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Accidental dextropropoxyphene poisoning
B P Karunakara1, P P Maiya, S Radhakrishna Hegde
1Department of Pediatrics, M.S. Ramaiah Medical Teaching Hospital, Bangolore, India.
Indian Journal of Pediatrics
|June 10, 2003
Summary
Dextropropoxyphene poisoning, though rare in children, mimics narcotic overdose symptoms. Prompt administration of naloxone is crucial for managing this uncommon pediatric poisoning.
Area of Science:
- Pediatric Toxicology
- Emergency Medicine
Background:
- Dextropropoxyphene poisoning is infrequently documented in pediatric populations.
- Accidental ingestion can lead to severe clinical manifestations.
Observation:
- The case involved a child presenting with symptoms consistent with narcotic overdose.
- Clinical signs included convulsions, cardiac conduction disturbances, arrhythmias, and hypoglycemia.
Findings:
- Dextropropoxyphene poisoning in children is uncommon.
- Presentation mirrors narcotic toxicity, necessitating prompt recognition.
- Naloxone is identified as the specific antidote.
Implications:
- Highlights the importance of considering dextropropoxyphene in pediatric poisoning evaluations.
- Emphasizes the critical role of naloxone in managing these cases.
- Addresses a gap in Indian pediatric toxicology literature regarding this specific poisoning.