TY - JOUR
PY - 2020//
TI - Infant with status epilepticus secondary to systemic lidocaine toxicity from topical application
JO - BMJ case reports
A1 - Dribin, Timothy
A1 - Yin, Shan
A1 - Wurster Ovalle, Victoria
A1 - Walters, Erica
SP - e 2019
EP - 233119
VL - 13
IS - 1
N2 - A previously healthy 11-month-old infant presented to the emergency department in status epilepticus. There was no clear trigger of her seizure activity which resolved with benzodiazepines and fosphenytoin. On further review, her parents disclosed that she had been prescribed topical 4% lidocaine cream for a groin rash and was ultimately diagnosed with lidocaine toxicity in the emergency department. She was monitored in the intensive care unit without cardiovascular abnormalities or recurrence of seizure activity. Emergency medicine providers must maintain a broader differential of status epileptics and be able to recognise and manage potential complications from systemic lidocaine toxicity.
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Language: en
LA - en SN - 1757-790X UR - http://dx.doi.org/10.1136/bcr-2019-233119 ID - ref1 ER -