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March 16, 1935


JAMA. 1935;104(11):915. doi:10.1001/jama.1935.92760110001010

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B. L., a girl, aged 18 years, admitted to the Central Emergency Hospital, Department of Public Health, Dec. 6, 1934, at 6:30 p. m., had taken twenty-four reducing capsules with suicidal intent.

On physical examination the patient's face was flushed, the respiration rate was rapid and short, from 38 to 40 per minute, the pulse was 144, and the temperature was 103.4 F.

Routine gastric lavage was done with a 5 per cent solution of sodium bicarbonate. The symptoms being those associated with an overdose of alpha-dinitrophenol, the patient was placed in an ice pack in order to bring down the temperature. This was repeated whenever the temperature went over 101 F. Oxygen was administered at intervals that evening, and 500 cc. of dextrose was administered intravenously.

The patient slept at intervals the first night, and the next night she complained of being hungry but vomited after taking some food.

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