Intoxication with ajmaline in an infant

We present a case of overdosage of ajmaline in an infant. The appearance of atactic gait and clonic tonic seizures were followed by loss of consciousness, apnea, supraventricular tachycardia, left bundle-branch block, and a prolonged Q-T interval. Cardiopulmonary resuscitation, gastric lavage, and f...

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Bibliographic Details
Published in:	Chest Vol. 76; no. 1; p. 97
Main Authors:	Ben-Shachar, G, Kishon, Y
Format:	Journal Article
Language:	English
Published:	United States 01-07-1979
Subjects:	Accidents, Home Administration, Oral Ajmaline - administration & dosage Ajmaline - poisoning Apnea - chemically induced Arrhythmias, Cardiac - chemically induced Ataxia - chemically induced Bundle-Branch Block - chemically induced Consciousness Disorders - chemically induced Diuresis Electrocardiography Female Gastric Lavage Humans Infant Monitoring, Physiologic Resuscitation Seizures - chemically induced Sodium Chloride - therapeutic use Tablets Tachycardia - chemically induced
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Summary:	We present a case of overdosage of ajmaline in an infant. The appearance of atactic gait and clonic tonic seizures were followed by loss of consciousness, apnea, supraventricular tachycardia, left bundle-branch block, and a prolonged Q-T interval. Cardiopulmonary resuscitation, gastric lavage, and forced diuresis were followed by complete recovery. Continuous electrocardiographic monitoring is mandatory in these cases, and the use of a cardiac pacemaker, respirator, and therapy with antiarrhythmic agents should be considered.
ISSN:	0012-3692
DOI:	10.1378/chest.76.1.97