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A 14-year-old Caucasian girl presented to the emergency department with a persistent headache lasting 6 h, which was not relieved by acetaminophen and ibuprofen, her fourth similar episode of the month. She worried about having already missed five days of school and wanted medication to prevent further episodes.
She denied any recent illness or drug ingestion. The patient had many friends, as well as a boyfriend, and could not think of any stress factors to explain her new condition. Approximately five weeks previously, a friend introduced her to energy drinks that she believed helped her become more focused on her school work. Additional inquiry revealed the presence of nervousness and insomnia; additionally, she mentioned that on two occasions her heart started to beat very quickly. She then asked, “Do you think that the three energy drinks I had yesterday could be related to my headache?”
The Canadian Paediatric Surveillance Program (CPSP) is a joint project of the Canadian Paediatric Society and the Public Health Agency of Canada, which undertakes the surveillance of rare diseases and conditions in children and youth. For more information, visit our website at www.cps.ca/cpsp.