TY - JOUR PY - 2017// TI - False negative on a proven involuntary intoxication in two children with lorazepam JO - Annales de Biologie Clinique A1 - Feliu, Catherine A1 - Guillemin, Hélène A1 - Gozalo, Claire A1 - Fouley, Aurélie A1 - Marty, Hélène A1 - Millart, Hervé A1 - Djerada, Zoubir SP - 83 EP - 86 VL - 75 IS - 1 N2 - Children aged between 1 to 4 years are the most at risk of unintentional poisonings. Benzodiazepines are the most medicine often cause of the poisoning. Among the twenty-two most prescribed benzodiazepines in France, lorazepam ranks fifth behind zolpidem, alprazolam, bromazepam and zopiclone. However the automated assay currently available does not allow to detect and/or to quantify lorazepam. The alternative to the immunoassay is the liquid chromatography coupled with mass spectrometry (HPLC/MS). This technique, highly sensitive and specific, requires a pre-treatment phase and a good technical proficiency, justifying specialized staff. The clinical cases presented here illustrate the major interest of availability to this type of technology in routine and 24h/24h.

Language: en

LA - en SN - 0003-3898 UR - http://dx.doi.org/10.1684/abc.2016.1209 ID - ref1 ER -