Acute hemorrhagic diarrhea and cardiovascular collapse in a young child owing to environmentally acquired cocaine

Pediatr Emerg Care. 1991 Jun;7(3):154-5. doi: 10.1097/00006565-199106000-00006.


Acute crack cocaine intoxication has become a significant problem in both adolescent and adult patients. Recently, cases of cocaine toxicity in infants and toddlers have been described. We report a four-year-old child with acute hemorrhagic diarrhea and shock after intoxication by crack cocaine. Acute cocaine intoxication should be considered in the differential for hemorrhagic diarrhea and shock. The gastrointestinal decontamination following cocaine ingestion is discussed.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Cocaine / poisoning*
  • Diarrhea / chemically induced*
  • Diarrhea / complications
  • Emergency Service, Hospital
  • Female
  • Gastric Lavage
  • Gastrointestinal Hemorrhage / chemically induced*
  • Gastrointestinal Hemorrhage / complications
  • Humans
  • Ipecac
  • Poisoning / complications*
  • Poisoning / drug therapy
  • Poisoning / therapy
  • Shock, Hemorrhagic / etiology*


  • Ipecac
  • Cocaine