Ivermectin Poisoning — Report of Successful Management

Talwar, Neetu; Tripathi, Niti; Chugh, Krishan

doi:10.1007/s13312-021-2316-1

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Our experience demonstrates potential effects on vision and coordination in a child with previously well-tolerated off-label veterinary ivermectin ingestion. A prior case report illustrated a six-year-old patient who presented with seizures, altered mental status, and hemodynamic collapse requiring intubation following accidental ingestion of 600 mg (30 mg/kg) topical ivermectin, 100 times the intended dose [ 7 ]. Our case supports that children may develop neurotoxicity from smaller ivermectin ingestions as well.…”

Section: Discussionmentioning

confidence: 99%

Acute Visual Disturbances and Ataxia Secondary to Attempted COVID-19 Prophylaxis With Ivermectin in a Nine-Year-Old

Bhardwaj¹,

Valladares²,

Gutman³

et al. 2023

Cureus

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Ivermectin is an antiparasitic agent listed as an essential medication by the World Health Organization. Ivermectin utilization has increased due to the popular, though inaccurate, perception of its use in COVID-19 management. Poison Control Central calls regarding ivermectin toxicity have increased 245% since pre-pandemic baselines. This case study illustrates the clinical presentation of ivermectin toxicity in a nine-year-old child with acute vision changes and ataxia. The child was given 60 mg (1 mg/kg) of veterinary-grade ivermectin by a parent, 10 times the clinically recommended dose of 0.1 mg/kg, as prophylaxis after household exposure to COVID-19. Ten hours later, the child developed new-onset blurry vision, a perception of red dots in the peripheral vision, dizziness, and balance issues. Physical examination was notable for pulsating pupils, ataxia, and dysmetria. Symptoms resolved completely after 10 hours. Ivermectin ingestion is an important diagnostic consideration in children presenting with similar symptoms. We hope our case aids in the identification of ivermectin toxicity and hastens necessary supportive measures.

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Section: Discussionmentioning

confidence: 99%

Acute Visual Disturbances and Ataxia Secondary to Attempted COVID-19 Prophylaxis With Ivermectin in a Nine-Year-Old

Bhardwaj¹,

Valladares²,

Gutman³

et al. 2023

Cureus

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show abstract

“…Toxicity with ivermectin is less, but it occurs with overdosing with no good prognosis. There is no specific antidote for ivermectin poisoning 5 . Ivermectin has been used in humans in a range of 150 to 200 μg/kg for strongyloidiasis, enterobiasis and onchocerciasis, whereas the dose whereas 400 μg/kg for treatment of lymphatic filariasis.…”

Section: Discussionmentioning

confidence: 99%

Ivermectin Poisoning with Neurological Manifestations in 10 Years Old Girl – A Case Report

Shah¹,

Aalia²

2022

J Gandhara Med Dent Sci

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In developing countries, accidental poisoning is a serious public health problem in children. But unintentional poisoning by parents in the form of medication is very rare. Ivermectin belongs to the group of Avermectins and is used in veterinary medicine and in use for human parasitic diseases. We report the case of 10 years old girl given ivermectin by her mother for an unspecified amount. The patient presented to the hospital with seizures and remained in a coma for five days. The patient was managed symptomatically and discharged home in stable condition with parents' counselling regarding child safety.

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Ivermectin overdose

2021

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Ivermectin Poisoning — Report of Successful Management

Cited by 3 publications

References 8 publications

Acute Visual Disturbances and Ataxia Secondary to Attempted COVID-19 Prophylaxis With Ivermectin in a Nine-Year-Old

Acute Visual Disturbances and Ataxia Secondary to Attempted COVID-19 Prophylaxis With Ivermectin in a Nine-Year-Old

Ivermectin Poisoning with Neurological Manifestations in 10 Years Old Girl – A Case Report

Ivermectin overdose

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