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- W2000508764 abstract "Nous rapportons l’intoxication par de la clonidine d’un nouveau-né de sexe masculin allaité au sein. Celui-ci avait présenté à deux jours de vie (j2) des troubles de la conscience associant somnolence, hypotonie généralisée et suspicion de clonies. Il n’existait pas de troubles cardiorespiratoires ou tensionnels en dehors d’apnées progressives d’allure centrale apparues à partir de j5. Les investigations complémentaires initiales étaient normales (bilan biologique, échographie transfontanellaire, électroencéphalogramme et imagerie par résonance magnétique encéphalique), éliminant de premier abord les principales causes d’hypotonie néonatale (infection, pathologie métabolique, hypoxie/anoxie). Un interrogatoire orienté de la mère avait en revanche révélé la prise quotidienne de 0,15 mg de clonidine pour une hypertension artérielle ancienne, pendant et après la grossesse. En l’absence de possibilité de dosage sérique ou lacté de la clonidine, un sevrage à visée diagnostique était réalisé à j9. Vingt-quatre heures après l’arrêt de l’allaitement maternel, la symptomatologie avait complètement régressé. L’intoxication néonatale par la clonidine après exposition fœtale majorée par le lait maternel est rare mais assez sévère pour pouvoir simuler un tableau neurologique inquiétant. Le diagnostic repose sur l’interrogatoire et sur l’éviction du lait maternel en cas de doute étiologique. La normalisation de l’examen clinique est alors rapide et totale. We report a case of clonidine poisoning in a breastfed newborn. At 2 days of life, this boy presented a consciousness deficit with drowsiness, hypotonia, and suspected generalized seizures. There were no cardiorespiratory problems outside of progressive central apneas beginning the 5th day. Further initial investigations were normal (extensive biological exams, cranial ultrasonography and transfontanellar Doppler, electroencephalography, and brain MRI study), excluding the main causes of neonatal hypotonia (encephalitis, infection, metabolic disorder). However, new medical questioning revealed maternal daily intake of 0.15 mg clonidine for hypertension during and after pregnancy. Since it was impossible to quantify clonidine quantification in newborn serum and breast milk, a weaning test was performed the 9th day. Twenty-four hours after cessation of breastfeeding, complete regression of symptoms was obtained. Poisoning by clonidine after fetal and neonatal exposure through breast milk is rare but severe enough to simulate a neurological disease. Diagnosis is based on the search for drug use and the cessation of breastfeeding if doubt persists. Recovery of normal examination results is then rapid and complete." @default.
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- W2000508764 date "2014-02-01" @default.
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- W2000508764 title "Intoxication transplacentaire ou par lait maternel à la clonidine : un cas de somnolence et d’hypotonie néonatale" @default.
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- W2000508764 doi "https://doi.org/10.1016/j.arcped.2013.11.004" @default.
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