학술논문

Extracorporeal cardiopulmonary resuscitation for severe chloroquine intoxication in a child – a case report
Document Type
article
Source
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-4 (2021)
Subject
Pediatrics
Extracorporeal Life support
Resuscitation
Emergency medicine
Intensive Care
Arrhythmia
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
1757-7241
Abstract
Abstract Background Chloroquine use has increased worldwide recently in the setting of experimental treatment for the novel coronavirus disease (Covid-19). Nevertheless, in case of chloroquine intoxication, it can be life threatening, with cardiac arrest, due to its cardiac toxicity. Case presentation This case study reports on a 14-years-old girl who presented in cardiac arrest after an uncommon suicide attempt by ingesting 3 g of chloroquine. After 66 min of cardio-pulmonary resuscitation (CPR), extracorporeal cardiopulmonary resuscitation (ECPR) was initiated, allowing cardiac function to recover. Conclusions Chloroquine intoxication is a rare but serious condition due to its cardiac toxicity. Use of ECPR in this case of transient toxicity allowed a favorable evolution with little neurological impairment.