Diagnostic and Therapeutic approach in a Case of Severe Acute Baclofen Poisoning

Baclofen is a structural analogue of gamma-aminobutyric acid with central myorelaxant effect. Ingestion of a toxic dose of baclofen induces a clinical presentation with neurological, cardiac, respiratory and metabolic expression, sometimes life-threatening. The authors present the case of a 17-year...

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Bibliographic Details
Main Authors: Cristina Iolanda Vivisenco, Coriolan Emil Ulmeanu
Format: Article
Language:English
Published: Bucharest College of Physicians 2019-06-01
Series:Modern Medicine
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Online Access:https://medicinamoderna.ro/wp-content/uploads/2019/06/RMM_art-8-1.pdf
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Summary:Baclofen is a structural analogue of gamma-aminobutyric acid with central myorelaxant effect. Ingestion of a toxic dose of baclofen induces a clinical presentation with neurological, cardiac, respiratory and metabolic expression, sometimes life-threatening. The authors present the case of a 17-year old teenage girl who developed deep coma, sinus bradycardia, fi rst-degree atrioventricular block, arterial hypertension and hyperglycemia after ingesting a large dose of baclofen. The patient was successfully treated with supportive measures. Early diagnosis and prompt therapeutic intervention are key-steps in the management of acute baclofen poisoning.
ISSN:1223-0472
2360-2473