Sildenafil citrate ingestion and prolonged priapism and tachycardia in a pediatric patient*

@article{Wills2007SildenafilCI,
  title={Sildenafil citrate ingestion and prolonged priapism and tachycardia in a pediatric patient*},
  author={B. Wills and Charlotte Albinson and M. Wahl and J. Clifton},
  journal={Clinical Toxicology},
  year={2007},
  volume={45},
  pages={798 - 800}
}
Introduction. Little is known about the toxicity of sildenafil overdose in the pediatric population. We present a case of prolonged priapism and tachycardia due to unintentional sildenafil overdose in a child. Case report. A 19-month-old male ingested up to six 50 mg Viagra tablets 45 minutes prior to presentation at the emergency department. Initial vital signs included temperature 98.2°F, blood pressure 90/58 mmHg, heart rate 140, respirations 20, and oxygen saturation of 100% on room air… Expand
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Pediatric ingestion of sildenafil may result in mild symptoms including persistent flushing and penile engorgement with associated pain, which may persist even after resolution of the erection. Expand
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Through greater understanding of the pathophysiology of priapism, the clinician may become armed with etiology-specific medical alternatives providing timely detumescence for men with prolonged erections. Expand
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The main autopsy findings were cardiomegaly with dilated cardiomyopathy, diffuse coronary atherosclerosis with no sign of acute ischaemic disease, and extensive fibrosis of the myocardium, especially affecting the cardiac conducting tissue. Expand
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It is indicated for the treatment of male erectile dysfunction and previously unpublished data from the American Association of Poison Control Centers Toxic Exposure Surveillance System indicate that unintentional pediatric exposures to sildenafil are unlikely to be associated with adverse effects. Expand
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The patient was a 28-year-old man with mild erectile dysfunction after penile trauma who self-treated with a 100-mg dose of sildenafil citrate, resulting in low-flow priapism, which resolved after aspiration and intracorporal injection of alpha-agonists. Expand
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