Three Hundred Thousand Units: When Treatment Silenced a Child
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Three Hundred Thousand Units: When Treatment Silenced a Child
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概要
The moment a doctor injected three hundred thousand units of penicillin into a boy's spine-thirty times the prescribed ten thousand-the child convulsed, developed hemiparesis, and later could not hear. Which caused the deafness: the meningitis that nearly killed him, or the massive intrathecal overdose that followed treatment?
In this episode, we lay out the clinical timeline, the documented overdose, and the legal battle that reached Scotland’s highest courts to determine causation. How did courts weigh the simultaneous violence of bacterial meningitis against an unambiguous thirty-fold drug error?
Person: the boy (identified by family name in records)
Event: intrathecal injection of benzylpenicillin
Date: discharged on 24 December (year not specified)
Dose prescribed: 10,000 units
Dose administered: 300,000 units
- The administered dose was 300,000 units of penicillin delivered into the subarachnoid space.
- The prescribed intrathecal dose was 10,000 units, making the overdose thirty times the intended amount.
- Immediate toxic effects reported included convulsions and hemiparesis following the injection.
- The child survived the bacterial meningitis and was discharged from hospital on 24 December.
- The central legal question was whether the meningitis or the penicillin overdose caused the permanent deafness.
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