Case 6

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An 18-month-old girl had spent the day at her grandmother’s house. When her mother picked her up that evening, she appeared agitated, aggressive and was sweating profusely. Her mother could not get her to calm down and brought her to the emergency department. While being examined, she began to have a seizure. Her temperature was 40.1 degrees Celsius, pupils were dilated and reactive, her heart rate was 196, and her BP was 160/92.

A urine drug screen was obtained and was positive.

Which of the following is the BEST response regarding the reason for her symptoms?

A. Ingestion or inhalation of cocaine, either deliberate or unintentional, will cause these symptoms.

B. Accidental ingestion of her grandmother’s digoxin may cause these symptoms.

C. Unintentional ingestion of her grandmother’s tricyclic antidepressants may cause these symptoms.

D. Unintentional ingestion of her grandmother’s antihistamines will cause these symptoms.