Emergency medicine
Fatal Triad: Spontaneous Pneumothorax, Pneumomediastinum, and Pneumorrhachis in a Case of Paraquat Ingestion

Zainab Mehdi; Daljinderjit Kaur; Parv kamra; Nidhi Arora; Narinder kaur; Shivam Bansal

Volume 9, Issue 2 , July 2023, , Pages 138-141

Abstract
  Objective: Dependency on agriculture and the unregulated sale of paraquat makes it an easy alternative for homicidal and suicidal use in developing nations. It kills by multiorgan failure, predominantly pulmonary fibrosis, and ARDS. We report a case of alleged paraquat ingestion with spontaneous pneumothorax, ...  Read More

Clinical Toxicology
When numbers can be misleading: lithium induced irreversible neurotoxicity at therapeutic drug levels

Jyoti Aggarwal; Zainab Mehdi; Baldeep Kaur; Yuvraj Singh Cheema; Monica Gupta

Volume 8, Issue 1 , January 2022, , Pages 69-73

Abstract
  Objective: Lithium is a principal drug used in the treatment of bipolar disorder (BPD). Due to its narrow therapeutic index, serum levels need to be monitored regularly. In elderly patients with renal dysfunction lithium toxicity can develop paradoxically within the therapeutic range. This can lead to ...  Read More