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A critically ill patient after a colchicine overdose below the lethal dose: a case report
Ichiro Hirayama1, Takahiro Hiruma2, Yoshihiro Ueda2
1Department of Acute Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. ichirohirayama1983@gmail.com.
Journal of Medical Case Reports
|July 5, 2018
Summary
Colchicine poisoning can be critical even at non-lethal doses. This case highlights that the lethal dose of colchicine may need reevaluation, as patients can experience severe outcomes below 0.8 mg/kg.
Area of Science:
- Toxicology
- Internal Medicine
- Emergency Medicine
Background:
- Colchicine is a potent medication used for gout and familial Mediterranean fever.
- A dose of 0.8 mg/kg is generally considered lethal for colchicine.
- However, severe cases have been reported following ingestion below this threshold.
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