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Upper airway compromise in acute chlorpromazine ingestion

S A Russell1, H M Hennes, K J Herson

  • 1Medical College of Wisconsin, Milwaukee, USA.

Insights

A 16-year-old boy experienced severe breathing difficulties after ingesting chlorpromazine. This case highlights that acute upper airway compromise in children may indicate phenothiazine exposure, a serious condition.

Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Toxicology
  • Pharmacology

Background:

  • Phenothiazines, such as chlorpromazine, are antipsychotic medications with potential for overdose.
  • Dystonic reactions are extrapyramidal side effects that can affect muscle tone and movement.
  • Laryngeal-pharyngeal dystonia is a rare but critical complication of phenothiazine use.

Observation:

  • A 16-year-old male presented with acute upper airway compromise.
  • The patient had ingested six 100-mg tablets of chlorpromazine (Thorazine).
  • Symptoms suggested a severe dystonic reaction affecting the laryngeal and pharyngeal muscles.

Findings:

  • Chlorpromazine ingestion led to dose-dependent laryngeal-pharyngeal dystonia.
  • This dystonia resulted in life-threatening acute upper airway compromise.
  • The case underscores the critical nature of phenothiazine-induced dystonia in pediatric patients.

Implications:

  • Clinicians should consider phenothiazine exposure in children presenting with acute upper airway compromise.
  • Prompt recognition and management of dystonic reactions are crucial for preventing respiratory failure.
  • This case emphasizes the importance of careful medication management and overdose awareness in adolescents.

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