Document Detail

Two siblings poisoned with diphenhydramine: a case of factitious disorder by proxy.
MedLine Citation:
PMID:  9701313     Owner:  NLM     Status:  MEDLINE    
We report a case of factitious disorder by proxy (FDBP), formerly known as Munchausen syndrome by proxy, in which 2 siblings were poisoned with diphenhydramine. Although diphenhydramine is a readily available medication, no report of its use as the sole agent in an FDBP case was found in a literature search. Although sibling involvement in FDBP is well documented, this is the first case report of 2 siblings hospitalized simultaneously because of intentional poisoning with the same substance. Finally, the use of physostigmine to definitively diagnose anticholinergic poisoning in a case of FDBP has not previously been described.
S M Arnold; D Arnholz; G T Garyfallou; K Heard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  32     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-08-27     Completed Date:  1998-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  256-9     Citation Subset:  AIM; IM    
Colorado Permanente Medical Group, University of Colorado School of Medicine, The Children's Hospital, Denver, USA.
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MeSH Terms
Antidotes / therapeutic use
Charcoal / therapeutic use
Cholinesterase Inhibitors / therapeutic use
Diphenhydramine / poisoning*
Hypnotics and Sedatives / poisoning*
Munchausen Syndrome by Proxy / diagnosis*
Physostigmine / therapeutic use
Sorption Detoxification
Reg. No./Substance:
0/Antidotes; 0/Cholinesterase Inhibitors; 0/Hypnotics and Sedatives; 16291-96-6/Charcoal; 57-47-6/Physostigmine; 58-73-1/Diphenhydramine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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