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Pediatric emergency care · Aug 2000
Case ReportsCNS toxicity after topical application of EMLA cream on a toddler with molluscum contagiosum.
- E Rincon, R L Baker, A J Iglesias, and A M Duarte.
- Division of Emergency Medicine, Miami Children's Hospital, Florida 33155, USA.
- Pediatr Emerg Care. 2000 Aug 1;16(4):252-4.
AbstractEMLA (eutectic mixture of local anesthetics) cream is used topically to provide local anesthesia for a variety of painful superficial procedures. Although the side effects of EMLA are usually mild and transient local skin reactions, potential life threatening complications can be encountered. We report a case of central nervous toxicity after EMLA application for curettage of molluscum contagiosum lesions in a pediatric patient. This complication was the result of a therapeutic misadventure that led to an excessive application of EMLA cream over an extensive area causing an overdose of lidocaine and prilocaine with their subsequent systemic toxicities.
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