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Severe hypoglycemia during methadone escalation in an 8‐year‐old child
Author(s) -
Gjedsted J.,
Dall R.
Publication year - 2015
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12562
Subject(s) - medicine , methadone , hypoglycemia , girl , anesthesia , lymphatic leukemia , pediatrics , intensive care medicine , leukemia , diabetes mellitus , endocrinology , psychology , developmental psychology
This case report describes hypoglycemia during methadone escalation in an 8‐year‐old girl with acute lymphatic leukemia. After a significant increase in the methadone dosage, the blood glucose decreased from 12 mmol/l to 1 mmol/l. Nutrition and other medications were meticulously checked and no other apparent explanation was found. There are few reports from the adult palliative setting which describe this serious side effect. This is to our knowledge, the first described pediatric case.