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MediumEmergencySerotonin syndromeau-amcau-acem

A 35-year-old man presents to the ED with agitation, sweating, tachycardia and dilated pupils after being found with multiple empty blister packs of his selective serotonin reuptake inhibitor and some tramadol. He has hyperreflexia and inducible clonus in the lower limbs. Temperature is 38.9 °C. What is the most likely diagnosis?

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