Accidental ingestion of dosulepin presenting as atrial flutter in a child.
This case highlights the importance of considering drug ingestion when the clinical features at presentation are unusual. To our knowledge, this is the first report of atrial flutter secondary to tricyclic antidepressant (TCA) overdose in a child.
Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK.
Santabhanu
S
Chakrabarti
James
J
Fraser
Beverly
B
Tsai-Goodman
D000241:Adenosine / Q000008:administration & dosage; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage; D000929:Antidepressive Agents, Tricyclic / Q000506:poisoning*; D001282:Atrial Flutter / Q000139:chemically induced* / Q000188:drug therapy / Q000503:physiopathology; D002675:Child, Preschool; D004308:Dothiepin / Q000506:poisoning*; D062787:Drug Overdose; D004562:Electrocardiography / Q000187:drug effects; D005500:Follow-Up Studies; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007275:Injections, Intravenous; D008297:Male
D000889:Anti-Arrhythmia Agents; D000929:Antidepressive Agents, Tricyclic; D000241:Adenosine; D004308:Dothiepin