Poisoning with Local Anesthetics Following Circumcision : A Case Report
Midili T L *
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Mintsa-Mi-Nkama E
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Mekame Meye A E
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Loembe F C
Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Lembet Mikolo A M
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Mabery Grodet A
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon.
Kiba L
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon.
Patipe V
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon.
Kuissi Kamgaing E
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
Ategbo S
Pediatric Department, Mother-Child University Hospital of Libreville, Gabon and Department of Pediatrics, Faculty of Medicine and University of Health Sciences of Libreville, Gabon.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Circumcision or posthectomy is the removal of the foreskin, this act seems commonplace practiced by paramedical personnel or unqualified traditional practitioners who may cause significant complications.
Objective: Our work aimed to highlight one of the complications of this act which must remain a supervised medical act.
Observation: We report the case of a 2-month-old infant who presented with complications related to anesthesia. the clinic was dominated by convulsions and alteration of the state of consciousness 15 minutes after circumcision in this well infant carrying without any particular history. The evolution was favorable thanks to support rapid and urgent about 20 minutes with the cessation of convulsions and a return to consciousness, the patient was monitored for 48 hours then return home was indicated due to the absence other complications.
Conclusion: Circumcision is a widespread act throughout the world either by medical necessity or by religious tradition. its trivialization and its practice by non-experts, explains the multiple complications observed.
Keywords: Circumcision, poisoning, xylocaine, convulsion, infant, Libreville