Focal Seizure After Status Epilepticus in a Bupropion Intoxication: Case Report

Abstract

A 13-month-old boy presented with a tonic-clonic seizure after bupropion intake. Physical examination revealed tachycardia, tachypnea, dry oral mucosa, and dilated pupils. The patient with status epilepticus and cardiac involvement was treated with intravenous thiopental infusion and lipid emulsion therapy. We observed focal seizures in the form of licking and perioral clonic contractions showing bilateral temporal epileptic activity in electrocardiography. As known, there are many reported cases of status epilepticus associated with bupropion poisoning; however, none of them had late focal seizures and our case is the youngest patient in the literature.

Keywords

• bupropion poisoning
• focal seizure
• lipid emulsion therapy
• long qtc
• status epilepticus