Multiple Cerebral Infarctions and Rhabdomyolysis After Sildenafil Citrate (Viagra (R)) Intoxication: A Case Report
- Authors
- Kim, Sechan; Choi, Sungwoo; Nah, Sangun; Han, Sangsoo
- Issue Date
- May-2023
- Publisher
- Elsevier BV
- Keywords
- -cerebral infarction; intoxication; rhabdomy-olysis; sildenafil
- Citation
- Journal of Emergency Medicine, v.64, no.5, pp 624 - 627
- Pages
- 4
- Journal Title
- Journal of Emergency Medicine
- Volume
- 64
- Number
- 5
- Start Page
- 624
- End Page
- 627
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/24827
- DOI
- 10.1016/j.jemermed.2023.02.007
- ISSN
- 0736-4679
1090-1280
- Abstract
- -background: Sildenafil citrate (Viagra (R)) is used to treat male erectile dysfunction; however, little is known about the effects of sildenafil overdose and intox-ication. We report a patient who presented with cerebral infarction and rhabdomyolysis after intentional sildenafil intoxication. Case Report: A 61-year-old man visited the Emergency Department complaining of dysarthria about 1 h after taking more than 30 sildenafil tablets with the in-tention to commit suicide. Dysarthria and dizziness were observed, but there were no other neurological symptoms. The creatine kinase level was elevated to 3118 U/L, and the patient was diagnosed with rhabdomyolysis. Brain mag-netic resonance imaging revealed multiple scattered acute cerebral infarctions in both midbrain artery branches. At 4 h post-intoxication, the dysarthria had improved and we initiated dual antiplatelet therapy for cerebral infarction. Why Should an Emergency Physician Be Aware of This?: Emergency physicians should be able to anticipate and treat complications like cerebral infarction and rhabdomyolysis after sildenafil intoxication. (c) 2023 Elsevier Inc. All rights reserved.
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Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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