Cerebral infarcts in a pediatric patient secondary to phenylpropanolamine, a recalled medication

Nicole M. DeIorio

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Phenylpropanolamine (PPA) recently has been publicly implicated as a cause of stroke and other neurologic events. In November of 2000, the Food and Drug Administration (FDA) requested a voluntary recall of the product from all manufacturers. However, medications containing PPA still can be found in many homes of those unaware of the voluntary recall. We present a case of stroke after PPA ingestion that occurred 4 months after the recall in an 8-year-old boy on chronic peritoneal dialysis. The patient developed occipital infarcts and was found to have extremely elevated levels of PPA in his blood and dialysis fluid. Though the voluntary recall was in effect, the family already had a bottle of the medication at home. Physicians must be aware that the public is still ingesting the drug and remain rigorous in including its toxicity in the differential diagnosis of acute neurologic events.

Original languageEnglish (US)
Pages (from-to)305-307
Number of pages3
JournalJournal of Emergency Medicine
Volume26
Issue number3
DOIs
StatePublished - Apr 1 2004

Keywords

  • Cerebral infarction
  • Cerebrovascular accident
  • Overdose
  • Pediatrics
  • Phenylpropanolamine

ASJC Scopus subject areas

  • Emergency Medicine

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