1/6. Jamais vu episodes in relationship to baclofen treatment: a case report.A 37-year-old man presented with new onset jamais vu episodes. Jamais vu is a mental state characterized by a sense of unfamiliarity in a familiar situation. The patient's episodes of jamais vu were unrelated to any known factor other than his use of baclofen. The episodes, which occurred as each baclofen dose wore off, resolved after the baclofen dose that triggered it was discontinued. The patient has had no recurrence of jamais vu states after discontinuation of his baclofen. This is the first known case report of jamais vu episodes caused by baclofen. Although jamais vu episodes can occur in healthy persons, they are known to occur more frequently in persons with epilepsy, fatigue, psychologic states, or intoxications. This case suggests that medications should be considered as a possible cause of jamais vu episodes.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |
2/6. Star fruit (Averrhoa carambola) intoxication: an important cause of consciousness disturbance in patients with renal failure.Star fruit intoxication is a rare cause of consciousness disturbance in patients with renal failure. Most cases in the literature are uremic patients on maintenance dialysis. We present a patient with chronic renal failure, who was not on dialysis program yet, suffered from star fruit intoxication with presentation of consciousness disturbance and successfully managed by a session of hemodialysis.- - - - - - - - - - ranking = 6keywords = intoxication (Clic here for more details about this article) |
3/6. Altered mental status and ataxia secondary to acute kava ingestion.kava has traditionally been used for a variety of purposes in the tropical islands of polynesia but is becoming more frequently available in the united states health supplement market due to its calming effects in patients with anxiety. The side effect profile is poorly known but has recently gained the attention of the food and Drug Administration (FDA). Although hepatitis and liver failure have been described with chronic ingestion, the effects of acute overdose are poorly described. We present a case of acute kava overdose resulting in altered mental status and ataxia similar to that seen with ethanol intoxication.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |
4/6. Chronic renal disease patients with severe star fruit poisoning: hemoperfusion may be an effective alternative therapy.We report a case of star fruit intoxication in a 60-yr-old male patient with a past medical history of diabetes mellitus and chronic renal failure. Clinical effects included hiccups, hearing impairment, urine retention, and disturbed consciousness. Star fruit intoxication was also the suspected cause of hypothermia, an unusual symptom. The patient remained comatose after receiving two sessions of hemodialysis. However, after a 6 h session of charcoal hemoperfusion following the second hemodialysis treatment, his consciousness returned to normal within 1 day. While no previous study on hemoperfusion therapy in star fruit intoxication has been reported, in view of the fatal outcome of star fruit intoxication in uremic patients, hemoperfusion may be an alternative therapy if intensified hemodialysis fails.- - - - - - - - - - ranking = 4keywords = intoxication (Clic here for more details about this article) |
5/6. PCP intoxication in seven young children.Five infants and two young children were treated at a large children's hospital for phencyclidine intoxication. The clinical symptoms and signs were mostly neurologic, including diminished response to tactile and verbal stimuli (100%), ataxia (71%), nystagmus (57%), constricted pupils (57%), depressed sensorium, and stupor associated with a blank, expressionless stare (57%). Notably absent were the behavioral aberrations such as aggression, which are usually seen with PCP intoxication in older children and adults. The possibility of drug intoxication was denied by most of the parents or surrogate parents accompanying these small children and infants for treatment. It is suggested that a systematic investigation for possible PCP exposure, including a urine toxicology screen for PCP (preferably by immunoassay methods), be conducted whenever an infant or child is brought for emergency treatment of unresponsiveness, bizarre behavior, dyskinesis, dystonic posturing, atypical oculomotor and pupil findings, or evidence of hallucinations.- - - - - - - - - - ranking = 7keywords = intoxication (Clic here for more details about this article) |
6/6. Disturbance of consciousness due to methamphetamine abuse. A study of 2 patients.The present paper reports 2 cases of methamphetamine abuse. Following consecutive methamphetamine administration, the patients developed acute intoxication, during which time they showed a unique type of disturbance of consciousness: delirium and twilight state. In both cases, mental status changed, passing through three distinct stages: restlessness and insomnia, hallucinatory paranoid state, and disturbance of consciousness. A review of the literature suggests that disturbance of consciousness may occur occasionally during the course of amphetamine and methamphetamine intoxication, although these symptoms can be overlooked easily due to confounding symptomatology.- - - - - - - - - - ranking = 2keywords = intoxication (Clic here for more details about this article) |