Sildenafil citrate ingestion and prolonged priapism and tachycardia in a pediatric patient

Abstract

This case of pediatric sildenafil ingestion (up to 30 mg/kg) initially resulted in facial flushing and priapism. The child had asymptomatic tachycardia and prolonged priapism that persisted until hospital discharge approximately 24 hours after ingestion. The erection was non-painful and required no urologic intervention, most likely representing a high flow state. In this ingestion, only supportive care was required.