Reactions 1704, p162 - 2 Jun 2018 Muscle rigidity: case report A 52-year-old man developed muscle rigidity following fentanyl abuse [dosage and indication not stated]. The man injected himself with an IV injection that he had bought from a drug dealer, (he thought that it was mixture of opioids like heroin and methadone) in a supervised consumption facility in Vancouver. Shortly following the injection, he was found seated with fists clenched, elbows flexed, and neck stiff and flexed. He was unresponsive to sternal rub or verbal stimuli, but his eyes were open. The chest was rigid, he was cyanotic and was not spontaneously breathing. The man received artificial respirations with a bag valve mask on oxygen, which provided partial ventilation and SC naloxone was administered. His oxygen saturation was low and he had a strong carotid pulse. Two minutes after the naloxone administration, it became easier to ventilate him and to position his airway. His oxygen saturation improved and within six minutes, his rigidity completely disappeared. He opened his eyes and was breathing spontaneously. The cooker the patient had used to prepare his drugs was analysed and the sample was found to contain fentanyl. He was subsequently diagnosed with fentanyl-induced muscle rigidity. He made a full recovery without any sequelae. Author comment: "Fentanyl-induced muscle rigidity was diagnosed" Buxton JA, et al. A 52-year-old man with fentanyl-induced muscle rigidity. CMAJ: Canadian Medical Association Journal 190: E539-E541, No. 17, 30 Apr 2018. Available from: URL: http://doi.org/10.1503/cmaj.171468 - Canada 803323289 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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