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To the Editor.
We wish to report a case of phenytoin toxicity attributable in part to an error in The Harriet Lane Handbook 1and other commonly used pharmaceutical references.
Our patient was a 3-year-old boy from Cape Verde who initially presented with seizures from neurocystercercosis. During a brief inpatient admission, his phenytoin level became therapeutic at a dose of 36 mg orally three times a day (approximately 7 mg/kg/day). At discharge, using The Harriet …
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