Death Following Accidental Lidocaine Overdose in a Child

To the Editor: Lidocaine overdose may result in seizures, coma, and death.^{1 2 3 4 5} Most reports of death following lidocaine overdose are related to use of the drug by infiltration in various sites^1,2 or intratracheal administration.¹ There is only one report of death caused by oral lidocaine overdose in an adult.³ Lidocaine is extensively used as an oral preparation in children, and several episodes of poisoning with seizures, apnea, and acidosis have been described.^4,5 Recently, a child died after an overdose of oral lidocaine. A 13-month-old boy in good health was admitted 45 minutes after a cardiorespiratory arrest at home and resuscitation…