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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
PubMed
Summary

Dextropropoxyphene poisoning, though rare in children, mimics narcotic overdose symptoms. Prompt administration of naloxone is crucial for managing this uncommon pediatric poisoning.

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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.

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