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Journal of Toxicology: Clinical Toxicology Volume 38, 2000 - Issue 6
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Research Article

Crack Cocaine Ingestion with Prolonged Toxicity Requiring Electrical Pacing

David A. Tanen Good Samaritan Regional Medical Center, Phoenix, Arizona, U.S.A.
,
Kimberlie A. Greame Good Samaritan Regional Medical Center, Phoenix, Arizona, U.S.A.
,
Steven C. Curry Good Samaritan Regional Medical Center, Phoenix, Arizona, U.S.A.
&
Dr. Steven Curry Department of Medical Toxicology, Good Samaritan Regional Medical Centre, 925 E. McDowell Rd,2nd Floor, Phoenix, AZ, 85006, U.S.A.
Pages 653-657 | Published online: 20 Nov 2000
 
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Abstract

Case Report: We report a 38-year-old man who experienced prolonged toxicity lasting over 16 hours from the time of ingestion of ¼ ounce of crack cocaine. His illness included status epilepticus, wide and narrow complex bradyarrhythmias, ventricular arrhythmias, and delayed hyperthermia. His bradyarrhythmias were refractory to medicinal intervention and responsive to application of an external pacemaker. The patient recovered to his baseline state over the ensuing 48 hours.

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