title: Which xenobiotic(s) could be responsible for the radiologic findings below? Answer: any proconvulsant xenobiotic, in this case tramadol, bupropion, and nortriptyline.
authors.affiliation: Hennepin Regional Poison Center, Minneapolis, MN, USA. samuel.j.stellpflug@healthpartners.com
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Stellpflug
authors.forename: David J
authors.initials: DJ
authors.lastname: Roberts
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D018687:Antidepressive Agents, Second-Generation / Q000009:adverse effects*; D000929:Antidepressive Agents, Tricyclic / Q000009:adverse effects*; D001416:Back Pain / Q000139:chemically induced; D016642:Bupropion / Q000009:adverse effects*; D004357:Drug Synergism; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009661:Nortriptyline / Q000009:adverse effects*; D011859:Radiography; D012640:Seizures / Q000139:chemically induced* / Q000175:diagnosis / Q000000981:diagnostic imaging; D016103:Spinal Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D014147:Tramadol / Q000009:adverse effects*
chemical_list: D000701:Analgesics, Opioid; D018687:Antidepressive Agents, Second-Generation; D000929:Antidepressive Agents, Tricyclic; D016642:Bupropion; D014147:Tramadol; D009661:Nortriptyline