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CC BY 4.0 · Journal of Child Science 2023; 13(01): e51-e53
DOI: 10.1055/s-0043-1768566
Case Report

Possible Triggers of Supraventricular Tachycardia in a Toddler Rescued from a Garage Fire: A Case Report

Susanna Shaw 
1   Department of Anesthesiology, University of California, San Diego, California, United States
,
Karim Rafaat
1   Department of Anesthesiology, University of California, San Diego, California, United States
,
Brian Frugoni
1   Department of Anesthesiology, University of California, San Diego, California, United States
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Abstract

We describe the case of a previously healthy toddler with the finding of supraventricular tachycardia after being rescued from a garage fire. The patient's initial presentation was concerning for inhalational injury and a 2% total body surface area burn to the forehead. Additionally, the patient was noted to be extremely agitated in the trauma bay. Given the patient's agitation and the mysterious circumstances surrounding the fire, a urine toxicology was performed shortly after admission and was positive for cocaine. Passive cocaine inhalation, possibly during the fire, is a likely explanation for the child's arrhythmia.

Keywords

pediatric - supraventricular tachycardia - burns - inhalational injury - cocaine - unintentional drug exposure


Publication History

Received: 12 August 2022

Accepted: 20 March 2023

Article published online:
04 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
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