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

Abstract

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 abnormal findings. Blood tests showed hypoglycemia and elevated ketone levels. Blood glucose levels were normalized by the infusion treatment; however, he still had ataxic gait and dysarthria. Through interviews with the medical social worker and the family physician, we found that his mother was on medication for psychiatric illness. A urine drug test 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 drug intoxication as a differential for unexplained unconsciousness.