PEDIATRICS Vol. 73 No. 6 June 1984, pp. 878
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by WEINBERGER, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WEINBERGER, M.

Theophylline Poisoning

MILES WEINBERGER MD1

1 Pediatric Allergy and Pulmonary Division, The University of Iowa, Iowa City, IA 52242

To the Editor.—

The conclusions in the recent letter by Kossoy et al1 and the reply by Sahney2 regarding the original report3 suggesting conservative treatment of high theophylline levels until neurologic signs are present do not adequately consider the high frequency of mortality and serious neurologic sequelae once theophylline-induced seizures occur.4,5 Unfortunately, the chemical success of charcoal hemoperfusion after the onset of seizures has not been matched by the desired clinical results.6 Although the risks of vigorous intervention in a patient not yet having serious symptoms must be considered, the small number of cases reported without serious consequences should not provide great reassurance given the potentially serious outcome, ie, death or brain damage, that commonly follows onset of the seizures even in the presence of subsequent dialysis and otherwise optimal intensive care.




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
H. C. Mofenson, T. R. Caraccio, J. Greensher, R. D'Agostino, and A. Rossi
Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications
Clinical Pediatrics, December 1, 1985; 24(12): 678 - 684.
[Abstract] [PDF]