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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249


DECIA1, Mónica et al. Acute cocaine intoxication in an infant that is not associated to maternal breastfeeding: A clinical case. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.2, pp.113-120. ISSN 1688-1249.

Acute intoxication with cocaine is infrequent in children. Generalized tonic-clonic seizures, movement disorders and agitation are the most frequently observed clinical features in cocaine intoxication. We present the case of acute cocaine intoxication in a 1 month old boy who was hospitalized in the Pediatric Critical Care Unit of Pereira Rossell Hospital Center. Clinical features were secondary to generalized adrenergic stimulation. Clinical features were myocardial damage, cervical dystonic movements, agitation and metabolic acidosis. Urine toxicology screening proved positive for benzoylecgonine upon arrival at the Emergency Unit. Cocaine´s entry into the infant was not clearly established, although it was likely to be passive exposure to coca paste smoke. A high level of suspicion is needed in order to diagnose diagnosis acute cocaine intoxication in children.


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