The Answer Lies in the Formula? Seizures in a Young Infant

A case of a previously healthy 10-week-old female who presented with a generalized tonic-clonic seizure is reviewed and discussed. Presenting signs and symptoms included fever, tachycardia, hypertension, dilated pupils, diaphoretic skin, and an altered mental status, consistent with a sympathomimetic ingestion. Urine drug screening and confirmatory blood testing revealed the designer methamphetamine, MDMA (Ecstasy), and methamphetamine as the causative agents. The differential diagnosis of seizures and causes of sympathomimetic toxicity are discussed.