A girl with headache, confusion and green urine.
The case of a 17-year-old girl with a history of headache, blurred vision, confusion, ataxia and syncope is presented. On admission, she had already recovered except for a slurring of speech. Her urine was found to be green. Screening for illegal drugs was negative, but gas chromatography with subsequent mass spectroscopy (GC-MS) revealed an extremely high concentration of flupirtine.
Hufschmidt
Andreas
A
Krisch
Alexandra
A
Peschen
I
I
D000293:Adolescent; D000631:Aminopyridines / Q000737:chemistry / Q000506:poisoning* / Q000652:urine; D000700:Analgesics / Q000737:chemistry / Q000506:poisoning* / Q000652:urine; D001259:Ataxia / Q000139:chemically induced; D003221:Confusion / Q000139:chemically induced* / Q000503:physiopathology / Q000652:urine; D004401:Dysarthria / Q000139:chemically induced*; D004569:Electroencephalography; D005260:Female; D020233:Gait Disorders, Neurologic / Q000139:chemically induced; D008401:Gas Chromatography-Mass Spectrometry; D006261:Headache / Q000188:drug therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D015221:Potassium Channels / Q000187:drug effects / Q000502:physiology; D013575:Syncope / Q000139:chemically induced; D016482:Urinalysis; D014556:Urine / Q000737:chemistry*; D015354:Vision, Low / Q000139:chemically induced
D000631:Aminopyridines; D000700:Analgesics; D015221:Potassium Channels; C034161:flupirtine