Rowan Digital Works - Rowan-Virtua Research Day: Identifying Early Presentation of Serotonin Syndrome in a 20-year-old Male Prescribed Clomipramine and Quetiapine: A Case Report
 

College

Rowan-Virtua School of Osteopathic Medicine

Keywords

serotonin syndrome, tricyclic antidepressant

IRB or IACUC Protocol Number

G24082

Date of Presentation

5-1-2025 12:00 AM

Poster Abstract

Serotonin syndrome, a potentially life-threatening condition, can be challenging to diagnose due to its diverse etiology and varied symptomatology. Despite its severity, serotonin syndrome may present from mild to fatal, with symptoms such as autonomic instability, altered mental status, and neuromuscular excitation (e.g. muscle rigidity, hyperreflexia). Here, we present a 20-year-old male with an extensive psychiatric history who was prescribed clomipramine and developed serotonin syndrome. Few cases of serotonin syndrome have been reported to date, exacerbating the difficulty in recognizing and quickly treating such cases. Cases of serotonin syndrome should continue to be reported, in order to familiarize clinicians with varied presentations of this toxicity.

Disciplines

Emergency Medicine | Heterocyclic Compounds | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Psychiatry | Therapeutics

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May 1st, 12:00 AM

Identifying Early Presentation of Serotonin Syndrome in a 20-year-old Male Prescribed Clomipramine and Quetiapine: A Case Report

Serotonin syndrome, a potentially life-threatening condition, can be challenging to diagnose due to its diverse etiology and varied symptomatology. Despite its severity, serotonin syndrome may present from mild to fatal, with symptoms such as autonomic instability, altered mental status, and neuromuscular excitation (e.g. muscle rigidity, hyperreflexia). Here, we present a 20-year-old male with an extensive psychiatric history who was prescribed clomipramine and developed serotonin syndrome. Few cases of serotonin syndrome have been reported to date, exacerbating the difficulty in recognizing and quickly treating such cases. Cases of serotonin syndrome should continue to be reported, in order to familiarize clinicians with varied presentations of this toxicity.

 

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