Multiple seizures after bupropion overdose in a small child.


:Unintentional ingestion of bupropion in young children has generally resulted in limited toxicity. We report a case of pediatric bupropion ingestion resulting in multiple seizures. The patient experienced hallucinations, agitation, vomiting, tachycardia and seizures after ingestion of 1050 (48 mg/kg) of extended-release bupropion. The potential for severe toxicity in the setting of pediatric overdose should be recognized.


Pediatr Emerg Care


Pediatric emergency care


Spiller HA,Schaeffer SE




Has Abstract


2008-07-01 00:00:00














  • Torsade de pointes associated with Astemizole overdose treated with magnesium sulfate.

    abstract::Astemizole (Hismanal-Janssen, New Brunswick, NJ) is a nonsedating antihistamine that has the advantage of a once-daily dosage schedule. This article reports the case of a 14-year-old female who intentionally ingested 270 mg of Astemizole and developed torsade de pointes, a form of polymorphic ventricular tachycardia t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hasan RA,Zureikat GY,Nolan BM

    更新日期:1993-02-01 00:00:00

  • Appendicitis: an unusual cause of pneumonia and impending shock in a toddler.

    abstract::Owing to its lower incidence in young children, appendicitis is not as often thought of as a common cause of abdominal pain and vomiting in this age group. However, because of its higher incidence of morbidity (perforation and peritonitis), it should be considered in any young child with either significant abdominal p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bechtel K

    更新日期:1997-10-01 00:00:00

  • The Use of Routine Blood Cultures in Pediatric Appendicitis.

    abstract:OBJECTIVES:To determine the proportion of true-positive blood culture results in children presenting to the ED with suspected appendicitis. To describe the current practice of obtaining blood cultures in children with suspected appendicitis. METHODS:We performed a 2-year retrospective health record review of all child...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Thompson GC,Morrison E,Ross M,Liu H,Vanderkooi OG,Eccles R

    更新日期:2017-12-01 00:00:00

  • Clonidine Overdose in a Toddler Due to Accidental Ingestion of a Compounding Cream.

    abstract::A 22-month-old girl without any significant medical history accidentally consumed a small amount of a therapeutic compounding cream that contained camphor, gabapentin, clonidine, ketoprofen, and lidocaine. Upon presentation to the emergency department, the child exhibited immediate onset of altered mental status with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Cates AL,Wheatley SM,Katz KD

    更新日期:2018-04-01 00:00:00

  • RNA transcriptional biosignature analysis for identifying febrile infants with serious bacterial infections in the emergency department: a feasibility study.

    abstract:OBJECTIVES:To develop the infrastructure and demonstrate the feasibility of conducting microarray-based RNA transcriptional profile analyses for the diagnosis of serious bacterial infections in febrile infants 60 days and younger in a multicenter pediatric emergency research network. METHODS:We designed a prospective ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Mahajan P,Kuppermann N,Suarez N,Mejias A,Casper C,Dean JM,Ramilo O,Febrile Infant Working Group for the Pediatric Emergency Care Applied Research Network (PECARN).

    更新日期:2015-01-01 00:00:00

  • Rapid human immunodeficiency virus testing in the pediatric emergency department: a national survey of attitudes among pediatric emergency practitioners.

    abstract:OBJECTIVE:Human immunodeficiency virus (HIV) continues to be a significant public health concern for adolescents and young adults. Since 2006, the Centers for Disease Control and Prevention has recommended more aggressive routine screening for HIV for patients presenting to the emergency department (ED). Our objectives...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Akhter S,Gorelick M,Beckmann K

    更新日期:2012-12-01 00:00:00

  • Extraocular cranial nerve palsies in children.

    abstract::Visual disturbances resulting from acute nerve paralysis of the muscles controlling eye movements can be challenging to evaluate in the pediatric population. Children may not be capable of describing symptoms or providing an adequate history. Therefore, it is important to have an understanding of the anatomical course...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Park DB,Galan N,Jackson BF

    更新日期:2015-05-01 00:00:00

  • The cause of gait disturbance in 425 pediatric patients.

    abstract::Children who seek attention for painful or painless alteration of gait provide a challenge to the emergency department physician who confronts such cases. Children with acute onset of limp or refusal to walk may become the center of diagnostic and therapeutic concern in approximately 4 percent of pediatric patient enc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Singer JI

    更新日期:1985-03-01 00:00:00

  • Use of Emergency Medical Service transport system in medical patients up to 36 months of age.

    abstract:OBJECTIVES:To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). DESIGN:A retrospective study. SUBJECTS:Patients up to 36 months of age with medical complaints transported by EMS to an urban pediatric emergency department (ED). INTERVENTIONS:None. MEASUREMENTS:Arbitrary criteria ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Rosenberg N,Knazik S,Cohen S,Simpson P

    更新日期:1998-06-01 00:00:00

  • The nature and characteristics of abdominal injuries sustained during children's sports.

    abstract:OBJECTIVE:To increase the evidence base by characterizing various features of pediatric sports-related abdominal injuries. DESIGN:A review of the trauma database at The Children's Hospital at Westmead was undertaken for all abdominal injuries presenting to the emergency department between 2001 and 2006. SETTING:The C...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Noaman F,Lam LT,Soundappan SV,Browne GJ

    更新日期:2010-01-01 00:00:00

  • Missed opportunities during pediatric residency training: report of a 10-year follow-up survey in critical care transport medicine.

    abstract:OBJECTIVES:The Accreditation Council for Graduate Medical Education requires pediatric residency training programs to provide exposure to the prehospital management and transport of patients. The authors hypothesized that compared with a similar study a decade prior, current pediatric residency training programs have r...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kline-Krammes S,Wheeler DS,Schwartz HP,Forbes M,Bigham MT

    更新日期:2012-01-01 00:00:00

  • Central venous access via external jugular vein in children.

    abstract:OBJECTIVE:To determine the success rate and complications of using the external jugular (EJ) vein for central venous access in pediatric patients. METHODS:Prospective cohort study of children who underwent attempts at EJ vein central venous access while receiving care in an 11-bed pediatric intensive care unit at an u...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tecklenburg FW,Cochran JB,Webb SA,Habib DM,Losek JD

    更新日期:2010-08-01 00:00:00

  • Alcaligenes faecalis Cellulitis After a Dog Bite: Case Report and Literature Review.

    abstract::Alcaligenes faecalis is a gram-negative organism that is commonly found in the environment and may also be a part of normal fecal flora in humans. Although various infections with this bacteria have been described in the pediatric population, it has not been previously identified in infections as the pathogen after a ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Chu AS,Harkness J

    更新日期:2017-07-01 00:00:00

  • An adolescent with thigh pain.

    abstract::Musculoskeletal pain is a common symptom among active adolescent in the emergency department. The etiologic list is broad and range from benign to potential life-threatening conditions. Deep vein thrombosis is a rare cause of lower extremity pain in children. We report an adolescent who presented with lower extremity ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Waseem M,Aslam M,Kumar K,Hernandez W

    更新日期:2008-11-01 00:00:00

  • Ketamine Saves the Day: Priapism in a Pediatric Psychiatric Patient.

    abstract::Priapism is an adverse effect of medications used to treat psychiatric disorders. Often, this condition is self-limiting but may require urologic intervention involving aspiration and injection to induce detumescence. A case of a 15-year-old patient with priapism secondary to a long-acting stimulant is presented to de...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Park DB,Hayden GE

    更新日期:2015-07-01 00:00:00

  • Emergency Severity Index version 4: a valid and reliable tool in pediatric emergency department triage.

    abstract:OBJECTIVES:The Emergency Severity Index version 4 (ESI v.4) is the most recently implemented 5-level triage system. The validity and reliability of this triage tool in the pediatric population have not been extensively established. The goals of this study were to assess the validity of ESI v.4 in predicting hospital ad...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Green NA,Durani Y,Brecher D,DePiero A,Loiselle J,Attia M

    更新日期:2012-08-01 00:00:00

  • Characteristics of pediatric trauma in an urban city in Japan.

    abstract:OBJECTIVES:To clarify the characteristics of recent pediatric injuries in an urban city in Japan. METHODS:Any patient who was under 13 years old and admitted for treatment of trauma between January 2000 and December 2007 was retrospectively investigated. The subjects were divided into 2 groups, the head injury (HI) an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Yanagawa Y,Sakamoto T

    更新日期:2009-09-01 00:00:00

  • The Surgical Treatment of Toxic Megacolon in Hirschsprung Disease.

    abstract:OBJECTIVES:Enterocolitis remains the most significant cause of morbidity and mortality in Hirschsprung disease (HD). It could progress into toxic megacolon (TM)-acute dilatation of the colon as accompanying toxic complication of Hirschsprung enterocolitis. It is a devastating complication, especially in infants with so...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Khasanov R,Schaible T,Wessel LM,Hagl CI

    更新日期:2016-11-01 00:00:00

  • Managing well-appearing neonates with hyperbilirubinemia in the emergency department observation unit.

    abstract:BACKGROUND:In September 2005, Texas Children's Hospital initiated a protocol for all neonates presenting to the emergency department (ED) with hyperbilirubinemia based on the American Academy of Pediatrics guidelines. As part of the protocol, low-risk neonates with hyperbilirubinemia requiring phototherapy are treated ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Adekunle-Ojo AO,Smitherman HF,Parker R,Ma L,Caviness AC

    更新日期:2010-05-01 00:00:00

  • Posttraumatic superior ophthalmic vein thrombosis in a 2 years old.

    abstract::Superior ophthalmic vein thrombosis (SOVT) usually results from inflammatory, infectious, or malignant causes. This case describes a 2-year-old boy with severe prolapsing chemosis and proptosis due to thrombosis of the right superior ophthalmic vein resulting from midfacial and right orbital fractures 1 week after the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Akingbola OA,Shar B,Singh D,Frieberg E,Petrescu M

    更新日期:2014-02-01 00:00:00

  • Emergency department management of blunt cervical tracheal trauma in children.

    abstract::A case history of a young girl who sustained a small posterior laceration of her cervical trachea after blunt trauma is presented. She was brought to the emergency department (ED) by her parents roughly two hours after the incident with only minor symptoms. While in the ED, she developed significant airway compromise ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Humar A,Pitters C

    更新日期:1991-10-01 00:00:00

  • Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood.

    abstract::Acute disseminated encephalomyelitis is a rare central nervous system demyelinating disease that occurs most frequently in children. It usually runs a monophasic course, beginning with fever, headache, and meningeal signs and rapidly progressing to coma when appropriate diagnosis and treatment are not provided. We rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sztajnbok J,Lignani L Jr,Bresolin AU,Marotto PC,Seguro AC

    更新日期:1998-02-01 00:00:00

  • A 16-year-old boy with acute urinary retention.

    abstract::Urinary retention can be described as the inability to void volitionally despite an adequate volume of urine in the bladder. It is a common complaint in adults, especially among elderly males with benign prostatic hyperplasia. Children, in contrast, are more likely to have voluntary retention of urine due to urethral ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Stankovic C,Mahajan PV

    更新日期:2007-08-01 00:00:00

  • The pediatric assessment triangle: a novel approach for the rapid evaluation of children.

    abstract::The Pediatric Assessment Triangle (PAT) has become the cornerstone for the Pediatric Education for Prehospital Professionals course, sponsored by the American Academy of Pediatrics. This concept for emergency assessment of children has been taught to more than 170,000 health care providers worldwide. It has been incor...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Dieckmann RA,Brownstein D,Gausche-Hill M

    更新日期:2010-04-01 00:00:00

  • A warning: don't be stumped by stump appendicitis.

    abstract::When an emergency medicine physician evaluates a child with abdominal pain and a history of appendectomy, appendicitis is often excluded from the differential. We present a case of a 16-year-old boy who developed stump appendicitis 3 years after laparoscopic appendectomy. Knowledge of this rare phenomenon in children ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Schreiner C,Hartin CW Jr,Yamout SZ,Ozgediz DE,Glick PL

    更新日期:2013-01-01 00:00:00

  • Caterpillars: an unusual source of ingestion.

    abstract:PURPOSE:To describe a series of patients seen in a pediatric emergency department with adverse effects following an ingestion of a caterpillar. METHODS:Case series. RESULTS:Ten patients presented to the emergency department following ingestion of a caterpillar. Adverse effects ranged from drooling and refusal to drin...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Pitetti RD,Kuspis D,Krenzelok EP

    更新日期:1999-02-01 00:00:00

  • Anaerobic pulmonary infections in children.

    abstract::Pulmonary infections due to anaerobic bacteria usually occur in children prone to aspiration. The source of the anaerobic bacteria is the oropharyngeal bacterial flora, where these organisms outnumber aerobic and facultative organisms in a 10:1 ratio. The most common lower respiratory tract infections where anaerobic ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Brook I

    更新日期:2004-09-01 00:00:00

  • Provision of Guideline-Based Pediatric Asthma Care in US Emergency Departments.

    abstract:OBJECTIVES:National guidelines for routine pediatric acute asthma care recommend providing corticosteroids, and discourage routinely obtaining chest radiographs (CXRs) and using antibiotics. We examined rates of adherence to all 3 of these aspects during emergency department (ED) visits and compared performance between...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hudgins JD,Neuman MI,Monuteaux MC,Porter J,Nelson KA

    更新日期:2019-01-07 00:00:00

  • Emergency Department Management of Bronchiolitis in the United States.

    abstract:OBJECTIVE:The aim of this study was to examine differences between general and pediatric emergency departments (PEDs) in adherence to the American Academy of Pediatrics bronchiolitis management guidelines. METHODS:We conducted a nationally representative study of ED visits by infants younger than 24 months with bronch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Gong C,Byczkowski T,McAneney C,Goyal MK,Florin TA

    更新日期:2019-05-01 00:00:00

  • Chlamydia Conjunctivitis in 2 Prepubertal Children: An Uncommon Presentation of Child Sexual Abuse.

    abstract::Sexually transmitted infection as the result of child sexual abuse in prepubertal children is uncommon. Chlamydia trachomatis conjunctivitis is an even less common entity in prepubertal children outside the newborn period. This report details the presentation of 2 children with conjunctivitis who were subsequently dia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Brownell AD,Miraldi Utz V,Makoroff KL,Shapiro RA,Mortensen JE

    更新日期:2020-08-01 00:00:00