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

Mojtaba Miladinia; Elham Mousavi Nouri

Articles in Press, Accepted Manuscript, Available Online from 17 June 2021

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
2. Pseudo-SAH in a patient with methanol poisoning

Elham Pishbin; Hamidreza Reihani; Bahram Zarmehri; Mahdi Foroughian

Articles in Press, Corrected Proof, Available Online from 11 April 2021

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
3. 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 , Summer and Autumn 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
4. 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 , Summer and Autumn 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
5. 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 , Summer and Autumn 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
6. A brief review of some strange and unusual poisoning in children

Mohammad Hossein Kamaloddini; Anahita Alizadeh Ghamsari; Bita Dadpour

Volume 7, Issue 1 , Winter and Spring 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
7. 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 , Winter and Spring 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
8. A Foodborne botulism Occurrence in Mashhad: Clostridium botulinum in local cheese

Mohammad Hossein Kamaloddini; Hamid Reza Kheradmand

Volume 7, Issue 1 , Winter and Spring 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
9. Medical system error causing methotrexate poisoning and delay in diagnosis: report of two cases

Hamidreza Reihani; Maryam Ziadi Lotfabadi

Volume 7, Issue 1 , Winter and Spring 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
10. Hypoxic-ischemic encephalopathy in a young man due to tramadol overdose

Zahra Ataee; Bita Dadpour

Volume 6, Issue 2 , Summer and Autumn 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
11. 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 , Summer and Autumn 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
12. 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 , Winter and Spring 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
13. Accidental intravenous bolus infusion of potassium chloride in a young man with hypokalemic periodic paralysis

Seyed Hesam Rahmani; Gholamreza Faridaalaee

Volume 5, Issue 1 , Winter and Spring 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
14. 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 , Summer and Autumn 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
15. Tramadol abuse and shoulder dislocation

Behnam Behnush; Roya Kordrostami; Nahid Dadashzadeh; Maryam Ameri

Volume 4, Issue 2 , Summer and Autumn 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
16. Heart attack or rhabdomyolysis?

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

Volume 4, Issue 1 , Winter and Spring 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
17. 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 , Winter and Spring 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
18. 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 , Winter and Spring 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
19. 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 , Summer and Autumn 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

Clinical Toxicology
20. Hypersensitivity and cross-reactivity to cisplatin and carboplatin.

Gholamreza Faridaalaee; Seyed Hesam Rahmani; Amin Mahboubi

Volume 2, Issue 2 , Summer and Autumn 2016, , Pages 58-61

Abstract
  Cisplatin was the first of the platinum drugs. Second-generation platinum derivative was carboplatin that its efficacy in the treatment of many malignancies is equal to cisplatin, and its toxicity profile is more favorable. Here we report on a 50-year-old woman with a history of cervix cancer who developed ...  Read More

Clinical Toxicology
21. Comparing the effects of pethidine and diclofenac suppository on patients with renal colic in the emergency department

Ali Taherinia; Soodeh Shahsavari; Azadeh Heidarpour; Seyyed Mohammad Tabatabaii; Afsson Vahdat

Volume 2, Issue 1 , Winter and Spring 2016, , Pages 3-6

Abstract
  Objective: Renal colic is a common cause of emergency room visits. Due to the spontaneous passage of more than 90% of kidney stones, treatment in the emergency department (ED) is limited to pain control. Analgesics currently used are selected based on physician experiences and various theories from different ...  Read More

Clinical Toxicology
22. An interesting case of aluminum phosphide poisoning

Gholamreza Faridaalaee; Seyed Hesam Rahmani; Sajjad Ahmadi; Amin Mahboubi

Volume 2, Issue 1 , Winter and Spring 2016, , Pages 29-30

Abstract
  Ingestion and inhalation of phosphine are 2 forms of toxicity and their clinical manifestation is extremely wide. A 22-year-old girl was admitted with complaints of nausea, vomiting and epigastric pain after eating lunch. She had a history of celiac disease. On arrival, she was alert and hemodynamically ...  Read More

Clinical Toxicology
23. Successful outcome in managing of aluminum phosphide poisoning

Samad Shams Vahdati; Reza Shahab Moghadam; Pouya Paknejad; Zahra Vandrajabpour; Shahrad Tajoddini

Volume 1, Issue 2 , Summer and Autumn 2015, , Pages 67-68

Abstract
  Aluminum phosphide  (ALP) is a potent lethal substance, that use for agriculture purpose, as a pesticide. this substance may use for suicide, and it will kill the patient rapidly. we want to report a patient who use ALP for suicide purpose and was managed quickly in the emergency department and ...  Read More

Clinical Toxicology
24. Evaluation of suicide attempts with drug poisoning in North-West of Iran

Samad Shams Vahdati; Narges Moradi; Jamil Hemat Ghadim; Shahrad Tajoddini

Volume 1, Issue 1 , Winter and Spring 2015, , Pages 1-2

Abstract
  Deliberate Self-Poisoning (DSP) or drug induced suicide is the most common method of suicide in the developed countries and is associated with significant morbidity and mortality (1-3). Factors associated with DSP include economic and social factors, culture, religion, and health (4-6). Other symptoms ...  Read More