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Maprotiline poisoning in a child.

R Peverini1, S Ashwal, E Petry

  • 1Department of Pediatrics, Loma Linda University School of Medicine, CA 92350.

The American Journal of Emergency Medicine
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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Maprotiline overdose in a child caused severe seizures and temporary neurological issues. Prompt medical care led to a full recovery, highlighting the importance of timely intervention for antidepressant toxicity.

Area of Science:

  • Toxicology
  • Pediatric Neurology
  • Pharmacology

Background:

  • Maprotiline is a tetracyclic antidepressant with potential for toxicity in overdose.
  • Pediatric poisoning cases require careful assessment and management.
  • Seizures are a known complication of antidepressant toxicity.

Observation:

  • A 6-year-old girl experienced prolonged tonic-clonic seizures and generalized convulsions.
  • Serum drug screening confirmed maprotiline ingestion with an estimated dose of 12 mg/kg.
  • Initial neurological impairment was noted upon hospital discharge.

Findings:

  • The patient's seizures and neurological deficits resolved over time.
  • Maprotiline toxicity can manifest with significant central nervous system effects.

Related Experiment Videos

  • Successful management of maprotiline overdose is achievable with appropriate care.
  • Implications:

    • This case underscores the critical need for prompt diagnosis and treatment of maprotiline overdose in children.
    • Understanding the clinical presentation and management strategies is vital for pediatricians and toxicologists.
    • Early intervention can lead to favorable neurological outcomes in pediatric antidepressant poisoning.