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Carbamazepine Toxicity Masquerading as Complex Febrile Seizures in a Pediatric Patient
Joint Authors
Dela Cruz, Maricel
Mostafa, Ahmed
Chen, Richard J
Ershad, Muhammad
Source
Case Reports in Emergency Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Carbamazepine is an antiepileptic drug that can cause seizures in overdose.
In certain patient populations, this may be misdiagnosed as a seizure disorder.
We describe a case of a 20-month-old female who presented with fever and seizure-like activity who was initially thought to have complex febrile seizures.
Further historical information prompted carbamazepine level to be checked, which was found to be 29 mcg/ml (therapeutic range of 4–12 mcg/ml).
Her carbamazepine levels downtrended with multidose activated charcoal.
Her condition improved, and she was discharged without evidence of permanent neurologic sequelae.
This case illustrates that xenobiotic exposure should often be considered, even if historical clues are not present, as they can often present as other conditions leading to misdiagnosis and delayed treatment.
American Psychological Association (APA)
Chen, Richard J& Ershad, Muhammad& Dela Cruz, Maricel& Mostafa, Ahmed. 2020. Carbamazepine Toxicity Masquerading as Complex Febrile Seizures in a Pediatric Patient. Case Reports in Emergency Medicine،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147190
Modern Language Association (MLA)
Chen, Richard J…[et al.]. Carbamazepine Toxicity Masquerading as Complex Febrile Seizures in a Pediatric Patient. Case Reports in Emergency Medicine No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1147190
American Medical Association (AMA)
Chen, Richard J& Ershad, Muhammad& Dela Cruz, Maricel& Mostafa, Ahmed. Carbamazepine Toxicity Masquerading as Complex Febrile Seizures in a Pediatric Patient. Case Reports in Emergency Medicine. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147190
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147190