After intoxication by an overdose of intravenously applied heroin, a 20 year old man developed a nearly symmetrical, tub-shaped sensorineural deafness of max. 50-60 dB at the frequencies 1000-4000 Hz, which receded completely within 3 days. In addition, a short survey is given of hitherto known neurological complications after heroin intoxication.
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medRxiv
December 2024
AI.Health4All Center for Health Equity using Machine Learning and Artificial Intelligence, College of Medicine, University of Illinois Chicago, Chicago, IL, USA.
Objectives: The accurate identification of Emergency Department (ED) encounters involving opioid misuse is critical for health services, research, and surveillance. We sought to develop natural language processing (NLP)-based models for the detection of ED encounters involving opioid misuse.
Methods: A sample of ED encounters enriched for opioid misuse was manually annotated and clinical notes extracted.
J Assoc Physicians India
December 2024
Professor and Head, Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
This case report discusses an interesting instance of acute respiratory distress syndrome (ARDS) induced by heroin abuse. Heroin, a potent opioid, has been linked to this life-threatening condition. A young man in his early twenties was found unconscious, displaying atypical symptoms such as tachycardia and tachypnea; later he landed up in ARDS.
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of Surgery, Medical University of Sofia, University Hospital "Queen Giovanna - ISUL", Sofia, Bulgaria.
BACKGROUND Malignant hyperthermia (MH) and anesthesia-induced rhabdomyolysis (AIR) are rare, yet life-threatening complications that need prompt therapeutic actions and logistic preparedness for treatment success. Both conditions are triggered by general anesthetics, particularly volatiles and depolarizing muscle relaxants. In comparison with MH, which is an inherited pharmacogenomic disease of calcium channel receptor subpopulation and arises only after trigger exposure, AIR has been described mostly in patients with muscular dystrophies.
View Article and Find Full Text PDFJ Forensic Sci
January 2025
Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Basic Clin Pharmacol Toxicol
January 2025
Department of Clinical Science and Education SÖS, Center for Resuscitation Science, Karolinska Institute, Stockholm, Sweden.
Background: Approximately 1% of Sweden's 90 000 annual deaths were reported caused by poisoning. In this study, we aim to describe this poisoning population's characteristics, autopsy frequency and results of toxicology testing.
Method: A national cohort study based on Swedish national registers.
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