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Pediatric popper intoxication: Case report of intoxication in a 3-month-old infant

Gauthier Toutain1, Charlotte Pons1, Sylvie Lamoureux1

  • 1Department of Pediatrics, Centre Hospitalier Henri Duffaut, Avignon, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|January 23, 2024
PubMed

Insights

A 3-month-old boy experienced severe poisoning from ingesting alkyl nitrite poppers, leading to hypoxemia and circulatory failure. He fully recovered after treatment with methylene blue, marking the first reported pediatric case of popper poisoning.

Area of Science:

  • Toxicology
  • Pediatric Emergency Medicine
  • Clinical Case Reports

Background:

  • Alkyl nitrites, commonly known as 'poppers', are recreational inhalants with known toxicity.
  • Pediatric poisoning cases are rare, especially involving accidental ingestion of such substances.

Observation:

  • A 3-month-old infant presented with severe hypoxemia and compensated circulatory failure.
  • Laboratory findings revealed significant methemoglobinemia, indicating severe poisoning.

Findings:

  • The infant's condition was directly linked to accidental ingestion of alkyl nitrite poppers.
  • Treatment with the specific antidote, methylene blue, resulted in a complete recovery.

Implications:

  • This case highlights the potential for severe toxicity from alkyl nitrite ingestion in infants.
  • It underscores the importance of considering rare ingestions in pediatric differential diagnoses.
  • Early recognition and administration of methylene blue are crucial for favorable outcomes in methemoglobinemia.

Keywords:
MethemoglobinPopper intoxicationPopper poisoning

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