Neonatal abstinence from cocaine, a case report

Detalhes bibliográficos
Autor(a) principal: Neto, Eduardo Beck Paglioli
Data de Publicação: 2022
Outros Autores: Pilger, Vinícius Castro, Tondo, Lucca Pizzato, Zanotto, Mônica Basso, Giongo, Mateus Sfoggia
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/42602
Resumo: Objective: describing a case of an infant exposed to cocaine through breast milk and its clinical repercussions.Case report: infant, one month and three days old, weighing 3,920g, came to the emergency room due to hypoactivity, sensory impairment and nose bleeding. Afebrile, irritated, tearful, no signs of ventilatory effort or active bleeding. Tests showed leukocytosis 13490/uL, mild metabolic acidosis, increased serum glutamic-oxaloacetic transaminase and enlarged coagulation tests. Other laboratory tests were normal. Toxicological screening revealed cocaine in the infant’s plasma. Toxicological Information Center, recommended monitorization, and clinical support. The patient was discharged from the intensive care unit to the ward five days after admission, with sensorium improvement and a follow-up with specialized teams.Conclusions: prompt recognition of the neonatal abstinence syndrome allows for better management of it and high chances of recovery for patients. The differential diagnosis with septic condition can be of great importance in conditions like this one.
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spelling Neonatal abstinence from cocaine, a case reportLactente em abstinência de cocaína, relato de casoneonatal abstinence syndromecocaínapediatricssíndrome da abstinência neonatalcocaínapediatriaObjective: describing a case of an infant exposed to cocaine through breast milk and its clinical repercussions.Case report: infant, one month and three days old, weighing 3,920g, came to the emergency room due to hypoactivity, sensory impairment and nose bleeding. Afebrile, irritated, tearful, no signs of ventilatory effort or active bleeding. Tests showed leukocytosis 13490/uL, mild metabolic acidosis, increased serum glutamic-oxaloacetic transaminase and enlarged coagulation tests. Other laboratory tests were normal. Toxicological screening revealed cocaine in the infant’s plasma. Toxicological Information Center, recommended monitorization, and clinical support. The patient was discharged from the intensive care unit to the ward five days after admission, with sensorium improvement and a follow-up with specialized teams.Conclusions: prompt recognition of the neonatal abstinence syndrome allows for better management of it and high chances of recovery for patients. The differential diagnosis with septic condition can be of great importance in conditions like this one.   Objetivo: descrever o caso de um lactente exposto à cocaína e as repercussões clínicas da sua ingestão por meio do leite materno.Relato do caso: lactente, com um mês e três dias de vida e peso de 3.920g vem à emergência, por quadro de hipoatividade, rebaixamento de sensório, choro e sangramento nasal. Afebril, irritada, chorosa, sem sinais de esforço ventilatório ou sangramentos ativos. Exames mostraram leucocitose 13490/uL, acidose metabólica discreta, aumento de transglutaminase oxalacética e provas de coagulação alargadas. Demais exames laboratoriais sem alterações e culturas negativas. Screening toxicológico revelou cocaína no plasma da lactente. O Centro de Informações Toxicológicas, recomendou monitorização e suporte clínico. A paciente recebeu alta da unidade de terapia intensiva para enfermaria cinco dias após admissão, com melhora do sensório, seguindo acompanhamento com a equipes especializadas.Conclusão: o pronto reconhecimento da síndrome de abstinência neonatal permite o melhor manejo da mesma em benefício dos pacientes. O diagnóstico diferencial com quadro séptico pode ser de grande importância em quadros como este. Editora da PUCRS - ediPUCRS2022-09-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/4260210.15448/1980-6108.2022.1.42602Scientia Medica; Vol. 32 No. 1 (2022): Single Volume; e42602Scientia Medica; v. 32 n. 1 (2022): Volume Único; e426021980-61081806-556210.15448/1980-6108.2022.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/42602/27668Copyright (c) 2022 Scientia Medicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNeto, Eduardo Beck PaglioliPilger, Vinícius CastroTondo, Lucca PizzatoZanotto, Mônica BassoGiongo, Mateus Sfoggia2022-12-16T12:09:43Zoai:ojs.revistaseletronicas.pucrs.br:article/42602Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2022-12-16T12:09:43Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Neonatal abstinence from cocaine, a case report
Lactente em abstinência de cocaína, relato de caso
title Neonatal abstinence from cocaine, a case report
spellingShingle Neonatal abstinence from cocaine, a case report
Neto, Eduardo Beck Paglioli
neonatal abstinence syndrome
cocaína
pediatrics
síndrome da abstinência neonatal
cocaína
pediatria
title_short Neonatal abstinence from cocaine, a case report
title_full Neonatal abstinence from cocaine, a case report
title_fullStr Neonatal abstinence from cocaine, a case report
title_full_unstemmed Neonatal abstinence from cocaine, a case report
title_sort Neonatal abstinence from cocaine, a case report
author Neto, Eduardo Beck Paglioli
author_facet Neto, Eduardo Beck Paglioli
Pilger, Vinícius Castro
Tondo, Lucca Pizzato
Zanotto, Mônica Basso
Giongo, Mateus Sfoggia
author_role author
author2 Pilger, Vinícius Castro
Tondo, Lucca Pizzato
Zanotto, Mônica Basso
Giongo, Mateus Sfoggia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Neto, Eduardo Beck Paglioli
Pilger, Vinícius Castro
Tondo, Lucca Pizzato
Zanotto, Mônica Basso
Giongo, Mateus Sfoggia
dc.subject.por.fl_str_mv neonatal abstinence syndrome
cocaína
pediatrics
síndrome da abstinência neonatal
cocaína
pediatria
topic neonatal abstinence syndrome
cocaína
pediatrics
síndrome da abstinência neonatal
cocaína
pediatria
description Objective: describing a case of an infant exposed to cocaine through breast milk and its clinical repercussions.Case report: infant, one month and three days old, weighing 3,920g, came to the emergency room due to hypoactivity, sensory impairment and nose bleeding. Afebrile, irritated, tearful, no signs of ventilatory effort or active bleeding. Tests showed leukocytosis 13490/uL, mild metabolic acidosis, increased serum glutamic-oxaloacetic transaminase and enlarged coagulation tests. Other laboratory tests were normal. Toxicological screening revealed cocaine in the infant’s plasma. Toxicological Information Center, recommended monitorization, and clinical support. The patient was discharged from the intensive care unit to the ward five days after admission, with sensorium improvement and a follow-up with specialized teams.Conclusions: prompt recognition of the neonatal abstinence syndrome allows for better management of it and high chances of recovery for patients. The differential diagnosis with septic condition can be of great importance in conditions like this one.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/42602
10.15448/1980-6108.2022.1.42602
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/42602
identifier_str_mv 10.15448/1980-6108.2022.1.42602
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/42602/27668
dc.rights.driver.fl_str_mv Copyright (c) 2022 Scientia Medica
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Scientia Medica
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 32 No. 1 (2022): Single Volume; e42602
Scientia Medica; v. 32 n. 1 (2022): Volume Único; e42602
1980-6108
1806-5562
10.15448/1980-6108.2022.1
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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