A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Yousefinejad, V.
- Intravascular Hemolysis after Aluminum Phosphide Poisoning
Authors
1 Forensic Medicine Dept., Tehran University of Medical Sciences, Baharloo Hospital, Tehran, IR
2 Kurdistan Digestive and Hepatic Diseases Research Center, Kurdistan University of Medical Sciences, Sanandaj, IR
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 240-242Abstract
Background: hemolysis is a rare finding in patients with Aluminum phosphide (AlP) poisoning. In this report a patient with the AlP poisoning and intravascular hemolysis will be presented.Case Report: The patient was a 25 years old man who ingested three tablets (9gr) of AlP for suicide attempt one hour before admission to poisoning emergency ward of Baharloo hospital in Tehran. He had nausea, vomiting, heartburn, and mild metabolic acidosis on the arrival to the hospital. The patient had no fever, loss of consciousness and respiratory distress. History of specific disease and concomitant use of other drugs was not mentioned. Supportive care was done for the patient. He was icteric and his serum bilirubin was increased and hemoglobin was decreased 24 hour after admission during hospitalization. Laboratory tests were negative for hepatitis and liver, gall bladder and bile duct ultrasound was normal. G6PD (glucose 6 phosphate dehydrogenase) deficiency was confirmed. The patient was discharged with the good condition after a week.
Conclusion: Due to lack of other drug use and the underlying causes for hemolysis in this case, it seems ALP should be added to the etiologies of hemolysis in patients with glucose 6-phosphate dehydrogenase deficiency.
Keywords
Aluminum phosphide, Poisoning, Hemolysis, G6PD deficiency
References
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- Epidemiology of Homicide by Sharp Force in Tehran, Iran between 2010 and 2011
Authors
1 Legal Medicine Organization of Iran, Tehran, IR
2 Forensic Medicine Department, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
3 Department, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
4 Forensic Medicine Department, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 51-56Abstract
Background: Stabbing is the most common method of homicide especially in countries such as Iran. This study was carried out to determine epidemiology of murders caused by sharp force injury in the city of Tehran.
Method: This study was a prospective cross-sectional study. All the victims of homicides caused by sharp force injury between July 2010 and June 2011 in the city of Tehran were included in this study. Questionnaire was used to collect the obtained data through census. In data analysis, the frequency and standard deviation (SD) were calculated and t-test and Chisquare tests were used for data analysis.
Results: 166 murders were caused by sharp force. The mean age of victims was 33.06±14.11 years old. The mean of the number of wounds on the victim's body was 6.6 ± 2.9. Motivation for murder was feud in 65 cases (39.6%) and 33 cases (20.1%) had family issues. Defense wounds were seen in 108 cases (65.9%). 94 cases (65.6%) had 2-9 wounds on their body. The cause of death in 102 cases (61.4%) was injury of a critical organ. There was a significant relationship between sex and neck lesions (p=0.001). Mean and SD of the number of wounds was higher in females than males (p= 0.009).
Conclusion: Increased use of knives and other sharp tools in homicides is considered a threat for public health and more legal limitations for use of these devices and their transport seems necessary.
Keywords
Homicide, Epidemiology, Sharp Force Injury, Tehran, Defense WoundReferences
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