Case Report
 
Palytoxin poisoning via inhalation in pediatric siblings
Martha M Rumore1, Blaine M Houst2
1Pharm. D., J. D., F. A. Ph. A, Assistant Director of Pharmacy, Clinical & Educational Services, Pharmacy Dept., Cohen Children's Medical Center, North Shore LIJ, New Hyde Park, NY and Professor, Pharmacy & Health Outcomes, Touro College of Pharmacy, New York, NY, USA.
2Pharm.D, Drug, Information Specialist, Pediatric Medication Resource Center, Pharmacy Dept., Cohen Children's Medical Center, North Shore LIJ, New Hyde Park, NY, USA.

doi:10.5348/ijcri-201488-CR-10399

Address correspondence to:
Martha M. Rumore
Pharm.D.,J.D.,F.A.Ph.A, Assistant Director of Pharmacy, Clinical & Educational Services, Pharmacy Dept.
Cohen Children's Medical Center, North Shore LIJ
New Hyde Park, NY
Professor, Pharmacy & Health Outcomes
Touro College of Pharmacy
New York, NY
USA
Phone: 01 718 470-8643
Fax: 470-3985
Email: merumore@nshs.edu

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How to cite this article
Rumore MM, Houst BM. Palytoxin poisoning via inhalation in pediatric siblings. Int J Case Rep Images 2014;5(7):501–504.


Abstract
Introduction: Several cases of palytoxin poisoning have occurred during cleaning of aquariums.
Case Report: We report a case of palytoxin inhalational toxicity in pediatric siblings following secondary exposure to vapors from cleaning of an aquarium containing Zoanthids. Symptoms included fever, tachycardia, leukocytosis and elevated lactic dehydrogenase. Both patients received supportive treatment in the pediatric intensive care unit and were discharged after 48 hours. Symptoms also occurred in children's parents including cleaning attendant.
Conclusion: Herein, we present a rare case of inhalational toxicity from palytoxin.

Keywords: Palytoxin, Pediatric, Inhalation, Aquarium, Zoanthids


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Author Contributions
Martha M Rumore – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Blaine M Houst – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Martha M Rumore et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.