Emil Osman Thybo Karanfil, Emilie Stokholm Bækgaard, Jacqueline Møller Mistry, Jakob Mynster Blüdnikow, David Levarett Buck
{"title":"[低剂量米氮平后昏迷]。","authors":"Emil Osman Thybo Karanfil, Emilie Stokholm Bækgaard, Jacqueline Møller Mistry, Jakob Mynster Blüdnikow, David Levarett Buck","doi":"10.61409/V10240677","DOIUrl":null,"url":null,"abstract":"<p><p>In this case report, an 84-year-old male was admitted to the emergency department due to a decreased level of consciousness of unknown cause. Due to respiratory insufficiency, he was intubated and admitted to the ICU, where he was placed on mechanical ventilation. This corrected his hypercapnia but did not reverse the comatose condition. After extensive diagnostic testing, including urine toxicology, CT scans and a lumbar puncture, low-dose mirtazapine was revealed as the most likely cause of coma. Within 24 hours, he made a rapid and full recovery.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 22","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Coma after low-dose mirtazapine].\",\"authors\":\"Emil Osman Thybo Karanfil, Emilie Stokholm Bækgaard, Jacqueline Møller Mistry, Jakob Mynster Blüdnikow, David Levarett Buck\",\"doi\":\"10.61409/V10240677\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In this case report, an 84-year-old male was admitted to the emergency department due to a decreased level of consciousness of unknown cause. Due to respiratory insufficiency, he was intubated and admitted to the ICU, where he was placed on mechanical ventilation. This corrected his hypercapnia but did not reverse the comatose condition. After extensive diagnostic testing, including urine toxicology, CT scans and a lumbar puncture, low-dose mirtazapine was revealed as the most likely cause of coma. Within 24 hours, he made a rapid and full recovery.</p>\",\"PeriodicalId\":23428,\"journal\":{\"name\":\"Ugeskrift for laeger\",\"volume\":\"187 22\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ugeskrift for laeger\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.61409/V10240677\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ugeskrift for laeger","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.61409/V10240677","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
In this case report, an 84-year-old male was admitted to the emergency department due to a decreased level of consciousness of unknown cause. Due to respiratory insufficiency, he was intubated and admitted to the ICU, where he was placed on mechanical ventilation. This corrected his hypercapnia but did not reverse the comatose condition. After extensive diagnostic testing, including urine toxicology, CT scans and a lumbar puncture, low-dose mirtazapine was revealed as the most likely cause of coma. Within 24 hours, he made a rapid and full recovery.
期刊介绍:
The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.