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Burcu Saygan-Karamursel, Suleyman Guven, Lutfi Onderoglu, Ozgur Deren, Tekin Durukan

Mega-dose carbamazepine complicating third trimester of pregnancy

Keywords: Carbamazepine poisoning, non-stress test, plasmapheresis, pregnancy, Suicide

A case of coma due to carbamazepine ingestion with the intention of committing suicide at 33 weeks' gestation is presented. Management included activated charcoal administration and exchange plasmapheresis. A fetal non-stress test was non-reassuring but the Apgar score, cord blood gases and early neonatal outcome were normal. Differential diagnosis of coma in pregnancy should include investigation for drug intoxication.

Journal of Perinatal Medicine, Walter de Gruyter

Print ISSN: 1619-3997
Volume: 33, 01/2005
Pages: 72 - 75

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