Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists
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Clin Toxicol (Phila) · Jun 2007
Human poisoning in Thailand: The Ramathibodi Poison Center's experience (2001-2004).
To identify poisoning and toxic exposure pattern, severity, and clinical outcome in Thailand during 2001 to 2004. ⋯ Features of poisoning in Thailand were different from those in Western countries. Pesticide poisoning was the major problem in Thailand. Intentional suicide was the major circumstance of poison exposure in adults, but accidental exposure was the major reason of exposure in children.
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Clin Toxicol (Phila) · Jun 2007
Case ReportsRattlesnake envenomation with neurotoxicity refractory to treatment with crotaline Fab antivenom.
Neurotoxicity following rattlesnake envenomation is reported with certain crotaline species. In some instances, crotaline Fab antivenom therapy that effectively halts progression of local tissue edema and hemotoxicity fails to reverse neurologic venom effects. ⋯ We describe two cases of neurotoxicity following rattlesnake envenomation in which treatment with crotaline Fab antivenom adequately obtained initial control of local swelling and hematologic effects, but neurotoxic venom effects remained refractory to antivenom therapy. This phenomenon is anecdotally recognized following certain crotaline species envenomations.
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Clin Toxicol (Phila) · Jun 2007
Case ReportsAbrupt awakening phenomenon associated with gamma-hydroxybutyrate use: a case series.
Case reports mention a sudden awakening from GHB-associated coma but do not specify its time course. The aim of the present case series was to investigate the time course of the awakening from GHB intoxication and the relationship to plasma concentrations of GHB and the presence of other drugs. Unconscious (GCS