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- An unconscious 46-year-old man presented with profound hypoglycemia of 1.9 mmol/L. He had vomited and benzodiazepines were found near his bed. - Treatment with intravenous glucose was started but hypoglycemia was difficult to correct. Laboratory results found inappropriately high insulin and C-peptide levels. - Toxicological analysis revealed lethal concentrations of tramadol and its metabolites. The hypoglycemia was caused by inappropriate stimulation of insulin secretion due to tramadol intoxication

Author

gevowo3277

Language

EN