TOXIC PSYCHOSIS - AN UNUSUAL PRESENTATION OF PROPRANOLOL INTOXICATION

被引:6
作者
LOVE, JN
HANDLER, JA
机构
[1] Georgetown-George Washington Combined Emergency Medicine Residency, Washington, DC 20007, 3800 Reservoir Rd, NW
关键词
PSYCHOSIS; ADRENERGIC BETA RECEPTOR BLOCKADERS; INTOXICATION;
D O I
10.1016/0735-6757(95)90165-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Timely diagnosis of acute propranolol intoxication requires a high index of suspicion and a knowledge of the multiple ways in which thses patients may present to the emergency department. We report a case of severe propranolol intoxication that presented as an acute psychotic episode preceding cardiovascular decompensation and seizures by several hours, Though acute reversible psychosis has been appreciated after initiating or increasing propranolol dosage therapeutically, this association has not been reported in the literature regarding beta blocker overdose or intoxication. Propranolol psychosis and several other pertinent aspects of this case are discussed. (C) 1995 by W.B. Saunders Company
引用
收藏
页码:536 / 537
页数:2
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