When the sachets get mixed-up - benzydamine hydrochloride ingestion
Keywords:intoxication, benzydamine, hallucination, children
Introduction: The benzydamine hydrochloride is an antiinflammatory drug with analgesic, antipyretic and antimicrobial properties.
Case report: A 4 year and 8 month-old boy is brought to the emergency room with psychomotor agitation and visual hallucinations, starting approximately 1 hour after the accidental ingestion of a sachet of 500 mg of benzydamine hydrochloride. Physical examination showed ataxia, tremor, occasional spasmodic tremors, agitation and visual hallucinations. After gastric lavage and activated charcoal, haloperidol was given due to severe agitation and visual hallucinations. Given the possibility of asphyxiation caused by spasm of the respiratory muscles, he was transferred to a tertiary hospital. With a favorable outcome, the patient received medical discharge on the 2nd day of admission.
Discussion: We alert to the possibility of confusion between oral and topic solutions. Being the hallucinogenic effect the main clinical manifestation, benzydamine ingestion, either intentional or accidental, should be considered in acute psychotic episodes.
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