Citation

Mellick LB, Morgan JA, Mellick GA. Am. J. Emerg. Med. 1989; 7(1): 61-67.

Affiliation

Emergency Medicine Service, Tripler Army Medical Center, HI.

Copyright

(Copyright © 1989, Elsevier Publishing)

DOI

unavailable

PMID

2643962

Abstract

A 15-year-old boy ingested 19.6 g (15 g verifiable) phenytoin sodium approximately four hours before emergency department presentation. The patient survived the suicide attempt with only supportive care, despite the ingestion of 392 mg/kg and a peak serum level of 100.8 micrograms/mL. A wide spectrum of physical findings consistent with acute massive ingestion of phenytoin was noted. This case report and a review of cases reported in the English literature of acute single anticonvulsant ingestion further delineate the clinical presentation of acute phenytoin overdose.

Language: en