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Tuberulous Meningitis masked by Temazepam Overdose
Rajkumar Rajendram1, Adrian Jennings, Javed Ehtisham
1Specialist Trainee Department of Anaesthesia University Hospital Birmingham NHS Trust Selly Oak Hospital Birmingham B29 6JD UK.
Abstract:
A 47 year old Chinese businessman was found unconscious at home following an overdose of 280 mg temazepam. He was found by his sister who had visited because he had not returned her telephone calls for several weeks. He had been resident in England for 8 years but returned to Hong Kong frequently. Since his last visit to Hong Kong, 4 months previously, his mood had been low and he had developed anorexia, weight loss and insomnia. Physical examination and routine investigations were unremarkable and a diagnosis of depression was made. Citalopram 10 mg daily and temazepam 10 mg daily had been prescribed one day prior to admission.
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