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 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.
Eyal
Dalit
D
Department of Pediatrics, Division of Pediatric Emergency Medicine, Temple University Children's Medical Center, Philadelphia, Pennsylvania, USA. eyald@tuhs.temple.edu
Molczan
Kenneth A
KA
Carroll
Leslie S
LS
D002648:Child; D003937:Diagnosis, Differential; D004077:Digoxin / Q000097:blood / Q000506:poisoning*; D004562:Electrocardiography; D004638:Emergency Treatment; D005260:Female; D006323:Heart Arrest / Q000097:blood / Q000139:chemically induced / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D011041:Poisoning / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000473:pathology
D004077:Digoxin