Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report

Methadone is a synthetic opioid used to treat pain and opioid dependence. Despite its benefits, accidental ingestion of methadone in pediatric patients can lead to significant morbidity and mortality. Documented findings of acute toxicity secondary to methadone ingestion in children include leukoenc...

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Main Authors: Jessie Pappin, Greg Hansen, Tanya Holt
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/crpe/1045330
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author Jessie Pappin
Greg Hansen
Tanya Holt
author_facet Jessie Pappin
Greg Hansen
Tanya Holt
author_sort Jessie Pappin
collection DOAJ
description Methadone is a synthetic opioid used to treat pain and opioid dependence. Despite its benefits, accidental ingestion of methadone in pediatric patients can lead to significant morbidity and mortality. Documented findings of acute toxicity secondary to methadone ingestion in children include leukoencephalopathy and cerebellitis. There is limited research into treatment and factors influencing clinical outcomes following methadone overdose in children. We report a 3-year-old child with severe brain injury and death following accidental ingestion of methadone. Our case is unique in that we were able to acquire a serum methadone level following ingestion, which was used to guide intervention and treatments. Using this case, we aim to contribute to the growing understanding of methadone toxicity while also advocating for the implementation of policies that protect our pediatric population.
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series Case Reports in Pediatrics
spelling doaj-art-35ded9d8239c4d9f83e17eff499f6c032025-08-20T03:24:56ZengWileyCase Reports in Pediatrics2090-68112025-01-01202510.1155/crpe/1045330Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case ReportJessie Pappin0Greg Hansen1Tanya Holt2Department of PediatricsDepartment of Pediatric Critical CareDepartment of Pediatric Critical CareMethadone is a synthetic opioid used to treat pain and opioid dependence. Despite its benefits, accidental ingestion of methadone in pediatric patients can lead to significant morbidity and mortality. Documented findings of acute toxicity secondary to methadone ingestion in children include leukoencephalopathy and cerebellitis. There is limited research into treatment and factors influencing clinical outcomes following methadone overdose in children. We report a 3-year-old child with severe brain injury and death following accidental ingestion of methadone. Our case is unique in that we were able to acquire a serum methadone level following ingestion, which was used to guide intervention and treatments. Using this case, we aim to contribute to the growing understanding of methadone toxicity while also advocating for the implementation of policies that protect our pediatric population.http://dx.doi.org/10.1155/crpe/1045330
spellingShingle Jessie Pappin
Greg Hansen
Tanya Holt
Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
Case Reports in Pediatrics
title Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
title_full Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
title_fullStr Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
title_full_unstemmed Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
title_short Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report
title_sort accidental methadone toxicity in a 3 year old leading to severe cerebellitis and death a case report
url http://dx.doi.org/10.1155/crpe/1045330
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AT tanyaholt accidentalmethadonetoxicityina3yearoldleadingtoseverecerebellitisanddeathacasereport