Intossicazione digitalica acuta e trattamento con anticorpi anti-digitale

A child aged 19 months is hospitalised more than 4 hours after an intake of an undefined amount of foxglove (used by his grandmother). His clinical picture is as follows: pallor, drowsiness, abdominal pain, vomiting. Digoxinemia is 14 ng/ml. At the end of the stage of drug diffusion, it reaches 11 ng/ml; ECG alterations are modest. A treatment based on 60 mg of anti-foxglove antibodies (FAB), administered in 100 ml of saline, immediately improves the clinical picture, whereas the recovery of the heart situation is slower.