Fuentes FZ, Vidal EA, Cervera BÁ, Román GM

Language: Spanish
References: 17
Page: 365-370
PDF size: 201.48 Kb.

ABSTRACT

Background: Drug poisoning in Pediatric Emergency Services is a rare event, especially in children under 3 years. Cocaine intoxication in childhood can occur passively or by intentionally.
Clinical case: A 4-month-old infant presented with right eyelid edema, skin lesions, excessive sleepiness, and food refusal. The patient's general condition was fair, he complained, had pale skin and several ecchymoses and small hematomas were observed in different evolutionary stages, in addition to lesions compatible with scratches on the face, micropetechiae on the dorsum of the penis and anal fissures. Laboratory studies reported disorder in liver function/disorder of liver function. The urine toxicological examination tested positive for cocaine. He received intravenous fluid therapy in the first 12 hours of admission, with a negative response for cocaine in urine in the first 24 hours. Clinical evolution was favorable and transaminase, creatine phosphokinase and troponin values normalized 12 days after admission. A progressive decrease in hematomas was also observed. The diagnosis of hypertransaminasemia secondary to cocaine intoxication and suspicion of physical abuse where established.
Conclusions: Patients with physical abuse (child abuse) have a higher risk of exposure to drugs, so this study supports the recommendation to to carry out drug screening in these cases.

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