Rhabdomyolysis due to isoniazid poisoning resulting from the use of intramuscular pyridoxine.

Isoniazid is an effective antituberculosis drug. Isoniazid poisoning produces a characteristic clinical syndrome that occurs 30 to 120 minutes after ingestion and includes seizures, metabolic acidosis, and in severe cases, coma. Rhabdomyolysis is one of the reported complications of isoniazid poisoning, but relevant data are limited. Parenteral pyridoxine is the antidote of isoniazid. In this case, a 16-year-old male patient admitted to the Pediatric Emergency Department two hours after isoniazid poisoning. For treatment, intramuscular pyridoxine was used, but he developed serious rhabdomyolysis.

[1]  R. Hoffman,et al.  Goldfrank's Manual of Toxicologic Emergencies , 2007 .

[2]  G. Melli,et al.  Rhabdomyolysis: An Evaluation of 475 Hospitalized Patients , 2005, Medicine.

[3]  M. Gris,et al.  Pyridoxine in clinical toxicology: a review , 2005, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[4]  Panganiban Lr,et al.  Rhabdomyolysis in isoniazid poisoning. , 2001 .

[5]  N. Cortes-Maramba,et al.  Rhabdomyolysis in Isoniazid Poisoning , 2001, Journal of toxicology. Clinical toxicology.

[6]  D. Blowey,et al.  Isoniazid-associated rhabdomyolysis. , 1995, The American journal of emergency medicine.

[7]  C. George,et al.  Drug-induced rhabdomyolysis--mechanisms and management. , 1993, Postgraduate medical journal.

[8]  Abuelo Jg Renal Failure Caused by Chemicals, Foods, Plants, Animal Venoms, and Misuse of Drugs: An Overview , 1990 .

[9]  J. G. Abuelo Renal failure caused by chemicals, foods, plants, animal venoms, and misuse of drugs. An overview. , 1990, Archives of internal medicine.

[10]  S. Curry,et al.  Drug- and toxin-induced rhabdomyolysis. , 1989, Annals of emergency medicine.

[11]  C. Köppel Clinical Features, Pathogenesis and Management of Drug-Induced Rhabdomyolysis , 1989, Medical toxicology and adverse drug experience.

[12]  F. Konikoff,et al.  Serum creatine kinase after intramuscular injections. , 1985, Postgraduate medical journal.

[13]  A. Picchioni,et al.  Evaluation of diazepam and pyridoxine as antidotes to isoniazid intoxication in rats and dogs. , 1978, Toxicology and applied pharmacology.

[14]  F. Sidell,et al.  Serum creatine phosphokinase activity after intramuscular injection. The effect of dose, concentration, and volume. , 1974, JAMA.