Unintentional ingestion of ziprasidone in a 22-month-old.
Unintentional ingestions are a common presentation to the emergency department in the pediatric population. However, very few ingestions of an atypical antipsychotic, such as ziprasidone, have been described in the emergency medicine literature. While the prevalence of these newer antipsychotics increases in the general population, emergency physicians can expect to see more patients with accidental or intentional overdoses. Many emergency physicians may be unfamiliar with the presentation, initial workup, and expected clinical course of such an overdose. We describe a case of an unintentional ingestion of ziprasidone tablets in a 22-month-old girl who presented to the emergency department with somnolence, drooling, and poor tone.
MacVane
Casey Z
CZ
Department of Emergency Medicine, Maine Medical Center, Portland, ME 04102, USA. macvac1@mmc.org
Baumann
Michael R
MR
D014150:Antipsychotic Agents / Q000506:poisoning*; D003937:Diagnosis, Differential; D062787:Drug Overdose / Q000175:diagnosis / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007223:Infant; D010879:Piperazines / Q000506:poisoning*; D013844:Thiazoles / Q000506:poisoning*
D014150:Antipsychotic Agents; D010879:Piperazines; D013844:Thiazoles; C092292:ziprasidone