Calcium Dramatically Reverse the Hypocalcemic-Induced QTProlongation in a Multiple Drug Toxicities Post-Suicidal Attempt

Abstract

Rationale: Multiple drug toxicities are usually associated with unexpected future adverse effects and drug interaction. QT prolongation may be druginduced. Hypocalcemia also is a trigger for QT prolongation.
Patient concerns: A young-aged married female patient presented to the emergency department with marked irritability and tachypnea after swallowing multiple oral drug strips. Diagnosis: Hypocalcemic-induced QT prolongation in a multiple-complex drug toxicities post-suicidal attempt.
Interventions: Gastric lavage, electrocardiography, and arterial blood gases.
Outcomes: The dramatic response to calcium intravenous injection with subsequent reversal the hypocalcemic-induced QT prolongation in a multiple drug toxicities post-suicidal attempt. Lessons: This is the first case that reports these adverse drug reactions with multiple oral drug toxicities. QT prolongation may be drug-induced. Hypocalcemia also is a trigger for QT prolongation. The identification of drug-induced complications is a pivotal step in the diagnosis decision making of any medical problems. The effects of multiple drug toxicities may be balanced end results.