Deliberate sulphonylurea poisoning mimicking hyperinsulinaemia of infancy.
case_report · Level V
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- Record sourced from PubMed, PMID 10799433.
- Also identified by PMC identifier 1718313.
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Abstract
A 6 month old child presenting with seizures was found to be hypoglycaemic secondary to hyperinsulinism. A family history of type II diabetes prompted estimation of sulphonylurea in the baby's blood, which was found to be high. A multidisciplinary case conference concluded that the sulphonylurea ingestion was likely to be the result of Munchausen syndrome by proxy. When investigating hypoglycaemia of infancy this possibility should be considered.
Medical subject headings
- Hyperinsulinism
- Hypoglycemic Agents
- Munchausen Syndrome by Proxy
- Sulfonylurea Compounds