The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 3
Rhabdomyolysis due to Isoniazid Poisoning Resulting from the Use of Intramuscular Pyridoxine
1Departments of Pediatrics and 2Pediatric Emergency Medicine, Gazi University Faculty of Medicine, Ankara, Turkey.
E-mail: oderinoz@gazi.edu.tr
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.
Keywords :
intramuscular, isoniazid, poisoning, pyridoxine, rhabdomyolysis