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A 1.5-year-old child was supposed to receive propranolol for treatment of hemangioma (a vascular benign tumor). Instead, he was mistakenly prescribed the chemotherapy medication, procarbazine, which is used to treat lymphoma or brain cancers. MedAware alerted the care team of the mistake, and the order was canceled.
If treated with the wrong drug, the child could have suffered from the chemotherapy’s side effects, such as low platelet count, nerve damage, and even seizures and coma.