Child Abuse with Drug Intoxication Diagnosed by a Urine Drug Test: A Case Report

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  • Okuda Koh
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Ishii Wakako
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Yamase Soichi
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Terada Hiroki
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Yamada Ryutaro
    Department of Pediatrics and Child Health, Nihon University School of Medicine Department of Pediatrics, IMS Fujimi General Hospital
  • Kawaguchi Tadayasu
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Mine Yusuke
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Aoki Masako
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Momoki Emiko
    Department of Pediatrics and Child Health, Nihon University School of Medicine
  • Morioka Ichiro
    Department of Pediatrics and Child Health, Nihon University School of Medicine

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Other Title
  • 尿中薬物検査が診断の契機となった急性薬物中毒の被虐待児の 1 例
  • ニョウチュウ ヤクブツ ケンサ ガ シンダン ノ ケイキ ト ナッタ キュウセイ ヤクブツ チュウドク ノ ヒギャクタイジ ノ 1レイ

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Abstract

<p>The patient was a 3-year-old boy. He was admitted to our hospital because of unconsciousness, ataxic gait, dysarthria, and a cut wound on his left finger. A brain computed tomography scan on admission showed no abnormalfindings. Blood tests showed hypoglycemia and elevated ketone levels. Blood glucose levels were normalized bythe infusion treatment; however, he still had ataxic gait and dysarthria. Through interviews with the medical socialworker and the family physician, we found that his mother was on medication for psychiatric illness. A urine drugtest kit (Triage®DOA) detected benzodiazepine. Based on this result, he was diagnosed with acute drug intoxication. If there is a family history of psychiatric illness, a urine drug test kit should be used for the diagnosis of drugintoxication as a differential for unexplained unconsciousness.</p>

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