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Clinical Toxicology Volume 43, 2005 - Issue 1
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Case Report

Digoxin Toxicity: Pediatric Survival After Asystolic Arrest

Dalit Eyal Department of Pediatrics, Division of Pediatric Emergency Medicine, Temple University Children's Medical Center, Philadelphia, PennsylvaniaUSA; Department of Pediatrics, Division of Pediatric Emergency Medicine, Temple University Children's Medical Center, Philadelphia, PAUSA
, D.O.,
Kenneth A. Molczan Department of Pediatrics, Division of Pediatric Emergency Medicine, Temple University Children's Medical Center, Philadelphia, PennsylvaniaUSA
, R.N. , M.S.N. &
Leslie S. Carroll Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PennsylvaniaUSA
, F.A.A.E.M. , M.D. , A.B.M.T.
Pages 51-54 | Published online: 07 Oct 2008
 
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Abstract

We report the first case of a child with known cardiac disease who presented in full cardiac arrest secondary to digoxin poisoning and was successfully resuscitated. A 12-week-old female presented 1-week status post surgical repair of a congenital heart anomaly in asystolic cardiac arrest. The patient was successfully resuscitated with standard Advanced Pediatric Life Support. A toxic digoxin level returned, Digoxin-specific antibody fragments (Digibind®, Fab) were administered, and all signs and symptoms of toxicity resolved. The patient was discharged 6 days after presentation with full neurological recovery.

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