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Ann. Fr. Med. Urgence (2012) 2:280-282 DOI 10.1007/s13341-012-0204-y CAS CLINIQUE / CASE REPORT False allergy but true lidocaine poisoning N. Beysard · P.-N. Carron · M. Pasquier Reçu le 13 février 2012 ; accepté le 28 mars 2012 © SFMU et Springer-Verlag France 2012 respiratoire physiologique. L’examen neurologique était peu Introduction contributif, hormis une instabilité diffuse à la marche sans latéralisation. Il n’y avait pas d’œdème visible de la sphère La lidocaïne est l’un des anesthésiques locaux les plus fré- ORL ou des voies aériennes supérieures, ni d’éruption quemment utilisés. Son administration comporte cependant cutanée. Le bilan paraclinique (ECG, laboratoire) était dans des risques, principalement sous la forme de manifestations les normes. allergiques ou toxiques. Une bonne connaissance des symp- Après réévaluation de l’anamnèse, le diagnostic retenu à tômes et signes de surdosage permet de distinguer ceux-ci de l’hôpital n’a pas été celui d’une réaction allergique, mais la rare réaction de type allergique et ainsi de pouvoir propo- bien d’une intoxication à la lidocaïne, la dose totale adminis- ser une prise en charge appropriée. trée étant de 460 mg, soit 5,4 mg/kg. Les symptômes du patient ont disparu après 4 heures d’observation, permettant son retour à domicile. Observation Un
Annales françaises de médecine d'urgence – Springer Journals
Published: Apr 10, 2012
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