PEDIATRICS Vol. 65 No. 1 January 1980, pp. 157-158
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Delayed Cardiopulmonary Arrest After Lomotil Ingestion

Edward A. Cutler Do1, Gregory A. Barrett MD1, Paul W. Craven 1, and Henry G. Cramblett MD1

1 Department of Pediatrics, College of Medicine, The Ohio State University, and Children's Hospital Research Foundation, Columbus, Ohio

A 2-year-old boy had cardiopulmonary arrest 12 hours after ingestion of an unknown amount of a diphenoxylate hydrochloride and atropine sulfate compound (Lomotil). This history was obtained retrospectively after repeated denials of possible drug ingestion. We conclude that Lomotil toxicity, in particular, should be considered whenever a patient has respiratory depression many hours after suspected ingestion of a drug and that in general, drug ingestion should he excluded when unexplained coma or cardiopulmonary arrest occurs.

REPORT OF A CASE

A 2-year-old boy had cardiopulmonary arrest at six o'clock in the morning at home and was resuscitated by the emergency squad.