Severe hypoglycaemia in citalopram overdose.

We present two episodes of poisoning with citalopram in which the main feature was profound hypoglycaemia. Citalopram has been regarded as the most toxic of the selective serotonin reuptake inhibitors in overdose; however, hypoglycaemia is not one of the documented features of overdose. This is an important component of the toxicological profile of citalopram and a treatable cause of seizure activity that should be reported in poisoning information references.

Back pain in children: dig a bit deeper.

This report highlights the uncommon disease of Langerhans cell histiocytosis in the context of nontraumatic back pain. Langerhans cell histiocytosis has a broad range of presentations and should be borne in mind in many differential diagnoses in the emergency and general practice setting. Back pain in children, contrary to back pain in adults, is frequently the result of a treatable organic pathology and should be assessed thoroughly before a diagnosis of nonspecific or mechanical back pain is made.