Journal article
Serotonin Syndrome with Atypical Hypernatremia
Curēus (Palo Alto, CA), v 10(11), e3616
19 Nov 2018
PMID: 30680272
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The incidence of serotonin syndrome in the United States is rising yearly. Providers should be aware of the useful diagnostic criteria and have a low threshold for utilizing such criteria to prevent increased morbidity and mortality. In this case, a 64-year-old female with a complex past medical history presented to the emergency department with an altered mental status after being found poorly responsive by her husband. Many of her symptoms aligned with the commonly used criteria for serotonin syndrome; yet, her complex past medical history and uncommonly elevated sodium levels veered her providers from arriving at this diagnosis earlier. This unique case illustrates that despite having specific criteria for diagnosis, serotonin syndrome can be a complicated diagnosis to make, particularly in the setting of multiple comorbidities and polypharmacy. In addition, it is important to keep medication toxicities high on a differential diagnosis list and be aware of the criteria used for diagnosis. One of the easiest and most cost-effective methods to diagnosis is to start with a thorough history, physical exam, and medication reconciliation to address easily preventable medication adverse effects.
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Details
- Title
- Serotonin Syndrome with Atypical Hypernatremia
- Creators
- Ashley N. Rubin - West Virginia School of Osteopathic MedicineEduardo D. Espiridion - West Virginia School of Osteopathic MedicineMohamad Kattan - West Virginia School of Osteopathic MedicineElizabeth C. Desmarais - West Virginia School of Osteopathic Medicine
- Publication Details
- Curēus (Palo Alto, CA), v 10(11), e3616
- Publisher
- Springer Nature
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:000458695500083
- Other Identifier
- 991021889982604721
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- Web of Science research areas
- Medicine, General & Internal