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Rev Bras Anestesiol · Mar 2009
Case ReportsSecond degree atrioventricular block Mobitz type I after administration of benzathine penicillin: case report.
- Lúcia de Sousa Belém and Cristiano Aparecido Cavalcante Inácio.
- Universidade Estadual do Ceará.
- Rev Bras Anestesiol. 2009 Mar 1; 59 (2): 219-22.
Background And ObjectivesSecond degree atrioventricular block Mobitz type I is seen as a transitory change in the presence of inferior wall myocardial infarction or drug intoxication. The objective of this report was to present a case of second degree atrioventricular block Mobitz type I after administration of benzathine penicillin.Case ReportThe patient had a syncopal episode and sudoresis after administration of benzathine penicillin. On physical exam, he presented diaphoresis, bradycardia, and irregular heart rate. The electrocardiogram (ECG) showed second degree atrioventricular block Mobitz type I. Intravenous atropine, 0.5 mg, was administered. An ECG done one hour later was normal. The patient remained asymptomatic and, and after six hours he was discharged.ConclusionsThe patient developed second degree atrioventricular block Mobitz type I after the administration of benzathine penicillin.
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