title: Cardiogenic shock and status epilepticus after massive bupropion overdose.
abstract: BACKGROUND
  To describe a profound cardiac dysfunction and a status epilepticus after a massive bupropion overdose.
  
  
  METHODS
  A 35-year-old man was admitted in coma following the deliberate ingestion of 12 g of bupropion. The course was marked by the rapid onset of severe and prolonged status epilepticus and cardiogenic shock. Plasma bupropion level determined four hours after the estimated time of ingestion was 1.4 mg/L. All clinical features resolved completely in response to symptomatic treatment.
  
  
  CONCLUSIONS
  Several cases of bupropion overdose, with sinus tachycardia and seizures rapidly corrected by symptomatic treatment, have been reported in the literature. To our knowledge, this case of overdose with bupropion alone, at very high doses, is the first to describe clinical features comprising severe and prolonged status epilepticus and direct cardiotoxicity with the development of cardiogenic shock documented by echocardiogram.
authors.affiliation: Département d'Anesthésie-Réanimation, CHU Jean Verdier--Assistance Publique Hôpitaux de Paris, Bondy Cedex, France.
authors.forename: Florian
authors.initials: F
authors.lastname: Morazin
authors.forename: Agnès
authors.initials: A
authors.lastname: Lumbroso
authors.forename: Patrick
authors.initials: P
authors.lastname: Harry
authors.forename: Marcel
authors.initials: M
authors.lastname: Blaise
authors.forename: Alain
authors.initials: A
authors.lastname: Turcant
authors.forename: Philippe
authors.initials: P
authors.lastname: Montravers
authors.forename: Rémy
authors.initials: R
authors.lastname: Gauzit
mesh_terms: D000328:Adult; D018687:Antidepressive Agents, Second-Generation / Q000097:blood / Q000506:poisoning* / Q000652:urine; D016642:Bupropion / Q000097:blood / Q000506:poisoning* / Q000652:urine; D062787:Drug Overdose; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011041:Poisoning / Q000209:etiology* / Q000378:metabolism / Q000628:therapy; D012770:Shock, Cardiogenic / Q000139:chemically induced* / Q000378:metabolism / Q000503:physiopathology; D013226:Status Epilepticus / Q000139:chemically induced* / Q000378:metabolism / Q000503:physiopathology; D013406:Suicide, Attempted; D016896:Treatment Outcome
chemical_list: D018687:Antidepressive Agents, Second-Generation; D016642:Bupropion