Abstract
A child presented with recurrent episodes of lethargia for which he underwent several hospital admissions and investigations. A further episode culminated in respiratory arrest and hypoxic ischemic encephalopathy with permanent mental regression. Eighteen months later the mother was discovered while providing clonidine pills to the child; the mother appears to feature a Munchausen syndrome by proxy.
MeSH terms
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Acute Disease
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Brain Damage, Chronic / chemically induced*
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Brain Damage, Chronic / diagnosis
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Child, Preschool
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Clonidine / poisoning*
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Diagnosis, Differential
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Heart Arrest / chemically induced
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Heart Arrest / diagnosis
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Humans
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Hypoxia, Brain / chemically induced
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Hypoxia, Brain / diagnosis
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Magnetic Resonance Imaging*
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Male
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Munchausen Syndrome by Proxy / diagnosis*
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Poisoning / diagnosis*
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Sleep Stages