A Case of Fatal Lomotil® Overdosage

A 3 1/2-year-old British girl died in cardio-pulmonary arrest after ingesting an unknown amount of Lomotil® tablets. Chemical analysis by gas-liquid chromatography confirmed the presence of high levels of diphenoxylate in the blood as well as stomach and intestinal contents. No diphenoxylate was fou...

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Veröffentlicht in:Medicine, science, and the law science, and the law, 1982-07, Vol.22 (3), p.210-214
Hauptverfasser: Ragheb, Sameeh Abu AL, Dajani, Basem M., Salhab, Abdul Azeem, Amr, Sameer S., Shaker, Kandeel S.
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container_end_page 214
container_issue 3
container_start_page 210
container_title Medicine, science, and the law
container_volume 22
creator Ragheb, Sameeh Abu AL
Dajani, Basem M.
Salhab, Abdul Azeem
Amr, Sameer S.
Shaker, Kandeel S.
description A 3 1/2-year-old British girl died in cardio-pulmonary arrest after ingesting an unknown amount of Lomotil® tablets. Chemical analysis by gas-liquid chromatography confirmed the presence of high levels of diphenoxylate in the blood as well as stomach and intestinal contents. No diphenoxylate was found in the urine. At autopsy the intestines were congested, but the main pathology was in the cerebellum, which showed typical changes described by others as ‘respirator brain’. The deceased was not put on a respirator and did not receive naloxone.
doi_str_mv 10.1177/002580248202200310
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source MEDLINE; HeinOnline Law Journal Library; Periodicals Index Online
subjects Atropine - poisoning
Brain Diseases - chemically induced
Brain Diseases - pathology
Child, Preschool
Chromatography, Gas
Chromatography, Thin Layer
Diphenoxylate - analysis
Diphenoxylate - poisoning
Drug Combinations - poisoning
Female
Heart Arrest - chemically induced
Heart Arrest - mortality
Humans
Isonipecotic Acids - poisoning
title A Case of Fatal Lomotil® Overdosage
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