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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Dentocalmin poisoning

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ABSTRACT

Dentocalmin is a contact anesthetic, analgesic and local antiseptic treatment used in dentistry. Poisoning with this substance causes severe clinical manifestations due to lidocaine and phenol, the main active constituents. We present the case of an 11 months old infant, accidentally poisoned with dentocalmin, admitted with seizures followed by cardiopulmonary arrest. He was resuscitated and mechanically ventilated for 24 hours. The evolution was favourable, despite high toxic dose and complications arising from endotracheal intubation – pneumothorax, pneumomediastinum and cervical and thoracic subcutaneous emphysema. The child was discharged 10 days later, in good general condition, without neuropsychiatric sequelae.

Key words: dentocalmin, poisoning, seizures, cardiopulmonary arrest, child

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