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Arch Dis Child 2001;85:500-502 ( December )

Case report

Acute nicotine poisoning associated with a traditional remedy for eczema P Daviesa, S Levyb, A Paharia, D Martinezb

a St Mary's NHS Trust, Praed Street, London W2 1NY, b Medical Toxicology Unit, Guy's and St Thomas's Hospital, St Thomas Street, London SE1 9RT

Correspondence to: Dr Davies, Department of Paediatrics, Luton and Dunstable Hospital, Lewsey Road, Luton LU4 ODZ, UK daviespatrick{at}hotmail.com

We present a case of severe acute nicotine poisoning in an 8 year old boy with moderate eczema after topical application of a traditional remedy from a book published in Bangladesh. Symptoms consistent with nicotine poisoning developed within 30 minutes of application of the remedy. The child subsequently improved with supportive care and was discharged after five days with no neurological sequelae. Diagnosis of nicotine poisoning was not initially made due to difficulty in obtaining an accurate history via an interpreter from the parents who did not speak English. Samples taken 12 hours after application of the remedy showed a serum nicotine of 89 µg/l, serum cotinine of 1430 µg/l, urine nicotine of 1120 µg/l, and a urine cotinine of 6960 µg/l confirming acute nicotine poisoning.


Keywords: nicotine poisoning and toxicity; traditional remedy; dermal absorption


© 2001 by Archives of Disease in Childhood



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