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"CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE

Yıl 2017, Cilt: Volume 2 Sayı: İssue 1 (1) - 2.İnternational Congress Of Forensic Toxicology, 151 - 151, 16.02.2017

Öz

Substance use
disorders may have dramatic consequences. We report a case of acute multiple
organ fairly related to heroin and cocaine-"Crack" consumption.

A 27-year-old
man was brought to emergency department unconscious with history of drug abuse.
On physical examination his Glasgow coma scale was 10. On neurologic
examination besides unresponsiveness bilateral reactive mydriatic pupils were
detected. Blood gas analyses showed metabolic acidosis with pH 7.19, Lac: 10
and K+:7.6. Blood biochemistry showed acute kidney fairly; Cr: 2.56, and acute
hepatic injury: ALT: 2597 and AST 1795, amylase 700. Blood ethanol level was
within legal levels: 3.8.

Computed
tomography of brain performed in order to evaluate central disorder showed no
abnormality and magnetic resonance imaging of brain reported internal border
zone ischemia.

Despite flood
resuscitation organ dysfunction sustained: Urea: 62, Cr: 3.7, ALT>2215,
AST>1800, CK: 432, CK-MB 474, CRP: 106, INR: 1.29, and hematuria presented.
Narcotic screening reported opiate and cocaine presence. He was taken to
dialysis program.

The patient
suffered a tonic seizure during observation which was treated with 5 mg
diazepam intravenously.

After totally 7
dialyses liver enzymes reduced, however kidney fairly remained. On day 8 renal
parameters were urea: 60 and Cr: 7 and he was discharged from intensive unite.













That drugs
affect many systems separately is known, but with this case we wanted to
emphasize that such chemicals may lead to a chain of reactions resulting with
multiple organ dysfunctions.

Kaynakça

  • Oya GÜVEN, Feruza TURAN SÖNMEZ, Dilay SATILMIŞ, Harun GÜNEŞ
  • Medical Park Hospital, Department of Emergency Medicine, Istanbul, Turkey Duzce School of Medicine, Department of Emergency Medicine, Duzce, Turkey Esenyurt State Hospital, Department of Emergency Medicine, Istanbul, Turkey
Yıl 2017, Cilt: Volume 2 Sayı: İssue 1 (1) - 2.İnternational Congress Of Forensic Toxicology, 151 - 151, 16.02.2017

Öz

Kaynakça

  • Oya GÜVEN, Feruza TURAN SÖNMEZ, Dilay SATILMIŞ, Harun GÜNEŞ
  • Medical Park Hospital, Department of Emergency Medicine, Istanbul, Turkey Duzce School of Medicine, Department of Emergency Medicine, Duzce, Turkey Esenyurt State Hospital, Department of Emergency Medicine, Istanbul, Turkey
Toplam 2 adet kaynakça vardır.

Ayrıntılar

Bölüm Articles
Yazarlar

Oya Güven Bu kişi benim

Feruza Turan Sönmez

Dilay Satılmış Bu kişi benim

Harun Güneş Bu kişi benim

Yayımlanma Tarihi 16 Şubat 2017
Yayımlandığı Sayı Yıl 2017 Cilt: Volume 2 Sayı: İssue 1 (1) - 2.İnternational Congress Of Forensic Toxicology

Kaynak Göster

APA Güven, O., Turan Sönmez, F., Satılmış, D., Güneş, H. (2017). "CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE. The Turkish Journal Of Occupational / Environmental Medicine and Safety, Volume 2(İssue 1 (1), 151-151.
AMA Güven O, Turan Sönmez F, Satılmış D, Güneş H. "CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE. turjoem. Şubat 2017;Volume 2(İssue 1 (1):151-151.
Chicago Güven, Oya, Feruza Turan Sönmez, Dilay Satılmış, ve Harun Güneş. “‘CRACK’ COCAINE INDUCED MULTIPLE ORGAN DAMAGE”. The Turkish Journal Of Occupational / Environmental Medicine and Safety Volume 2, sy. İssue 1 (1) (Şubat 2017): 151-51.
EndNote Güven O, Turan Sönmez F, Satılmış D, Güneş H (01 Şubat 2017) "CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE. The Turkish Journal Of Occupational / Environmental Medicine and Safety Volume 2 İssue 1 (1) 151–151.
IEEE O. Güven, F. Turan Sönmez, D. Satılmış, ve H. Güneş, “‘CRACK’ COCAINE INDUCED MULTIPLE ORGAN DAMAGE”, turjoem, c. Volume 2, sy. İssue 1 (1), ss. 151–151, 2017.
ISNAD Güven, Oya vd. “‘CRACK’ COCAINE INDUCED MULTIPLE ORGAN DAMAGE”. The Turkish Journal Of Occupational / Environmental Medicine and Safety VOLUME 2/İssue 1 (1) (Şubat 2017), 151-151.
JAMA Güven O, Turan Sönmez F, Satılmış D, Güneş H. "CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE. turjoem. 2017;Volume 2:151–151.
MLA Güven, Oya vd. “‘CRACK’ COCAINE INDUCED MULTIPLE ORGAN DAMAGE”. The Turkish Journal Of Occupational / Environmental Medicine and Safety, c. Volume 2, sy. İssue 1 (1), 2017, ss. 151-.
Vancouver Güven O, Turan Sönmez F, Satılmış D, Güneş H. "CRACK" COCAINE INDUCED MULTIPLE ORGAN DAMAGE. turjoem. 2017;Volume 2(İssue 1 (1):151-.