A unique constellation of symptoms due to Baclofen toxicity in a previously well child: A Case report and literature Review
Nancy George, Jaclyn Otero, Alexandra Milloff Butler.
Department of Pediatrics, Shands Hospital for Children, University of Florida, Gainesville, Florida, USA.
We describe a previously healthy 5 year old girl who presented with acute onset of depressed mental status, new-onset seizure activity, mydriasis, bradycardia, hypothermia and respiratory depression. At the time that she started seizing, she fell and sustained minor head trauma. After stabilization in the emergency department and when the patient had returned to normal sensorium, she disclosed an ingestion of several pills forced on her by her older sister, identified to be another family member's Baclofen. In this report we describe the mechanism of Baclofen action, the risk of harm from Baclofen overdose or toxicity, and the importance of having a high index of suspicion for ingestion in cases that clinically fit the timeline for an ingestion or exposure event, even when there is initially no corroborating history.
