J Emerg Med
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Case Reports
Second place winner. Absorption of topical ophthalmic medications presenting as lethargy and apnea in an infant.
The case of a previously healthy 3-week-old infant with lethargy and apnea resulting from topical absorption of ophthalmic antiglaucoma medications is described. This case illustrates the importance of including topical drugs in medication histories and considering them as potential causes of systemic toxicity. It also emphasizes the high level of vigilance that is needed in monitoring infants and small children when prescribing concentrated topical medications that are usually given to adults.
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Lionfish (Pterois volitans) are venomous fish most often found as aquarium pets throughout the United States. Lionfish envenomations frequently occur on the upper extremities, with pain as the predominant symptom. ⋯ Other methods of analgesia are discussed. We present a case of lionfish envenomation that failed to respond to warm water immersion.