A case of salicylate intoxication complicated by coagulopathy, pulmonary edema, and pancreatitis

Itay Ayalon*, Matthew Noble Alder, Travis Ryan Langner, Einar Thor Hafberg, Alexander Gerhard Miethke, Jennifer Melissa Kaplan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The large availability of salicylic acid products makes them an often encountered source of poisoning in the emergency department. Even though in most cases the prognosis is good, with a low incidence of long-term morbidity and mortality, complications do occur, and some of those can be life threatening. We present an unusual case of salicylate intoxication in an adolescent in which several uncommon complications (severe coagulopathy, pulmonary edema, and pancreatitis) conjoined together. We review the literature and discuss the complications pathogenesis and differential diagnosis. We suggest that these potentially life-threatening complications be acknowledged, investigated, and rapidly treated.

Original languageEnglish
Pages (from-to)e1929-e1932
JournalAmerican Journal of Therapeutics
Volume23
Issue number6
DOIs
StatePublished - 28 Nov 2016
Externally publishedYes

Keywords

  • Aspirin
  • Coagulopathy
  • Intoxication
  • Pancreatitis
  • Pulmonary edema
  • Salicylate
  • Salicylic acid
  • Salicylism

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