Charcoal hemoperfusion in an infant with supraventricular tachycardia and seizures secondary to amitriptyline intoxication.
Tricyclic antidepressant (TCA) overdose is one of the common causes of drug poisoning and it has cardiovascular, respiratory and neurological side effects. An 18-month male infant was admitted to our pediatric emergency service due to poisoning with amitriptyline. The infant was unconscious. Tachycardia, irregular and shallow breathing, and tonic-clonic seizures were observed on physical examination. An electrocardiogram displayed a narrow complex tachycardia that was consistent with re-entrant supraventricular tachycardia (SVT). Although antiarrhythmic and anticonvulsive agents were administrated, SVT and seizures persisted. Charcoal hemoperfusion (HP) was performed for 4 hours. The infant's clinical condition has improved after the charcoal HP, seizures and SVT were not observed. It is concluded that charcoal HP can be used efficiently in patients with severe amitriptyline intoxication.
Mutlu
Mehmet
M
Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
Karagüzel
Gülay
G
Bahat
Elif
E
Aksoy
Ayşe
A
Güven
Burcu
B
Dilber
Beril
B
Dilber
Embiya
E
D000639:Amitriptyline / Q000633:toxicity*; D000928:Antidepressive Agents / Q000633:toxicity*; D002606:Charcoal; D006464:Hemoperfusion / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D012640:Seizures / Q000139:chemically induced / Q000628:therapy; D013617:Tachycardia, Supraventricular / Q000139:chemically induced / Q000628:therapy
D000928:Antidepressive Agents; D002606:Charcoal; D000639:Amitriptyline