Acute Ibuprofen intoxication: report on a case and review of the literature

Am J Forensic Med Pathol. 2012 Sep;33(3):242-6. doi: 10.1097/PAF.0b013e318253d6ff.

Abstract

A fatality following the ingestion of ibuprofen is reported. Ibuprofen is a prototypical nonsteroidal anti-inflammatory drug widely prescribed as an analgesic, anti-inflammatory, and antipyretic agent. To date, there are few case reports of fatal overdose with ibuprofen, following ibuprofen self-poisoning or accidental overdose. We report the case of a 51-year-old man with medical history of psychiatric disease, who was brought to the emergency department by ambulance with a chief complaint of having taken large amounts of drugs in a suicide attempt.Multiple empty containers of medications (ibuprofen, meloxicam, celecoxib, risperidone, citalopram, ketorolac, bromazepam) were found at the scene. He died 4 hours after admission to the emergency department, despite vigorous supportive care. Toxicological analyses were performed using a gas chromatography/mass spectrometry technique. The estimated ibuprofen concentration in the plasma was 600 μg/mL; gastric content was 200 μg/mL for this compound. Our report describes results of the forensic investigation and discuss the review of the literature.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / analysis
  • Anti-Inflammatory Agents, Non-Steroidal / poisoning*
  • Brain Edema / pathology
  • Forensic Pathology
  • Forensic Toxicology
  • Gas Chromatography-Mass Spectrometry
  • Gastrointestinal Contents / chemistry
  • Humans
  • Ibuprofen / analysis
  • Ibuprofen / poisoning*
  • Kidney / pathology
  • Liver / pathology
  • Lung / pathology
  • Male
  • Middle Aged
  • Myocardium / pathology
  • Pulmonary Edema / pathology
  • Suicide*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Ibuprofen