Ranitidine-Induced Delirium in a 7-Year-Old Girl: A Case Report

Author:

Castro Roberta Esteves Vieira de12,Sousa Carolina da Cunha2,de Magalhães-Barbosa Maria Clara3,Prata-Barbosa Arnaldo3,Cheniaux Elie14

Affiliation:

1. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil;

2. Hospital Vitória, Americas Medical City, Rio de Janeiro, Brazil;

3. Instituto D’Or de Pesquisa e Ensino, Rio de Janeiro, Brazil; and

4. Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil

Abstract

Ranitidine is a histamine-2 blocker commonly prescribed in PICUs for the prophylaxis of gastrointestinal bleeding and stress ulcers. However, it can be associated to central nervous system side effects, such as delirium, in adults. We present the first case of a child presenting delirium possibly caused by anticholinergic toxidrome secondary to the use of ranitidine, resolving after drug discontinuation. With this case report, we reinforce that a wide variety of clinical conditions can trigger delirium and that the best therapeutic approach is to minimize risk factors.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference27 articles.

1. Stress ulcer, gastritis, and gastrointestinal bleeding prophylaxis in critically ill pediatric patients: a systematic review.;Reveiz;Pediatr Crit Care Med,2010

2. Stress ulcer prophylaxis in the intensive care unit;Krag;Curr Opin Crit Care,2016

3. Stress ulcer prophylaxis in pediatric intensive care units.;Araujo;J Pediatr (Rio J),2010

4. Mania associated with ranitidine: a case report and review of literature.;Mauran;Fundam Clin Pharmacol,2016

5. The anticholinergic risk scale and anticholinergic adverse effects in older persons.;Rudolph;Arch Intern Med,2008

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