| Bleeding the system: a case of feigned enoxaparin overdose. | |
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MedLine Citation:
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PMID: 19687182 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Low-molecular-weight heparins (LMWHs) have become ubiquitously used as anticoagulants because of their comparative safety and ease of use; however they may be fatal if taken in overdose, and lack of familiarity with their pharmacology may hinder appropriate care. OBJECTIVE: The author reports a case of feigned LMWH overdose so as to alert practitioners to this diagnostic possibility. METHOD: This is a case report of a 49-year-old homeless man who reported a deliberate overdose of an injectable LMWH. The author reviews the mechanism of action and monitoring of LMWHs. RESULTS: On the basis of his unusual presentation and previously documented history and medical work-up, he was ultimately diagnosed with malingering. DISCUSSION: Feigned LMWH overdose is ideally suited to the purposes of malingering, since it represents a medical emergency that requires inpatient medical hospitalization and testing at outside laboratory facilities to verify the overdose. |
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Authors:
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Jason P Caplan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Psychosomatics Volume: 50 ISSN: 1545-7206 ISO Abbreviation: Psychosomatics Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-08-18 Completed Date: 2009-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376506 Medline TA: Psychosomatics Country: United States |
Other Details:
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Languages: eng Pagination: 413-5 Citation Subset: IM |
Affiliation:
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St. Joseph's Hospital and Medical Center, 222 W. Thomas Rd., Suite 110A, Phoenix, AZ 85013, USA. jason.caplan@chw.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anticoagulants
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poisoning* Diagnosis, Differential Enoxaparin / poisoning* Homeless Persons Humans Male Malingering / diagnosis*, psychology Middle Aged Overdose / diagnosis*, psychology |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Enoxaparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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