[Seizure and non-cardiogenic pulmonary edema after intoxication]

Publikation

[Seizure and non-cardiogenic pulmonary edema after intoxication]

Wissenschaftlicher Artikel/Review - 01.04.2010

Sawatzki Mikael, Kummer O, Krähenbühl S, Siegemund M

Zitation

Sawatzki M, Kummer O, Krähenbühl S, Siegemund M. [Seizure and non-cardiogenic pulmonary edema after intoxication]. Internist (Berl) 2010; 51:528-32.

Art

Wissenschaftlicher Artikel/Review (Deutsch)

Zeitschrift

Internist (Berl) 2010; 51

Veröffentlichungsdatum

01.04.2010

eISSN (Online)

1432-1289

Seiten

528-32

Kurzbeschreibung/Zielsetzung

We report a case of severe intoxication with extended-release verapamil. In addition to cardiovascular toxicities with hypotension, atrioventricular block and bradycardia, the patient suffered from grand-mal seizure and pulmonary edema 13 and 48 hours respectively, after ingestion of 4.8 g of extended-release verapamil. Adverse reactions after intoxications with extended-release tablets appear delayed with prolonged manifestation of symptoms. Early and repetitive administration of activated charcoal and antegrade whole bowel lavage are crucial, even in primary asymptomatic patients.