Digoxin Toxicity: Pediatric Survival After Asystolic Arrest

We report the first case of a child with known cardiac disease who presented in full cardiac arrest secondary to digoxin poisoning and was successfully resuscitated. A 12-week-old female presented 1-week status post surgical repair of a congenital heart anomaly in asystolic cardiac arrest. The patie...

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Bibliographic Details
Published inClinical Toxicology Vol. 43; no. 1; pp. 51 - 54
Main Authors Eyal, Dalit, Molczan, Kenneth A., Carroll, Leslie S.
Format Report
LanguageEnglish
Published Taylor & Francis 01.01.2005
Subjects
Digibind
Digoxin
Digoxin-specific Fab fragments
Pediatric
Poisoning
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Summary:We report the first case of a child with known cardiac disease who presented in full cardiac arrest secondary to digoxin poisoning and was successfully resuscitated. A 12-week-old female presented 1-week status post surgical repair of a congenital heart anomaly in asystolic cardiac arrest. The patient was successfully resuscitated with standard Advanced Pediatric Life Support. A toxic digoxin level returned, Digoxin-specific antibody fragments (Digibind®, Fab) were administered, and all signs and symptoms of toxicity resolved. The patient was discharged 6 days after presentation with full neurological recovery.
ISSN:1556-3650
1556-9519
DOI:10.1081/CLT-45025