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Dunkley, E.J., Isbister, G.K., Sibbritt, D., Dawson, A.H., Whyte, I.M. (2003) The hunter serotonin toxicity criteria: Simple and accurate diagnostic decision rules for serotonin toxicity. QJM, 96, 635-642. doi:10.1093/qjmed/hcg109

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• TITLE: A psychiatric whodunit: Serotonin syndrome in the emergency department

  AUTHORS: Christopher Rodgman, Megan Thompson, Nicolas Vergara

  KEYWORDS: Serotonin Syndrome; Paroxetine; Emergency Department

  JOURNAL NAME: Open Journal of Psychiatry, Vol.2 No.4, October 31, 2012

  ABSTRACT: Serotonin syndrome is a life-threatening reaction associated with serotonergic agents. Its mortality is estimated around 11%, hence prompt diagnosis is necessary [1]. Given the variability of its presentation, physicians often misdiagnose this devastating condition. We present a case of serotonin syndrome seen in the Emergency Department by an on-call psychiatric resident and review the Hunter Serotonin Toxicity Criteria, emphasizing the importance of physician familiarity with these criteria.