[Nifedipine poisoning in a child]

Area of Science:

• Cardiology
• Pediatric Toxicology

Background:

• Nifedipine, a calcium channel blocker, overdose can lead to severe cardiovascular complications in children.
• Accidental ingestion of medications poses a significant risk to pediatric patients.

Observation:

• A 2-year- and 4-month-old boy ingested 150 mg of nifedipine (15 tablets).
• The child presented with symptoms of nifedipine poisoning requiring immediate medical attention.

Findings:

• Medical management included gastric lavage and repeated calcium administration.
• Continuous monitoring of cardiac rhythm, electrocardiography, and blood pressure was performed.
• The patient showed a very good clinical evolution with complete resolution of symptoms within 6 hours.

Implications:

• Early and appropriate medical intervention is crucial for managing nifedipine poisoning in children.
• Gastric lavage and calcium therapy are effective in treating nifedipine overdose.
• This case highlights the importance of medication safety and prompt pediatric emergency care.