| Toxic leukoencephalopathy due to transdermal fentanyl overdose. | |
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MedLine Citation:
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PMID: 21926884 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Children with altered mental status who present to the emergency department have a broad differential diagnosis. We report a case of a 19-month-old girl who presented in coma and who was later found to have a fentanyl patch adhered to her back. She was found to have changes on brain magnetic resonance imaging consistent with a toxic spongiform leukoencephalopathy but had a good neurologic outcome. This case report illustrates the importance of a thorough physical examination in children in coma and a rarely reported magnetic resonance imaging finding that has been seen in opioid intoxication and is usually associated with severe morbidity and mortality. |
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Authors:
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Lindsey Foy; Desiree M Seeyave; Stuart A Bradin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric emergency care Volume: 27 ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-09-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 854-6 Citation Subset: IM |
Affiliation:
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From the *Department of Pediatrics and Communicable Diseases, and †Children's Emergency Services, Department of Emergency Medicine, University of Michigan, Ann Arbor, MI. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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