Format

Send to

Choose Destination
Ann Emerg Med. 2017 Jan;69(1):94-97. doi: 10.1016/j.annemergmed.2016.08.448. Epub 2016 Dec 14.

Unintentional Pediatric Ingestion of Electronic Cigarette Nicotine Refill Liquid Necessitating Intubation.

Author information

1
Department of Emergency Medicine, Oregon Health and Science University, Portland, OR. Electronic address: nobelm@ohsu.edu.
2
Department of Emergency Medicine, Oregon Health and Science University, Portland, OR.
3
Clinical Toxicology and Environmental Biomonitoring Laboratory, University of California at San Francisco, San Francisco, CA.

Abstract

Liquid nicotine used in electronic cigarette devices is highly concentrated, unreliably packaged, and poorly regulated. We present a case report of a 6-year-old female who developed severe toxicity and required intubation after an unintentional oral ingestion of approximately 703 mg (35 mg/kg) of liquid nicotine, with accompanying serum and urine concentrations of nicotine and its metabolites. Analysis of the ingested liquid suggests a nicotine concentration of 140.6 mg/mL in the purchased commercial product, or 234% of its labeled concentration. Clinicians should be aware of these products and the potential severity of toxicity they may incur.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center