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Selected Topics: Toxicology| Volume 53, ISSUE 6, P862-864, December 2017

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Death from Ingestion of E-Liquid

      Abstract

      Background

      The use of e-liquids is becoming more prevalent. There is a risk that such liquids may be ingested by mouth rather than being vaped/ inhaled. Due to the high concentration of drugs such as nicotine in these liquids, there may be toxic, and possibly fatal consequences.

      Case Report

      We report the death of a 32-year-old male who ingested nicotine-containing e-liquid while under the influence of alcohol. A serum sample taken 24 h after collapse contained nicotine at a concentration of 1600 ng/mL of nicotine.

      Why Should an Emergency Physician Be Aware of This?

      Death secondary to e-liquid ingestion is still very rare, but has the potential for causing deaths due to the easy access of such liquids to the general public. Such toxicity should be considered in individuals who present in the early phases with symptoms of stimulant toxicity, but also in the latter phase where there may be autonomic depressive effects.

      Keywords

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      References

        • Mowry J.B.
        • Spyker D.A.
        • Cantilena Jr., L.R.
        • McMillan N.
        • Ford M.
        2013 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 31st Annual Report.
        Clin Toxicol (Phila). 2014; 52: 1032-1283
        • Farsalinos K.E.
        • Polosa R.
        Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review.
        Ther Adv Drug Saf. 2014; 5: 67-86
        • Mowry J.B.
        • Spyker D.A.
        • Cantilena Jr., L.R.
        • Bailey J.E.
        • Ford M.
        2012 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 30th Annual Report.
        Clin Toxicol (Phila). 2013; 51: 949-1229
        • Vakkalanka J.P.
        • Hardison Jr., L.S.
        • Holstege C.P.
        Epidemiological trends in electronic cigarette exposures reported to U.S. Poison Centers.
        Clin Toxicol (Phila). 2014; 52: 542-548
        • Bartschat S.
        • Mercer-Chalmers-Bender K.
        • Beike J.
        • Rothschild M.A.
        • Jübner M.
        Not only smoking is deadly: fatal ingestion of e-juice-a case report.
        Int J Legal Med. 2015; 129: 481-486
        • Chen B.C.
        • Bright S.B.
        • Trivedi A.R.
        • Valento M.
        Death following intentional ingestion of e-liquid.
        Clin Toxicol (Phila). 2015; 53: 914-916
        • Solarino B.
        • Rosenbaum F.
        • Riesselmann B.
        • Buschmann C.T.
        • Tsokos M.
        Death due to ingestion of nicotine-containing solution: case report and review of the literature.
        Forensic Sci Int. 2010; 195: e19-22
        • Corkery J.M.
        • Button J.
        • Vento A.E.
        • Schifano F.
        Two UK suicides using nicotine extracted from tobacco employing instructions available on the Internet.
        Forensic Sci Int. 2010; 199: e9-e13
        • Gorsline J.
        • Gupta S.K.
        • Dye D.
        • Rolf C.N.
        Steady-state pharmacokinetics and dose relationship of nicotine delivered from Nicoderm (Nicotine Transdermal System).
        J Clin Pharmacol. 1993; 33: 161-168
        • Federal Trade Commission
        Tar, nicotine, and carbon monoxide of the smoke of 1,294 varieties of domestic cigarettes for the year 1998.
        Federal Trade Commission, Washington, DC2000