• Med Princ Pract · Jan 2018

    Case Reports

    Atrial Fibrillation and Shock: Unmasking Theophylline Toxicity.

    • Efi Aggelopoulou, Stavros Tzortzis, Fotini Tsiourantani, Ioannis Agrios, and Kyriakos Lazaridis.
    • 3rd Department of Internal Medicine, 417 Army Share Fund Hospital, Athens, Greece.
    • Med Princ Pract. 2018 Jan 1; 27 (4): 387391387-391.

    ObjectiveThe aim of this report is to describe a case of atrial fibrillation and shock precipitated by deliberate self-poisoning with theophylline.Clinical Presentation And InterventionAn 85-year-old male with severe theophylline intoxication in a suicide attempt was admitted with severe cardiac arrhythmia and shock; despite poor prognosis, he fully recovered gradually after proper diagnosis and treatment. Theophylline is a rather forgotten medication; thus, intoxication is not usually considered among the etiologies of potentially treatable cardiologic emergencies, especially when its use is intentionally concealed.ConclusionThis case highlights the importance of identifying a comprehensive medication history using all available sources of information as early as possible in an emergency department presentation.© 2018 The Author(s) Published by S. Karger AG, Basel.

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