and protracted anaphylaxisJournal of Allergy and Clinical Immunology, 1986