TY - JOUR T1 - Unintentional ingestion of a high dose of acenocoumarol in a young child JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-240365 VL - 14 IS - 4 SP - e240365 AU - Martijn R Brands AU - Jelmer Sytema AU - Marinus van Hulst AU - Arvid WA Kamps Y1 - 2021/04/01 UR - http://casereports.bmj.com/content/14/4/e240365.abstract N2 - Acute intoxication with a vitamin K antagonist may cause serious coagulopathy. We report the accidental ingestion of a high dose of acenocoumarol in a young child. Two intravenous administrations of 5 mg of vitamin K, in combination with fast and repeated administration of activated charcoal and sodium sulfate, were sufficient to prevent coagulopathy and related symptoms, despite a confirmed elevated blood acenocoumarol concentration (260 µg/L). ER -