Pediatric tramadol ingestion resulting in seizurelike activity: a case series

Suzan S Mazor1, Kenneth W Feldman, Naomi F Sugar

  • 1Department of Pediatrics, Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA. Suzan.mazor@seattlechildrens.org

Insights

Tramadol overdose can cause seizures in infants. This study highlights tramadol poisoning as a key cause of seizures and dystonia in infants, necessitating its inclusion in differential diagnoses.

Area of Science:

  • Pediatric Neurology
  • Clinical Toxicology

Background:

  • Tramadol is an analgesic medication with known risks of seizures.
  • Seizure risk is documented at therapeutic doses and in overdose scenarios.

Observation:

  • Two infant cases of tramadol poisoning were analyzed.
  • Both infants exhibited abnormal neurological symptoms, including seizures or seizure-like activity.

Findings:

  • Tramadol poisoning can manifest as seizures or seizure-like activity in infants.
  • Dystonia was also observed in conjunction with these neurological findings.

Implications:

  • Tramadol poisoning should be considered in the differential diagnosis for infants presenting with seizures.
  • This underscores the importance of vigilant monitoring for neurological adverse effects of tramadol in pediatric populations.

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