Case 12-2001: Strychnine Poisoning

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Abstract
In an otherwise excellent discussion of strychnine poisoning in Case 12-2001 (April 19 issue),1 a diagnosis is assigned that is unsupported by the data provided. The case concerned a 16-year-old boy with confusion. The boy, who was born in Cambodia, had been given an herbal preparation that contained strychnine. The presentation was entirely consistent with strychnine poisoning, which is recorded as one of the anatomical diagnoses. However, for unclear reasons, the patient was also given an anatomical diagnosis of bipolar disease. This diagnosis is almost certainly wrong.

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