Nederlands tijdschrift voor geneeskunde
-
Ned Tijdschr Geneeskd · Aug 2006
Case Reports[Coma in a child after treatment with the 'magic salve' lidocaine-prilocaine cream].
A 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. ⋯ 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.