Deliberate sulphonylurea poisoning mimicking hyperinsulinaemia of infancy.
A 6 month old child presenting with seizures was found to be hypoglycaemic secondary to hyperinsulinism. A family history of type II diabetes prompted estimation of sulphonylurea in the baby's blood, which was found to be high. A multidisciplinary case conference concluded that the sulphonylurea ingestion was likely to be the result of Munchausen syndrome by proxy. When investigating hypoglycaemia of infancy this possibility should be considered.
Owen
L
L
Bristol Children's Hospital, Bristol, UK.
Ellis
M
M
Shield
J
J
D003937:Diagnosis, Differential; D006801:Humans; D006946:Hyperinsulinism / Q000139:chemically induced* / Q000175:diagnosis; D007004:Hypoglycemic Agents / Q000506:poisoning*; D007223:Infant; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis*; D011041:Poisoning / Q000175:diagnosis; D013453:Sulfonylurea Compounds / Q000506:poisoning*
D007004:Hypoglycemic Agents; D013453:Sulfonylurea Compounds