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Scand J Trauma Resus · Mar 2021
Case ReportsExtracorporeal cardiopulmonary resuscitation for severe chloroquine intoxication in a child - a case report.
- Thomas Ferry, Vivianne Amiet, Julia Natterer, Marie-Hélène Perez, Raymond Pfister, Sébastien Colombier, and David Longchamp.
- Paediatric Intensive Care, Lausanne University Hospital, University of Lausanne, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland. Thomas.Ferry@chuv.ch.
- Scand J Trauma Resus. 2021 Mar 15; 29 (1): 4848.
BackgroundChloroquine 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 PresentationThis 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.ConclusionsChloroquine 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.
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