Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child
Carbamazepine is a common anticonvulsant medication used to treat seizure disorders and is generally considered a safe medication. We describe the case of a 9-year-old female who presented with acute altered mental status and respiratory failure requiring mechanical ventilation. She was found to be...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2022/5135456 |
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| author | Andrew Shieh Natalie Schellpfeffer |
| author_facet | Andrew Shieh Natalie Schellpfeffer |
| author_sort | Andrew Shieh |
| collection | DOAJ |
| description | Carbamazepine is a common anticonvulsant medication used to treat seizure disorders and is generally considered a safe medication. We describe the case of a 9-year-old female who presented with acute altered mental status and respiratory failure requiring mechanical ventilation. She was found to be intoxicated with carbamazepine through a urine drug test which was confirmed by bloodwork. After her medical condition improved, the patient admitted to self-injury through ingestion to cope with the death of a family member. She received a complete psychiatric assessment and was eventually discharged without permanent neurologic sequelae. To our knowledge, this is the first case of intentional self-injury with carbamazepine intoxication in an elementary school-aged child. When intoxication is suspected in children presenting with altered mental status, all medications available at home should be investigated. Preadolescent children may engage in nonfatal self-injury behavior, and diagnosis requires a high index of suspicion. |
| format | Article |
| id | doaj-art-8244ad3bcb5e4678a6e151d820119b0c |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-8244ad3bcb5e4678a6e151d820119b0c2025-08-20T03:37:57ZengWileyCase Reports in Pediatrics2090-68112022-01-01202210.1155/2022/5135456Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged ChildAndrew Shieh0Natalie Schellpfeffer1Department of Emergency MedicineDepartment of Emergency MedicineCarbamazepine is a common anticonvulsant medication used to treat seizure disorders and is generally considered a safe medication. We describe the case of a 9-year-old female who presented with acute altered mental status and respiratory failure requiring mechanical ventilation. She was found to be intoxicated with carbamazepine through a urine drug test which was confirmed by bloodwork. After her medical condition improved, the patient admitted to self-injury through ingestion to cope with the death of a family member. She received a complete psychiatric assessment and was eventually discharged without permanent neurologic sequelae. To our knowledge, this is the first case of intentional self-injury with carbamazepine intoxication in an elementary school-aged child. When intoxication is suspected in children presenting with altered mental status, all medications available at home should be investigated. Preadolescent children may engage in nonfatal self-injury behavior, and diagnosis requires a high index of suspicion.http://dx.doi.org/10.1155/2022/5135456 |
| spellingShingle | Andrew Shieh Natalie Schellpfeffer Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child Case Reports in Pediatrics |
| title | Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child |
| title_full | Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child |
| title_fullStr | Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child |
| title_full_unstemmed | Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child |
| title_short | Self-Injury with Carbamazepine Intoxication in an Elementary School-Aged Child |
| title_sort | self injury with carbamazepine intoxication in an elementary school aged child |
| url | http://dx.doi.org/10.1155/2022/5135456 |
| work_keys_str_mv | AT andrewshieh selfinjurywithcarbamazepineintoxicationinanelementaryschoolagedchild AT natalieschellpfeffer selfinjurywithcarbamazepineintoxicationinanelementaryschoolagedchild |