Clinical Toxicology
The influence of cold versus room temperature charcoal on reducing nausea of poisoned patients: A randomized clinical trial

Morteza Talebi Doluee; Bita Dadpoor; Behrang Rezvani Kakhki; Veda Vakili; Elahe Barati; Elnaz Vafadar Moradi

Volume 8, Issue 2 , July 2022, , Pages 122-127

Abstract
  Objective: Intoxication is among the most common causes of emergency department (ED) visits. Activated charcoal is one of the useful treatments preventing poison absorption. However, nausea caused by using charcoal has made this substance less acceptable among patients. This study aims at investigating ...  Read More

Clinical Toxicology
Seizure after a massive infusion of N-acetylcysteine and successful treatment with a good outcome

Khadijeh Saravani; Pantea Ramezannezhad; Mohammad Hossien Kamaloddini; Mohammadmahdi Akbari; Tayebeh Shahraki

Volume 8, Issue 2 , July 2022, , Pages 156-158

Abstract
  Objective: N-acetylcysteine is frequently used as an efficacious antidote for acetaminophen toxicity. It prevents liver injury induced by paracetamol and in most cases the overdose of acetylcysteine produces mild clinical effects.Case Presentation: Here we describe a patient who self-treated himself ...  Read More

Clinical Toxicology
Platyceps karelini a nonvenomous snake (Ophidia: Colubridae) from Kashan county (Isfahan–Iran)

Rouhullah Dehghani; Nasrullah Rastegar Pouyani; Shahrad Tajaddini; Masoomeh Varzandeh

Volume 8, Issue 2 , July 2022, , Pages 162-165

Abstract
  Objective: Snakes are among the predators of any ecosystem and have been seen in different parts of Iran. The report on their distribution in Isfahan province was taken into consideration because of the importance of regional knowledge of these animals.Case report: During this survey, a sample of snakes ...  Read More

Clinical Toxicology
The Challenge of Medication Errors in the Emergency Department Setting

Mojtaba Miladinia; Elham Mousavi Nouri

Volume 8, Issue 1 , January 2022, , Pages 1-2

Abstract
  Medication errors (MEs) are considered the most common medical errors and as one of the major challenges threatening the health system, which can be also reduced. MEs threaten patients' safety and may increase the length of hospital stay, lead to unexpected complications, mortality and side costs. In ...  Read More

Clinical Toxicology
Frequency of opium use in traumatic patients admitted to Shahid Rahnemoon hospital

Malek Moradi; Amir Motamedi; Adele Pouyafard; Mostafa Gavahi; Mohsen Barzegar

Volume 8, Issue 1 , January 2022, , Pages 26-31

Abstract
  Objective: Narcotic and alcohol use are recognized as the two important underlying factors in all types of trauma. In this study, the prevalence of opium consumption was investigated in traumatic patients who referred to Shahid Rahnemoon hospital in Yazd in 2018.Methods: In this descriptive cross-sectional ...  Read More

Clinical Toxicology
Pseudo-SAH in a patient with methanol poisoning

Elham Pishbin; Hamidreza Reihani; Bahram Zarmehri; Mahdi Foroughian

Volume 8, Issue 1 , January 2022, , Pages 64-65

Abstract
  Objective: Methanol poisoning is a dangerous life-threatening event, manifested withvarious symptoms, sometimes very rare ones, that all should be addressed to preventmisdiagnosis of the methanol-poisoned patients.Case Presentation: A 21-year-old young man was brought to the emergency department(ED) ...  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

Clinical Toxicology
Compsobuthus matthiesseni sting from Bazoft: A case report

Rouhullah Dehghani; Kobra Taji; Amrollah Mahmoudi; Masoomeh Varzandeh

Volume 8, Issue 1 , January 2022, , Pages 83-85

Abstract
  Objective: A Scorpion sting is one of the most important health and medical problems in most parts of Iran.Case Presentation: This case report occurred in Chaharmahal Bakhtiari province of Bazoft city. The injured person was a 48-year-old woman, weighing about 69 kg. Two documentary filmmakers were on ...  Read More

Clinical Toxicology
Ranking the acute poisoning etiologies in Iran: A systematic review and meta-analysis

Saeedeh Derhami; Ehsan Bolvardi; Reza Akhavan; Mahdi Foroughian; Behzad Shahi; Arman Hakemi; Zhila Rahmanian; Samaneh Abiri

Volume 7, Issue 2 , July 2021, , Pages 82-87

Abstract
  Objective: Acute poisoning is a major health problem and one of the most common causes of emergency visits worldwide. Since most poisoning subjects present with a decreased level of consciousness and due to unreliable disease history, recognizing the etiological cause of the poisoning represents a critical ...  Read More

Clinical Toxicology
Delirium treatment in intoxicated patients in ICU: A randomized, double-blind clinical trial

Javad Mesbahi; Shahin Shadnia; Hossein Hassanian-Moghaddam; Nasim Zamani; Peyman Erfan Talab Evini; Delara Hazegh Fetratjoo; Alireza Kargar; Mitra Rahimi

Volume 7, Issue 2 , July 2021, , Pages 93-96

Abstract
  Objective: Delirium is one of the most common complications in patients admittedto intensive care units (ICUs). Delirium is a definite cause for more extended hospitalstays, higher mortality rates, and possibly persistent cognitive decline in the future.Antipsychotics have been frequently evaluated as ...  Read More

Clinical Toxicology
Pharmacoligical characterization of the iranian Cerastes cerastes gasperettii (Reptilia: Ophidia: Viperidae) venom

Sasan Zaeri; Zohre Aghaei; Navid Reza Mashayekhi; Ali Salemi; Ramin Seyedian

Volume 7, Issue 2 , July 2021, , Pages 123-126

Abstract
  Objective: Snake envenomation is common in tropical and subtropical countries of the Middle East areas including Iran. Cerastes cerastes gasperettii is a dangerous snake living in southwestern provinces of Iran. It causes massive edema at the bite site and coagulopathy leading to death if untreated. ...  Read More

Clinical Toxicology
A brief review of some strange and unusual poisoning in children

Mohammad Hossein Kamaloddini; Anahita Alizadeh Ghamsari; Bita Dadpour

Volume 7, Issue 1 , January 2021, , Pages 1-3

Abstract
  The Clinical Toxicology Center in Imam Reza hospital in Mashhad is the referral center of poisonings in the East of Iran and many cases of poisoned children are referred to this center and some cases are admitted.In this letter we report some specific, strange and unusual poisonings in children admitted ...  Read More

Clinical Toxicology
Investigation of autopsy results in cadavers with lead poisoning in Tehran Legal Medicine Center over 10 years

Fares Najari; Seyed Mojtaba Abolbagaei; Babak Mostafazadeh; Dorsa Najari

Volume 7, Issue 1 , January 2021, , Pages 32-35

Abstract
  Objective: Due to the rapid pace of industrialization and the high prevalence of addiction, toxicity caused by heavy metals, especially lead, has become one of the major health problems associated with high morbidity and mortality. Therefore, reliable information is critical to manage this condition. ...  Read More

Clinical Toxicology
A Foodborne botulism Occurrence in Mashhad: Clostridium botulinum in local cheese

Mohammad Hossein Kamaloddini; Hamid Reza Kheradmand

Volume 7, Issue 1 , January 2021, , Pages 66-68

Abstract
  Objective: Clostridium botulinum is one of the most common life-threatening agents all around the world which produces botulinum neurotoxin (BoNT). It may lead to morbidities such as paralysis and mortality after consuming canned tuna fish, local dairy products and home-preserved or commercial food. ...  Read More

Clinical Toxicology
Medical system error causing methotrexate poisoning and delay in diagnosis: report of two cases

Hamidreza Reihani; Maryam Ziadi Lotfabadi

Volume 7, Issue 1 , January 2021, , Pages 74-76

Abstract
  Objective: We are going to alert the emergency physicians to be aware of drugs side effects. Some drugs like methotrexate are not routine drugs, and the symptoms may be miss diagnosed if not completely notified.Case Presentation: We present two patients under treatment with methotrexate. Both of them ...  Read More

Clinical Toxicology
Hypoxic-ischemic encephalopathy in a young man due to tramadol overdose

Zahra Ataee; Bita Dadpour

Volume 6, Issue 2 , July 2020, , Pages 112-114

Abstract
  Objective: Tramadol is a synthetic analgesic with two mechanisms. The opioid and non-opioid mechanisms are responsible for tramadol side effects. Non-opioid side effects of tramadol are due to the reuptake inhibitions of serotonin and norepinephrine. Some of the side effects include anaphylactoid reactions, ...  Read More

Clinical Toxicology
Severe hemoglobinuria due to Hemiscorpius enischnochela (Scorpiones: Hemiscorpiidae) envenomation from South of Iran

Mehran Shahi; Seyed Hamid Moosavy; Hossein Sanaei-Zadeh

Volume 6, Issue 2 , July 2020, , Pages 121-125

Abstract
  Objective: Scorpion stings are common in tropical regions of Iran. Hemiscorpius enischnochela are distributed in southern part of Iran. The venom of this scorpion causes severe hemolysis, hemoglobinuria, and occasionally death.Case Presentation: This report describes the clinical manifestations of envenomation ...  Read More

Clinical Toxicology
Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Mohammad Rafiqul Islam; Sarmistha Biswas; Syed Zakir Hossain; Nafizul Islam; Gourab Dewan; Mohammad Robed Amin

Volume 5, Issue 1 , January 2019, , Pages 23-28

Abstract
  Objective: Acute poisoning is a common cause of hospital admission in Bangladesh. But, risk factors and characteristics of victims of different modes of poisoning have not been evaluated for possible intervention strategies. So, in this study we aimed to describe the pattern of acute poisoning in central ...  Read More

Clinical Toxicology
Accidental intravenous bolus infusion of potassium chloride in a young man with hypokalemic periodic paralysis

Seyed Hesam Rahmani; Gholamreza Faridaalaee

Volume 5, Issue 1 , January 2019, , Pages 29-31

Abstract
  Hypokalemic periodic paralysis is anautosomal dominantdisease characterized by muscle weakness or paralysis with a matching fall in blood potassium levels. Paralysis attacks often occur in adolescence and are induced by strenuous exercise followed by rest, high carbohydrateor high sodiummeal content, ...  Read More

Clinical Toxicology
Brain multi-infarct and decompression sickness

Luis Rafael Moscote-Salazar; Guru Dutta Satyarthee; Nidia Escobar Hernandez; Jorge Aquino Matus; Willem Guillermo Calderon-Miranda; Marco Antonio Blancas-Varas; Johana Maraby; Joulen Mo-Carrascal

Volume 4, Issue 2 , July 2018, , Pages 53-54

Abstract
  Scuba diving is associated with an important risk of devel­oping decompression sickness secondary to formation of gas bubbles inside the body. The latter is formed mainly by nitrogen in the body on the diver’s way to the surface (1,2). In some cases, it might injure the central nervous system. ...  Read More

Clinical Toxicology
Tramadol abuse and shoulder dislocation

Behnam Behnush; Roya Kordrostami; Nahid Dadashzadeh; Maryam Ameri

Volume 4, Issue 2 , July 2018, , Pages 82-85

Abstract
  This study aimed to evaluate the shoulder dislocation following tramadol-induced seizure and its potential difference with other shoulder dislocations. We evaluated six cases that used tramadol tablets and some of them had a history of seizure. All of the cases had shoulder dislocation. According to ...  Read More

Clinical Toxicology
Heart attack or rhabdomyolysis?

Mustafa Bolatkale; Muhittin İşsever; Ulaş Karaoğlu; Ahmet Cagdas Acara; Mehtap Bulut

Volume 4, Issue 1 , January 2018, , Pages 51-52

Abstract
   Statins are commonly used drugs in the treatment of hyperlipidemia (HL), despite some undesirable side effects. These range from mild symptoms such as myopathy, muscle weakness and myalgia to severe muscle weakness associated with chronic myopathy and acute renal failure (ARF) as a result of rhabdomyolysis. ...  Read More

Clinical Toxicology
Clinico-Epidemiological study of poisoning in a tertiary care hospital in Bangladesh

Rabiul Hossain; Robed Amin; Ahmed Riyadh Hossain; Azizul Kahhar; Fazle Rabbi Chowdhury

Volume 3, Issue 1 , January 2017, , Pages 4-10

Abstract
   Objective: The scale of the problem of poisoning is enormous hence clinico epidemiological spectrum of all poisoning cases need to explore to generate the management tool. Methods: This prospective study was done at two medicine units (Unit 5 and 10) of Dhaka Medical College Hospital from July ...  Read More

Clinical Toxicology
Epidemiological and clinical status of patients with scorpion sting: emergency department of Sina hospital in Tabriz-Iran

kavous Shahsavarinia; Ali Taghizadieh; Amir Ghaffarzad; Amin Shariati; Farzad Rahmani

Volume 3, Issue 1 , January 2017, , Pages 18-21

Abstract
  Objective: Scorpion is one of the world’s most venomous arthropods and every year many people are bitten by it. In Iran, scorpion sting is a common health issue. The aim of this study was to evaluate the epidemiological and clinical status of patients with scorpion sting in the emergency department ...  Read More

Clinical Toxicology
Wasp stings (Vespa affinis) induced acute kidney injury following rhabdomyolysis in a 25-year-old woman.

Parash Ullah; Alamgir Chowdhury; Ishrat Tahsin Isha; Sultan Mahmood; Fazle Rabbi Chowdhury; Mohammad Zeesan-ul- Abir; Aziz Al Manna; Muhammad Ismail Patwary

Volume 2, Issue 2 , July 2016, , Pages 55-57

Abstract
   Wasp sting is a relatively common arthropod assault. This usually results in pain and mild allergic reactions, but sometimes may cause severe systemic reaction and multiorgan dysfunction including rhabdomyolysis, hemolysis, coagulopathy, hepatic, renal and cardiac complications. Along with several ...  Read More