Amitriptyline-associated seizures in a toddler with Munchausen-by-proxy.

Abstract:

:We describe an unusual case of a toddler diagnosed with an idiopathic seizure disorder that later was proved to be caused by deliberate administration of amitriptyline by his custodian. In spite of seizures associated with widened electrocardiographic wave (QRS) and right axis deviation on the electrocardiogram (EKG), the correct diagnosis eluded clinicians through a series of hospital admissions. Unfortunately, clinicians are quite accustomed to the fact that patients previously diagnosed with epilepsy have seizures and may not investigate other causes of seizure. This allowed classic signs of cyclic antidepressant poisoning to go unrecognized.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Mullins ME,Cristofani CB,Warden CR,Cleary JF

doi

10.1097/00006565-199906000-00011

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

202-5

issue

3

eissn

0749-5161

issn

1535-1815

journal_volume

15

pub_type

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