Critical Care and Shock, May 2008, Volume 11, No. 2

Authors:
Thomas ST Li, Gavin M. Joynt, Hing Y. So, Charles D. Gomersall, Florence HY Yap

Authors:
Glorimar Santos-Llanos, Graciela Latalladi-Ortega, Ángel Galera-Santiago, Alfonso Torres-Palacios, William Rodríguez-Cintrón

Authors:
Natalia Mendoza, Lucretia Davis, Ruth Wintz, Joseph Varon

A 79 year-old African American lady presented to the emergency department with complaints of dyspnea which followed the second application of her recently prescribed eye drops (timolol 0.25% ophthalmic solution). She had been taking azythromycin for an upper respiratory infection as well. However, she had taken this antibiotic in multiple occasions in the past. She denied any other medications or recent trauma to the oral cavity. The patient was admitted to the intensive care unit and emergently intubated via the nasotracheal route.