Acute Phenytoin Intoxication In A 4-Year Old Mimicking Viral Meningo-Encephalitis

We report here the instance of a 4-year-old female preschooler who introduced to the division of Pediatrics, SreeBalaji Medical College and Hospital, Chennai with summed up tonic-clonic seizures and history of spewing, fractiousness and dysarthria of brief span. On assessment she was seen as responsive just to difficult upgrade, had terminal neck solidness and reciprocal extensor plantars. In perspective on her clinical introduction, an underlying determination of viral meningo-encephalitis was made in the crisis room and the youngster treated appropriately. On consequent exchange to the emergency unit), (the guardians uncovered extra history of a senior kin taking phenytoin for seizures. In this way, a doubt of intense phenytoin lethality was made and phenytoin levels sent for affirmation. Her serum phenytoin level was 80 μgm/mL (typical: 10–20). The kid was overseen moderately and released following 5 days of hospitalization. We announced this case to feature the unordinary introduction of this uncommon inebriation.