Neonatal abstinence from cocaine, a case report

Keywords: neonatal abstinence syndrome, cocaína, pediatrics

Abstract

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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Author Biographies

Eduardo Beck Paglioli Neto, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Porto Alegre, RS, Brasil.

Acadêmico da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), em Porto Alegre, RS, Brasil.

Vinícius Castro Pilger, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Porto Alegre, RS, Brasil.

Acadêmico da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), em Porto Alegre, RS, Brasil. 

Lucca Pizzato Tondo, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Porto Alegre, RS, Brasil.

Acadêmico da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), em Porto Alegre, RS, Brasil. 

Mônica Basso Zanotto, Hospital da Criança Santo Antônio, Porto Alegre, RS, Brasil.

Médica intensivista pediátrica do Hospital Santo Antônio, em Porto Alegre, RS, Brasil.

Mateus Sfoggia Giongo, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Porto Alegre, RS, Brasil.

Médico pediatra, e rotineiro do Hospital da Restinga em Porto Alegre, RS. Professor da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), em Porto Alegre, RS, Brasil. 

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Published
2022-09-22
How to Cite
Neto, E. B. P., Pilger, V. C., Tondo, L. P., Zanotto, M. B., & Giongo, M. S. (2022). Neonatal abstinence from cocaine, a case report. Scientia Medica, 32(1), e42602. https://doi.org/10.15448/1980-6108.2022.1.42602