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2017 ; 11
(1
): 129
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Adrenaline overdose in pediatric anaphylaxis: a case report
#MMPMID28482886
Liew PYL
; Craven JA
J Med Case Rep
2017[May]; 11
(1
): 129
PMID28482886
show ga
BACKGROUND: Adrenaline is the standard treatment for anaphylaxis but appropriate
administration remains challenging, and iatrogenic overdose is easily overlooked.
Despite the established importance of pediatric blood pressure measurement, its
use remains inconsistent in clinical practice. CASE PRESENTATION: We report a
case of adrenaline overdose in a 9-year-old white boy with anaphylaxis, where
signs of adrenaline overdose were indistinguishable from progressive shock until
blood pressure measurement was taken. CONCLUSIONS: The consequences of
under-dosing adrenaline in anaphylaxis are well-recognized, but the converse is
less so. Blood pressure measurement should be a routine part of pediatric
assessment as it is key to differentiating adrenaline overdose from anaphylactic
shock.