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Unintentional Cocaine Exposure and Brugada Syndrome: A Case Report

Mary Jean Ohns

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |July 29, 2020
    PubMed

    Insights

    Accidental cocaine ingestion in a toddler led to altered mental status and a rare Brugada rhythm. This case highlights pediatric poisoning risks and potential cardiac complications from stimulant exposure.

    Area of Science:

    • Pediatric Toxicology
    • Cardiology

    Background:

    • Poison Control Centers received 2.1 million exposure calls in 2018, with children aged 1-2 years having the highest incidence.
    • Stimulants, street drugs, and opioids are leading causes of poisoning deaths across all age groups.

    Observation:

    • A 16-month-old male presented with altered mental status after accidental cocaine ingestion.
    • Urine drug screen confirmed cocaine use; the child was admitted to the ICU for monitoring and supportive care.

    Findings:

    • The patient exhibited a Brugada rhythm, a rare but potentially fatal cardiac arrhythmia.
    • This case underscores the dangers of pediatric stimulant exposure and associated cardiac risks.

    Implications:

    • Highlights the critical need for vigilance regarding accidental drug ingestions in young children.
    • Emphasizes the potential for severe cardiac complications, including arrhythmias, from stimulant toxicity in pediatric populations.
    • Reinforces the importance of prompt diagnosis and intensive care management for pediatric poisoning cases.

    Keywords:
    Brugada syndromeUnintentional cocaine exposurealtered mental statuspediatric case report

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