Case Report: We report a 38-year-otd man who experienced prolonged toxicity
lasting over 16 hours from the time of ingestion of 1/4 ounce of crack coc
aine, His illness included status epilepticus, wide and narrow complex brad
yarrhythmias, ventricular arrhythmias, and delayed hyperthermia. His bradya
rrhythmias were refractory to medicinal intervention and responsive to appl
ication of an external pacemaker. The patient recovered to his baseline sta
te over the ensuing 48 hours.