Intentional Overdose in a Suicidal 28-Year-Old With Lupus

Ramy Saleh, DO; Robert Bassett, DO; Alan Lucerna, DO; Wayne Tamaska, DO; James Espinosa, MD; Kumail Kazim; Frederick Barnum IV; Emeka Ezidiegwu


July 28, 2022

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.


A 28-year-old man presents to the emergency department with his mother after a suicide attempt via pill ingestion. He stated that he took about 60 tablets 1 hour ago.

He was recently diagnosed with systemic lupus erythematosus but has no other medical history, surgical history, or hospitalizations. With the exception of medication for systemic lupus erythematosus, he does not take any prescription or over-the-counter medications. He does not have any allergies to medications or any significant history of tobacco, alcohol, or recreational drug use. His maternal and paternal family history is noncontributory.

The patient states that he has been feeling depressed, but he does not have any documented psychiatric history. He reports some nausea and vague abdominal pain. He denies having any other symptoms.


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