Extracorporeal cardiopulmonary resuscitation for severe chloroquine intoxication in a child - a case report.
Details
Serval ID
serval:BIB_AF9CE82A5116
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Extracorporeal cardiopulmonary resuscitation for severe chloroquine intoxication in a child - a case report.
Journal
Scandinavian journal of trauma, resuscitation and emergency medicine
ISSN
1757-7241 (Electronic)
ISSN-L
1757-7241
Publication state
Published
Issued date
15/03/2021
Peer-reviewed
Oui
Volume
29
Number
1
Pages
48
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
Chloroquine use has increased worldwide recently in the setting of experimental treatment for the novel coronavirus disease (Covid-19). Nevertheless, in case of chloroquine intoxication, it can be life threatening, with cardiac arrest, due to its cardiac toxicity.
This case study reports on a 14-years-old girl who presented in cardiac arrest after an uncommon suicide attempt by ingesting 3 g of chloroquine. After 66 min of cardio-pulmonary resuscitation (CPR), extracorporeal cardiopulmonary resuscitation (ECPR) was initiated, allowing cardiac function to recover.
Chloroquine intoxication is a rare but serious condition due to its cardiac toxicity. Use of ECPR in this case of transient toxicity allowed a favorable evolution with little neurological impairment.
This case study reports on a 14-years-old girl who presented in cardiac arrest after an uncommon suicide attempt by ingesting 3 g of chloroquine. After 66 min of cardio-pulmonary resuscitation (CPR), extracorporeal cardiopulmonary resuscitation (ECPR) was initiated, allowing cardiac function to recover.
Chloroquine intoxication is a rare but serious condition due to its cardiac toxicity. Use of ECPR in this case of transient toxicity allowed a favorable evolution with little neurological impairment.
Keywords
Adolescent, Antimalarials/adverse effects, Antimalarials/therapeutic use, COVID-19/drug therapy, COVID-19/epidemiology, Cardiopulmonary Resuscitation/methods, Chloroquine/adverse effects, Chloroquine/therapeutic use, Extracorporeal Membrane Oxygenation/methods, Female, Heart Arrest/chemically induced, Heart Arrest/therapy, Humans, Pandemics, SARS-CoV-2, Severity of Illness Index, Arrhythmia, Emergency medicine, Extracorporeal Life support, Intensive Care, Pediatrics, Resuscitation
Pubmed
Web of science
Open Access
Yes
Create date
27/03/2021 15:38
Last modification date
12/01/2022 7:12