Each year consumers purchase about 95 million units of over-the-counter medications for pediatric use, an unsafe application that can cause life-threatening effects. Despite a warning from the Food and Drug Administration, many parents or caregivers continue to administer these remedies to children. This report describes the case of a 4-month-old infant presenting to the emergency department with acute life-threatening intoxication including altered mental status, impaired coordination of movements, as well as a positive urine drug test for phencyclidine and an elevated serum ethanol level. Further evaluation uncovered that the actual reason for all clinical symptoms and laboratory test results was over-the-counter cough syrup.

This case report describes aspiration of extracted tooth under general anesthesia during routine dental care. Chest x-ray was done one week after dental treatment and foreign body (FB) aspiration was discovered. We report this case to remind dental providers that early diagnosis of FB aspiration during routine dental care is crucial because prompt diagnosis of foreign body aspiration is key for prevention of complications.