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Наслов: From unknown poisoning to carbamazepine poisoning
Authors: Natasha Simonovska 
Andon Chibishev
Niko Bekarovski
Aleksandra Babulovska 
Biljana Ivanova
Kiril Naumoski
Kristin Kostadinoski 
Issue Date: јун-2023
Journal: Emergency Care Journal
Abstract: In the 2020 annual report of the American Association of Poison Control Centers, 2562 toxic exposures to carbamazepine have been reported, 908 resulted in hospitalization, and among these about 5-6% were life-threatening or resulted in significant disability. A 15-year-old female patient was brought under suspicion of alcohol poisoning. The result of alcoholemia was 11.0 mg/dL and the toxicological screening for THC, opiates, methadone, tramadol, amphetamine, MDMA, cocaine, benzodiazepines, buprenorphine was negative. At admission she was comatose (GCS=6), with metabolic acidosis, hypotension, rare short-term partial seizures, isochoric and later dilated pupils, body temperature was 36.4°C, with oxygen saturation from 89 up to 93%. Toxicological analysis were immediately extended. After three hours of admission, a result was obtained where the plasma concentration for carbamazepine was 167mmol/L. The patient was quickly prepared for hemodialysis which was performed for four hours. After 8 hours of admission the patient woke up with stable vital parameters.
URI: http://hdl.handle.net/20.500.12188/26983
Appears in Collections:Faculty of Medicine: Journal Articles

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