A patient full of surprises: a body packer with cocaineintoxication, pneumococcal pneumonia and HIV infection. Smuggling of illegal drugs by hiding them inside one's own body, also called body packing, is a worldwide phenomenon. Cocaine is the most frequently transported drug. Body packing is a potentially lethal practice. The most serious complications of body packing are gastrointestinal suggestive of infection, urine analysis was positive for cocaine. Abdominal and thoracic computed tomography scans showed pulmonary infiltrates as a possible focus of infection; signs of bowel obstruction or perforation were absent. Given his clinical presentation, we suspected severe infection rather than massive cocaineintoxication to be the main problem. We therefore withheld immediate surgical
Global cocaineintoxication research trends during 1975–2015: a bibliometric analysis of Web of Science publications Cocaine is subject to recreational abuse as a stimulant and psychoactive agent, which poses a major worldwide health problem. The aim of the present study was to perform a bibliometric analysis of publication related to cocaineintoxication an insight of the research trends at a global level to enable recommendations for future research strategies in this field. Publications about cocaineintoxication were retrieved from the Web of Science (WoS) Core Collection database on December 28, 2016, and analysed regarding the following bibliometric indicators: research trends, document types, languages, countries/territories with their h-index, collaboration patterns, journals
Euglycemic Diabetic Ketoacidosis in a Patient with CocaineIntoxication Diabetic ketoacidosis (DKA) is characterized by elevated anion gap metabolic acidosis, hyperglycemia, and elevated ketones in urine and blood. Hyperglycemia is a key component of DKA; however, a subset of DKA patients can present with near-normal blood glucose, an entity described as "euglycemic DKA." This rare phenomenon
Gammaâ€hydroxybutyrate and cocaineintoxication in a Danish child GHB intoxication must be considered in children with coma and a suspicion of drug intoxication. Furthermore, mixed intoxication with several substances and the possibility of unpredictable symptom profiles should be anticipated to ensure optimal symptomatic treatment of patients.
Emotion recognition during cocaineintoxication. Chronic or repeated cocaine use has been linked to impairments in social skills. It is not clear whether cocaine is responsible for this impairment or whether other factors, like polydrug use, distort the observed relation. We aimed to investigate this relation by means of a placebo-controlled experimental study. Additionally, associations between
Comparing Efficacy & Safety Of TNX-1300 To Placebo With UC For Treatment Of Acute CocaineIntoxication In ED Subjects (CATALYST) This is a Phase 2 single-blind, randomized, multicenter study to compare the efficacy and safety of a single dose of TNX-1300 to placebo with usual care in patients with acute cocaineintoxication within the emergency department setting. undefined
Managing combined critical hypothermia, diabetic ketoacidosis and cocaineintoxication noninvasively. Severe hypothermia with a core temperature below 28°C is critical especially in patients with diabetic ketoacidosis (DKA) and carries a high risk of mortality. Our case of a 52-year-old woman presenting with DKA, pH of 6.9, potassium of 7.6 mEq/L, and body temperature of 26°C demonstrates
An Open-Label, Randomized Pilot Study Comparing the Safety of a Single Dose of TNX-1300 to Usual Care (UC) Alone for the Treatment of Signs and Symptoms of Acute CocaineIntoxication in Male Emergency Department (ED) Subjects An Open-Label, Randomized Pilot Study Comparing the Safety of a Single Dose of TNX-1300 to Usual Care (UC) Alone for the Treatment of Signs and Symptoms of Acute CocaineIntoxication in Male Emergency Department (ED) Subjects undefined
Chronic Cocaine Dampens Dopamine Signaling during CocaineIntoxication and Unbalances D1 over D2 Receptor Signaling Dopamine increases triggered by cocaine and consequent stimulation of dopamine receptors (including D1 and D2) are associated with its rewarding effects. However, while facilitation of D1 receptor (D1R) signaling enhances the rewarding effects of cocaine, facilitation of D2R signaling decreases it, which indicates that for cocaine to be rewarding it must result in a predominance of D1R over D2R signaling. Moreover, the transition to compulsive cocaine intake might result from an imbalance between D1R and D2R signaling. To test the hypothesis that chronic cocaine use unbalances D1R over D2R signaling during cocaineintoxication, we used microprobe optical imaging to compare
of cocaine averaged 0.6mg/L, about ten times lower than that seen in fatal cocaine overdoses. Police, rescue personnel, and emergency room physicians should be aware that excited delirium may result of a potentially fatal cocaineintoxication; its appearance should prompt immediate transport of the victim to a medical facility. Continuous monitoring, administration of appropriate cocaine antag-onists
Profound Hyperthermia Associated With Fentanyl and Cocaine Use With Suspected Synephrine Adulteration. Although hyperthermia is described after cocaineintoxication, the two hyperthermic cases discussed were unusual in severity and duration for cocaine alone. Synephrine was found in biological samples of these patients in high concentrations and was suspected to be an adulterant in illicitly
Cocaine's effects on the reactivity of the medial prefrontal cortex to ventral tegmental area stimulation: optical imaging study in mice. The prefrontal cortex (PFC) is modulated by dopaminergic and glutamatergic neurons that project from the ventral tegmental area (VTA) and disruption of this modulation might facilitate impulsive behaviors during cocaineintoxication. Here, we assessed
to breastfeed: Proposed guidelines. Ther Drug Monit. 2005;27:1–2. [PubMed]7.Reece-Stremtan S, Marinelli KA. ABM clinical protocol #21: Guidelines for breastfeeding and substance use or substance use disorder, revised 2015. Breastfeed Med. 2015;10:135–41. [PMC free article] [PubMed]8.Chasnoff IJ, Lewis DE, Squires L. Cocaineintoxication in a breast-fed infant. Pediatrics. 1987;80:836–8. [PubMed]9.Winecker RE
on the ECG are best avoided and include: Class I antiarrhythmic drugs like flecainide, beta blockers, tricyclic and tetracyclic antidepressants, phenothiazines and SSRI like fluoxetine, anaesthetic agents such as bupivacaine, procaine and propofol, alcohol and cocaineintoxication. A website ‘www.brugadadrugs.org’ gives a list of drugs to be avoided, preferably avoided and potential