[Unusual cardiac rhythm disorder induced by clomipramine ingestion]. / Trouble du rythme cardiaque inhabituel induit par l'ingestion de climipramine.

The authors relate a case of atrioventricular block supplied by junctional rhythm and without blood pressure alteration during a clomipramine poisoning. This electrocardiographic change is unusual and systematic electrocardiography during hospitalization is an absolute necessity.

[Home thrombolysis: an original experience of SAMU 51]. / Thrombolyse à domicile: expérience originale du SAMU 51.

S.A.M.U. 51 practises thrombolysis in patient's house associated with cardiologists of the University Hospital and of a Private Hospital, in indication and following for treatment. This way of working gives a large security for using this therapeutic to the whole population whatever the chosen hospital.

[Acute psychiatric syndrome and quinolones]. / Syndrome psychiatrique aigu et quinolones.

A case of Flumequine poisoning is described; a 13-year-old girl was admitted for a psychiatric syndrome. 3 hours after, seizures, coma, and metabolic disorders were observed. Infectious, encephalitic or diabetic diseases were suspected, but not confirmed. After 12 hours of a symptomatic treatment, the clinical status improved and the patient was discharged. At that time a tablet was found in her bedroom and a mas spectrographic analysis was positive for Flumequine. This case report is in agreement with previous observations and confirms the small therapeutic index of quinolone, and the absolute necessity to assess carefully a psychiatric diagnosis.