A 12-year-old female was brought to the Emergency Department by her family with the complaint that their daughter had exhibited gross twitching of her upper and lower extremities, her eyes rolling back in her head with drooling from her mouth and urinary incontinence. This activity was noted on two occasions within the last half hour and each episode lasted for approximately 2-3 minutes. The mother stated that the patient has never exhibited any similar activity. The mother states that the patient recently was very upset after having failed a major exam in mathematics.
The father reports he found an empty pill bottle at home which had contained approximately forty 100 mg tablets of theophylline. PMH : Asthma. Medications: Theophylline. Physical Examination: T: 99.3°F HR: 130 bpm RR: 30 breaths per minute BP: 140/98 mm Hg General: Lethargic white female without any seizure…
