Журнал клинической токсикологии
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An Unexpected Cause of Respiratory Insufficiency in a Child with Tracheomalacia

Lauretta Oseni*, Mody Kalgi

BACKGROUND: The purpose of this study is to express the importance of accurate history taking and broadening the differential diagnosis. This report discusses a patient who presented with respiratory symptoms that was initially misdiagnosed.

CASE: A 14 months old girl with a history of tracheomalacia presents as a transfer from an outside medical center for increased work of breathing after being treated for croup with no improvement. After further history taking it was revealed that half a tablet of 8mg suboxone was found in the patients mouth about 16 hours prior to presenting. The patient required multiple doses of naloxone before returning to baseline and was discharged after 48 hours of monitoring.