Document Detail


The presentation of 6-mercaptopurine overdose in ED.
MedLine Citation:
PMID:  19555631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
6-Mercaptopurine (6-MP), although an effective immunosuppressive when used in the treatment of certain cancers, can have devastating effects when ingested accidentally or used in excessive amounts. We report here the case of an unintentional ingestion of a large amount of 6-MP by a woman with hypothyroidism who was erroneously given this antimetabolic agent by her pharmacist instead the propylthiouracil (PTU) she was actually prescribed. This is one of several documented cases in which 6-MP has been dispensed instead of PTU. Because of the myelosuppressive and hepatotoxic effects of 6-MP, this case reinforces the need for both physicians and patients to understand the importance of examining their medications before ingestion.
Authors:
Neeraj Gupta; Christopher C Lee; Tae Ho Lim; Adam J Singer
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-06-26     Completed Date:  2009-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513.e1-2     Citation Subset:  IM    
Affiliation:
Stony Brook University, School of Medicine, Stony Brook, NY, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
6-Mercaptopurine / poisoning*
Adult
Antimetabolites, Antineoplastic / poisoning*
Antithyroid Agents
Blepharoptosis / chemically induced
Female
Humans
Hyperthyroidism / drug therapy
Medication Errors / prevention & control
Overdose / diagnosis,  therapy
Propylthiouracil
Chemical
Reg. No./Substance:
0/Antimetabolites, Antineoplastic; 0/Antithyroid Agents; 50-44-2/6-Mercaptopurine; 51-52-5/Propylthiouracil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Intraventricular conduction abnormality--an electrocardiographic algorithm for rapid detection and d...
Next Document:  Middle turbinectomy as a complication of nasopharyngeal airway placement.