A case report of suicidal attempt with lidocaine spray

Document Type : Case report


1 Emergency Department, Faculty of medicine, Mashhad University of medical science, mashhad, Iran,

2 Emergency department, Faculty of medicine, Mashhad University of medical science, mashhad, Iran

3 Assistant Professor, Mashhad University of Medical Sciences, Mashhad, Iran


Abstract: Systemic toxicity with topical anesthetics is a high-risk complication that may occur with the use of anesthetics in various ways (oral, intravenous, intramuscular, or subcutaneous). Topical anesthetics have been used in many clinical cases over the past 50 years. Its use is not limited to anesthesia or surgery and is widely used in emergency or internal medicine procedures. Despite its widespread use, many physicians are not aware of its harmful side and treatment of these side effects.
We have reported a 21-year-old woman with a history of suicide repeatedly who was ingested approximately 3 sprays of lidocaine orally and was admitted with intentional lidocaine intoxication. Patient has had Cardio- Pulmonary Resuscitation (CPR) 2 times and is discharged home after 10 days with good general condition.


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