• Ned Tijdschr Geneeskd · Aug 2006

    Case Reports

    [Coma in a child after treatment with the 'magic salve' lidocaine-prilocaine cream].

    • J W Wieringa, A G Ketel, and M A van Houten.
    • Spaarne Ziekenhuis, afd. Kindergeneeskunde, Postbus 770, 2130 AT Hoofddorp.
    • Ned Tijdschr Geneeskd. 2006 Aug 19;150(33):1805-7.

    AbstractA 2-year-old girl lost consciousness after the topical application of lidocaine-prilocaine cream (EMLA) in preparation for the removal of multiple mollusca contagiosa. Both the area on which cream was applied (80% of body surface) and the total amount of cream (90 g) exceeded the maximum dosage. Lidocaine-prilocaine cream is a widely used local anaesthetic with few side effects when used properly. Intoxication with a lidocaine-prilocaine preparation may have serious consequences, such as changes in intracardiac conduction, excitation or depression of the central nervous system and methaemoglobinaemia. In our patient both methaemoglobinaemia and depression of the central nervous system occurred, resulting in loss of consciousness. She was treated with 100% oxygen and fully recovered.

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