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Overdosage of Calcarea phosphorica causes severe hypocalcaemia in a toddler
1Resident Doctor, Medical College Kolkata, Kolkata, India.
Insights
A child experienced accidental overdose of Calcarea phosphorica, leading to hypocalcaemia and prolonged QTc interval. Prompt treatment with intravenous calcium successfully resolved the condition.
Area of Science:
- Homeopathy
- Pediatric Toxicology
- Clinical Pharmacology
Background:
- Accidental ingestion of homeopathic remedies can occur in children.
- Calcarea phosphorica is a homeopathic preparation derived from calcium phosphate.
- Understanding the potential toxicity of high-dose homeopathic ingestions is crucial for pediatric care.
Observation:
- A 4-year-old girl ingested 200 tablets of Calcarea phosphorica.
- Despite being asymptomatic, the child presented with significant hypocalcaemia.
- Electrocardiogram revealed a prolonged QTc interval, indicating potential cardiac effects.
Findings:
- The patient exhibited marked hypocalcaemia following the ingestion.
- The prolonged QTc interval suggests a risk of cardiac arrhythmias.
- The case highlights the potential for physiological effects from high-dose homeopathic remedies.
Implications:
- This case underscores the importance of considering homeopathic ingestions in pediatric toxicology evaluations.
- Prompt recognition and management of hypocalcaemia are essential to prevent adverse cardiac events.
- Further research into the safety and efficacy of high-dose homeopathic preparations is warranted.
Abstract:
A four-year-old girl presented with accidental ingestion of 200 tablets of Calcarea phosphorica. Although she was asymptomatic, she was found to have marked hypocalcaemia with a prolonged QTc interval on electrocardiogram. She was successfully treated with intravenous calcium, followed by oral maintenance.
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