Fatal Systemic Toxicity with Topical Lidocaine Spray

Introduction: Lidocaine is a class of Ib antiarrhythmic agent which available in various intravenous (IV) and topical forms. Systemic toxicity lidocaine has been reported following its IV injection or local infiltration for anesthesia, mostly. However, the application gel oral spray also possible. Manifestations induced systemic include neurologic cardiac symptoms. Reported cases after ingestion are rare. In this case study, we present patient who developed symptoms severe spray.Case Presentation: A young woman was referred to emergency department with agitation solution commit suicide. At time arrival, vital signs were stable. Blood tests electrocardiogram normal. She underwent supportive care. Gradually, neuro appeared. Standrad management intralipid bicarbonate administration unsuccesfull experienced arrest.Conclusion: form could be fetal, since prompt diagnosis key factor preventing death, physicians should familiar toxicity.