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Patricia Stallings Case Overview

Oct 9, 2025

Overview

The case of Patricia Stallings involved the mistaken conviction of a mother for poisoning her infant son, Ryan, with antifreeze, later revealed to be a tragic misdiagnosis of a rare genetic disorder, methylmalonic acidemia (MMA), caused by flawed laboratory analysis.

Initial Incident and Investigation

  • Four-month-old Ryan Stallings was hospitalized after persistent vomiting and breathing difficulties.
  • Lab tests indicated ethylene glycol (antifreeze) poisoning, leading authorities to suspect intentional poisoning.
  • Antifreeze was found at the Stallings’ home, and prior allegations of child abuse surfaced against Patricia.

Hospitalization and Second Incident

  • Ryan was placed in foster care, with Patricia allowed only supervised visits.
  • After a visit, Ryan became critically ill again; higher levels of ethylene glycol were found in his blood and traces in his baby bottle.
  • Patricia Stallings was arrested, first charged with assault, then murder after Ryan died during treatment.

Legal Proceedings and Conviction

  • Despite her second child, DJ, developing similar symptoms and being diagnosed with MMA, experts maintained that Ryan died of ethylene glycol poisoning.
  • Patricia was convicted of first-degree murder and sentenced to life in prison.

Scientific Re-examination and Discovery

  • Drs. Shoemaker and Sly questioned the lab findings, discovering the tests likely misidentified propionic acid (from MMA) as ethylene glycol.
  • Independent testing revealed that several labs could confuse these compounds.
  • Dr. Ronaldo, a metabolic disease expert, confirmed major errors in the original lab analyses and that Ryan likely died from MMA.

Exoneration and Aftermath

  • Prosecutors dropped all charges against Patricia after reviewing new scientific evidence.
  • The original treatments and lab findings were found to have contributed to the medical mismanagement and false conviction.
  • Patricia filed lawsuits against those responsible for the misdiagnosis; all were settled out of court.
  • DJ survived and manages his MMA with a specialized diet and care.

Decisions

  • New trial granted for Patricia Stallings based on new scientific evidence.
  • All charges against Patricia Stallings dismissed after expert review confirmed misdiagnosis.

Recommendations / Advice

  • Ensure high-quality, accurate laboratory analysis in criminal investigations and medical diagnoses.
  • In rare disease cases, seek expert consultation and consider alternative explanations before concluding poisoning.
  • Laboratories should verify compound identification through multiple methods to avoid misidentification.