@article{ref1,
title="Self-injury with carbamazepine intoxication in an elementary school-aged child",
journal="Case reports in pediatrics",
year="2022",
author="Shieh, Andrew and Schellpfeffer, Natalie",
volume="2022",
number="",
pages="e5135456-e5135456",
abstract="Carbamazepine is a common anticonvulsant medication used to treat seizure disorders and is generally considered a safe medication. We describe the case of a 9-year-old female who presented with acute altered mental status and respiratory failure requiring mechanical ventilation. She was found to be intoxicated with carbamazepine through a urine drug test which was confirmed by bloodwork. After her medical condition improved, the patient admitted to self-injury through ingestion to cope with the death of a family member. She received a complete psychiatric assessment and was eventually discharged without permanent neurologic sequelae. To our knowledge, this is the first case of intentional self-injury with carbamazepine intoxication in an elementary school-aged child. When intoxication is suspected in children presenting with altered mental status, all medications available at home should be investigated. Preadolescent children may engage in nonfatal self-injury behavior, and diagnosis requires a high index of suspicion.<p /> <p>Language: en</p>",
language="en",
issn="2090-6803",
doi="10.1155/2022/5135456",
url="http://dx.doi.org/10.1155/2022/5135456"
}