Abstract
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.
Original language | English (US) |
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Pages (from-to) | 854-856 |
Number of pages | 3 |
Journal | Pediatric emergency care |
Volume | 27 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2011 |
Externally published | Yes |
Keywords
- fentanyl overdose
- opioid intoxication
- toxic leukoencephalopathy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Emergency Medicine