Clinical Research
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Year 2023, Volume: 5 Issue: 2, 25 - 27, 31.08.2023
https://doi.org/10.51262/ejtox.1300026

Abstract

References

  • Nelson LS, Hoffman RS, Howland MA, Lewin NA, Goldfrank LR. Goldfrank's toxicologic emergencies: McGraw Hill Professional; 2018.
  • Chandrasekaran V, Parthasarathy A, Muruga B. Theophylline toxicity: successful management of a patient with distributive shock secondary to drug overdose. Am J Emerg Med. 2020;38(11):2491. e1-. e2.
  • Tintinalli JE, Stapczynski JS, Ma O, Yealy D, Meckler G, Cline D. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e: McGraw Hill Education; 2016.
  • Fisher J, Graudins A. Intermittent haemodialysis and sustained low-efficiency dialysis (SLED) for acute theophylline toxicity. J Med Toxicol. 2015;11:359-63.
  • Shannon MW, Borron SW, Burns MJ, Haddad LM, Winchester JF. Haddad and Winchester's clinical management of poisoning and drug overdose: Saunders/Elsevier; 2007.
  • Berteram G Katzung K, editor Basic & clinical pharmacology2021: EGC.
  • Parr M, Anaes F, Day A, Kletchko S, Crone P, Rankin A. Theophylline poisoning—a review of 64 cases. Intensive Care Med. 1990;16:394-8.
  • Hafez R. Serum theophylline level as predictor for complications in adults with acute theophylline overdose. Ain Shams Journal of Forensic Medicine and Clinical Toxicology. 2018;30(1):18-26.
  • Bronstein AC, Spyker DA, Cantilena JR M, Louis R, Green JL, Rumack BH, G et al. 2009 Annual report of the American Association of Poison Control Centers' national poison data system (NPDS): 27th annual report. J Clin Toxicol. 2010;48(10):979-1178.
  • McCoubrie D, Murray L, Daly F, Little M. Toxicology case of the month: ingestion of two unidentified tablets by a toddler. Emerg Med J. 2006;23(9):718-20.
  • Hocaoğlu N, Aydin B, Tuncok Y, Kalkan Ş, Yildiztepe E, Bayram B. Demographic and clinical characteristics of theophylline exposures between 1993 and 2011. Balkan Med J. 2014;31(4):322-7.
  • Sessler CN. Theophylline toxicity: clinical features of 116 consecutive cases. Am J Med. 1990;88(6):567-76.
  • Shannon M. Life-threatening events after theophylline overdose: a 10-year prospective analysis. Arch Intern Med. 1999;159(9):989-94.
  • Shannon M, Lovejoy Jr FH. Effect of acute versus chronic intoxication on clinical features of theophylline poisoning in children. J Pediatr. 1992;121(1):125-30.
  • Afshari R, Majdzadeh R, Balai‐Mood M. Pattern of acute poisonings in Mashhad, Iran 1993–2000. J Toxicol Clin Toxicol. 2004;42(7):965-75.

Epidemiological Survey of Theophylline Poisoning in a tertiary poison center

Year 2023, Volume: 5 Issue: 2, 25 - 27, 31.08.2023
https://doi.org/10.51262/ejtox.1300026

Abstract

Background: Theophylline belongs to the category of bronchodilators and belongs to the family of methylxanthines. The purpose of this study was the epidemiological and clinical investigation of theophylline poisoning in patients admitted to Loghman Hakim Hospital in Tehran.
Methods: This retrospective study reviewed the archived files of hospitalized patients from 2012 to 2022 by developing a questionnaire. All demographic information and results of examinations and laboratory tests were extracted from the files. The collected data were analyzed by SPSS version 25 software.
Results: The age range of the patients was 3 months to 57 years. Out of 34 studied patients, 79.4% were female and 20.6% were male. The most common symptoms of poisoning were vomiting, nausea, sinus tachycardia, hyperglycemia and respiratory alkalosis. The incidence of hyperglycemia was 47.1%. One person had died.
Conclusion: Poisoning with theophylline is uncommon and is mainly caused by self-harm. Except in severe poisonings, death and serious complications have not followed, and they have mostly recovered with supportive and symptomatic treatments.

References

  • Nelson LS, Hoffman RS, Howland MA, Lewin NA, Goldfrank LR. Goldfrank's toxicologic emergencies: McGraw Hill Professional; 2018.
  • Chandrasekaran V, Parthasarathy A, Muruga B. Theophylline toxicity: successful management of a patient with distributive shock secondary to drug overdose. Am J Emerg Med. 2020;38(11):2491. e1-. e2.
  • Tintinalli JE, Stapczynski JS, Ma O, Yealy D, Meckler G, Cline D. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e: McGraw Hill Education; 2016.
  • Fisher J, Graudins A. Intermittent haemodialysis and sustained low-efficiency dialysis (SLED) for acute theophylline toxicity. J Med Toxicol. 2015;11:359-63.
  • Shannon MW, Borron SW, Burns MJ, Haddad LM, Winchester JF. Haddad and Winchester's clinical management of poisoning and drug overdose: Saunders/Elsevier; 2007.
  • Berteram G Katzung K, editor Basic & clinical pharmacology2021: EGC.
  • Parr M, Anaes F, Day A, Kletchko S, Crone P, Rankin A. Theophylline poisoning—a review of 64 cases. Intensive Care Med. 1990;16:394-8.
  • Hafez R. Serum theophylline level as predictor for complications in adults with acute theophylline overdose. Ain Shams Journal of Forensic Medicine and Clinical Toxicology. 2018;30(1):18-26.
  • Bronstein AC, Spyker DA, Cantilena JR M, Louis R, Green JL, Rumack BH, G et al. 2009 Annual report of the American Association of Poison Control Centers' national poison data system (NPDS): 27th annual report. J Clin Toxicol. 2010;48(10):979-1178.
  • McCoubrie D, Murray L, Daly F, Little M. Toxicology case of the month: ingestion of two unidentified tablets by a toddler. Emerg Med J. 2006;23(9):718-20.
  • Hocaoğlu N, Aydin B, Tuncok Y, Kalkan Ş, Yildiztepe E, Bayram B. Demographic and clinical characteristics of theophylline exposures between 1993 and 2011. Balkan Med J. 2014;31(4):322-7.
  • Sessler CN. Theophylline toxicity: clinical features of 116 consecutive cases. Am J Med. 1990;88(6):567-76.
  • Shannon M. Life-threatening events after theophylline overdose: a 10-year prospective analysis. Arch Intern Med. 1999;159(9):989-94.
  • Shannon M, Lovejoy Jr FH. Effect of acute versus chronic intoxication on clinical features of theophylline poisoning in children. J Pediatr. 1992;121(1):125-30.
  • Afshari R, Majdzadeh R, Balai‐Mood M. Pattern of acute poisonings in Mashhad, Iran 1993–2000. J Toxicol Clin Toxicol. 2004;42(7):965-75.
There are 15 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Original Articles
Authors

Zahra Baroonian 0009-0009-6700-0180

Maral Ramezani 0000-0001-7860-9180

Peyman Erfan Talab Evini 0000-0002-0995-4973

Shahin Shadnia 0000-0002-9401-0781

Babak Mostafazadeh 0000-0003-4872-9610

Mitra Rahimi 0000-0002-8785-8207

Publication Date August 31, 2023
Submission Date May 21, 2023
Published in Issue Year 2023 Volume: 5 Issue: 2

Cite

APA Baroonian, Z., Ramezani, M., Erfan Talab Evini, P., Shadnia, S., et al. (2023). Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian Journal of Toxicology, 5(2), 25-27. https://doi.org/10.51262/ejtox.1300026
AMA Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. August 2023;5(2):25-27. doi:10.51262/ejtox.1300026
Chicago Baroonian, Zahra, Maral Ramezani, Peyman Erfan Talab Evini, Shahin Shadnia, Babak Mostafazadeh, and Mitra Rahimi. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology 5, no. 2 (August 2023): 25-27. https://doi.org/10.51262/ejtox.1300026.
EndNote Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M (August 1, 2023) Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian Journal of Toxicology 5 2 25–27.
IEEE Z. Baroonian, M. Ramezani, P. Erfan Talab Evini, S. Shadnia, B. Mostafazadeh, and M. Rahimi, “Epidemiological Survey of Theophylline Poisoning in a tertiary poison center”, Eurasian J Tox, vol. 5, no. 2, pp. 25–27, 2023, doi: 10.51262/ejtox.1300026.
ISNAD Baroonian, Zahra et al. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology 5/2 (August 2023), 25-27. https://doi.org/10.51262/ejtox.1300026.
JAMA Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. 2023;5:25–27.
MLA Baroonian, Zahra et al. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology, vol. 5, no. 2, 2023, pp. 25-27, doi:10.51262/ejtox.1300026.
Vancouver Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. 2023;5(2):25-7.

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