Theophylline toxicity: A case report of the survival of an undiagnosed patient who presented to the emergency department
- Author:
Nasir Mohamad
;
Nurkhairul Nizam Abd Halim
;
Rashidi Ahmad
;
Kamarul Aryffin Baharuddin
- Publication Type:Case Reports
- Keywords:
Theophylline, toxicity, emergency medicine, medical sciences
- From:Malaysian Journal of Medical Sciences
2009;16(2):33-37
- CountryMalaysia
- Language:English
-
Abstract:
Theophylline toxicity is a life-threatening toxidrome that can present to an emergency department.
To ascertain an immediate provisional diagnosis in toxicology at the emergency department is very
challenging, especially when the patient presents with altered mental status, because the clinical
features of several toxidromes overlap. We report a case of survival of undiagnosed theophylline
toxicity that required intubation for two days in the intensive care unit. This was the first case to have
been reported from our department. Accurate diagnosis of a toxidrome by gaining adequate history
and conducting a thorough physical examination and early serum toxicology screening, coupled with
good knowledge of toxicology, will lead to better patient outcomes.
- Full text:W020151021608467786213.pdf
