TY - JOUR PY - 1992// TI - Chloroquine poisoning: ventricular fibrillation following 'trivial' overdose in a child JO - Intensive care medicine A1 - Collee, G. G. A1 - Samra, G. S. A1 - Hanson, G. C. SP - 170 EP - 171 VL - 18 IS - 3 N2 - A 13-year-old boy was admitted to hospital 45 min after the ingestion of approximately 750 mg of chloroquine base. A few minutes after gastric lavage with warm water he developed ventricular fibrillation from which he was promptly resuscitated. The plasma concentration of chloroquine was 4.2 mumol/l; significantly lower than the concentrations previously associated with a fatal outcome in adults. The clinical and electrocardiographic effects of chloroquine poisoning are discussed, and the literature reviewed regarding the role of specific management with diazepam and adrenaline infusions. A period of twenty four hours electrocardiographic (ECG) monitoring and pulse oximetry in an intensive care unit is advocated for all patient with ECG changes following chloroquine overdose.
Language: en
LA - en SN - 0342-4642 UR - http://dx.doi.org/ ID - ref1 ER -