Permanent brain damage following acute clonidine poisoning in Munchausen by proxy.
A child presented with recurrent episodes of lethargia for which he underwent several hospital admissions and investigations. A further episode culminated in respiratory arrest and hypoxic ischemic encephalopathy with permanent mental regression. Eighteen months later the mother was discovered while providing clonidine pills to the child; the mother appears to feature a Munchausen syndrome by proxy.
Tessa
C
C
Radiologia, Ospedale Campo di Marte, Lucca, Italy.
Mascalchi
M
M
Matteucci
L
L
Gavazzi
C
C
Domenici
R
R
D000208:Acute Disease; D001925:Brain Damage, Chronic / Q000139:chemically induced* / Q000175:diagnosis; D002675:Child, Preschool; D003000:Clonidine / Q000506:poisoning*; D003937:Diagnosis, Differential; D006323:Heart Arrest / Q000139:chemically induced / Q000175:diagnosis; D006801:Humans; D002534:Hypoxia, Brain / Q000139:chemically induced / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis*; D011041:Poisoning / Q000175:diagnosis*; D012894:Sleep Stages
D003000:Clonidine