• Ann Emerg Med · Jan 2017

    Case Reports

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

    • Matthew J Noble, Beck Longstreet, Robert G Hendrickson, and Roy Gerona.
    • Department of Emergency Medicine, Oregon Health and Science University, Portland, OR. Electronic address: nobelm@ohsu.edu.
    • Ann Emerg Med. 2017 Jan 1; 69 (1): 94-97.

    AbstractLiquid 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.Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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