Death by band-aid: fatal misuse of transdermal XXXX patch.

@entity1 @entity3126 @entity130 @entity3575 @entity8769
UNASSIGNED: We present a case of fatal intoxication by the application of a transdermal @entity3575 patch upon a superficial bleeding abrasion of a 2-year-old @entity1 . The grandmother discovered the body of the @entity1 in bed at approximately 7  a.m. External examination revealed a properly developed, nourished, and hydrated @entity1 , with some vomit in the nostrils and inside the mouth. There was no evidence of @entity130 besides small contusions and abrasions on the knees, with a patch placed over the largest abrasion. Closer inspection revealed that this was transdermal @entity3575 patch. Internal examination and microscopic analysis revealed regurgitation of stomach content, cerebral and @entity3126 . Toxicology analysis revealed trace levels of @entity3575 in the blood just above the limit of detection (2  ng/mL), while concentrations in the urine, liver, and kidney were approximately 102, 28, and 10  ng/mL, respectively. Investigation discovered that the @entity1 injured her knee while playing the evening before. The grandmother applied the patch to cover the injury, unaware that she had used a @entity3575 transdermal patch instead of simple band-aid. Although @entity8769 are uncommon among young @entity1 in high-income countries, it is of major interest to raise awareness of such events especially since a great majority of these are preventable. The presented case points at the need for more thorough education of users and more strict rules in prescribing and handling of this potent medicine. As well, we find this case to be a useful contribution to the evaluation of postmortem @entity3575 concentrations in fatal intoxication in a small @entity1 .
