0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Cocaine Toxicity in Toddlers

JANE D. DINNIES, MD; CHRISTINE D. DARR, MD; AUGUSTA J. SAULYS, MD
Am J Dis Child. 1990;144(7):743-744. doi:10.1001/archpedi.1990.02150310009002.
Text Size: A A A
Published online

Sir.—We describe three young children with suspected cocaine toxicity believed secondary to accidental ingestion or indirect exposure. Cocaine toxicity and its manifestations are well known for infants of mothers using cocaine and in adolescent or adult use. However, little has been reported of accidental exposure in preschool children. We suggest that children with new onset of seizures or unusual clinical presentations should be screened for cocaine and its metabolites.

Use of cocaine has reached epidemic proportions today. The Drug Abuse Warning Network is showing an 86% increase in cocaine-related emergency department admissions in 1 year. Patients present with emergent symptoms caused by cocaine or "crack" (free-base cocaine) use, including loss of consciousness, seizures, chest pain, "cocaine-bugs" or severe itching, sudden death, and malnutrition. Most patients are adults or teenagers, but recently infants born to addicted mothers and newborn infants who are breast-fed have also been found to be affected.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();