Crystal Ice (Methamphetamine) Ingestion in a Toddler: A Case Report from Pakistan and Literature Review

Methamphetamine poisoning cases are increasing in the pediatric population secondary to its increased popularity among adults as a drug of abuse. We are reporting a case of one and half years old male toddler who presented in emergency with a history of ingestion of meth. After around 30 minutes of ingestion, he developed fits and was very irritable. On arrival in the emergency room, the patient was irritable with respiratory distress and tachycardia. The patient was given diazepam with a dose of 0.15 mg /kg at arrival. The patient needed two more doses of diazepam with a dose of 0.15 mg/kg. After the third dose, the baby’s heart rate settled and he became relaxed. After around six hours, he again developed the same irritability with an increasing heart rate. So, diazepam doses were repeated and three doses were given again. After that, the patient remained vitally stable and was sent home after 24 hours of hospitalization.