 |
 |
No, he admitted to and we found no evidence of, other ingestion. > Rowley Cottingham <[log in to unmask]>typed > > > > 23 year old comes in wiith uncontrollable movements. Hasn't taken his > > neuroleptic drugs for 2 months. Ex heroin abuser, > > controlled on methadone. Hep C and HIV positive; on no treatment. > > Admits to smoking crack recently. No foreign > > travel, no GI symptoms. > > > On examination is apyrexial. No rash. Mildly tachycardic, pupils not > > dilated. Grimacing with lip-smacking and > > head-turning. Conscious and able to speak. Crossing and uncrossing > > legs, flailing arms from shoulders. The peripheries > > seem less severely affected than centrally. Signs settle for a few > > hours with diazepam 5mg but then return. Thoughts? > > <random thoughts> > > I've seen dystonia from Distalgesic (Co-proxamol) given to young chap, > for backache IIRC, by his mum. I reported that to CSM as I'd not seen it > before. > > I've also seen, for example dystonia in a lad who thought he'd get high > on his brother's sulpiride, which was not surprising. > > Did patient take *any* medicine from *anyone*? > > OTC meds are getting less restricted and I think some migraine > treatments may contain prochlorperazine. > > -- > Helen D. Vecht: [log in to unmask] > Edgware. > > Rowley Cottingham. Consultant in Emergency Medicine.