Veterinary and human toxicology
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This ethylene glycol poisoning case had a blood pH of 6.58 and severe hypothermia (30.9 C). The patient received supportive care with dialysis and ethanol therapy. ⋯ A similar case survived ethylene glycol poisoning neurologicaly intact with an initial pH of 6.46. Although severe acidosis in the presence of serious illness is usually associated with a poor prognosis, our case emphasized the importance of aggressive supportive care and antidotal therapy for ethylene glycol poisoning even when there is a low pH.
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Three outbreaks of hepatogenous photosensitization caused by pods of Enterolobium contortisiliquum are reported in cattle. Clinical signs were anorexia, depression, photosensitization and abortion. Most affected cattle recovered in 30-40 d. ⋯ Fruits of the plants administrated to 2 calves produced clinical signs and 2/4 died. Clinical chemistry, gross necropsies and histopathology confirmed gastrointestinal irritation and liver degeneration. One calf dosed with only E contortisiliquum leaves did not develop clinical signs.
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Coricidin products seemed to be one of the over-the-counter medications being reportedly abused by adolescents, as observed from the Texas Poison Center Network data. This retrospective chart review investigated the occurrence of abuse, developed a patient profile, and defined the clinical effects resulting from the abuse of Coricidin products. Data collected from the Texas Poison Center Network Toxic Exposure Surveillance System database included human exposures between 1998 and 1999, patients > or = 10y old, intentional use or abuse, and single substance ingestion of I of the tablet formulations of Coricidin. ⋯ Eighteen different symptoms were reported: tachycardia 50%, somnolence 24.4%, mydriasis and hypertension 16.7%, agitation 12.8%, disorientation 10.3%, slurred speech 9%, ataxia 6.4%, vomiting 5.1%, dry mouth and hallucinations 3.9%, tremor 2.6%, and headache, dizziness, syncope, seizure, chest pain, and nystagmus each 1.3%; 12.8% of the calls originated from the school nurse. The incidence of abuse reported increased 60% from 1998 to 1999. This worrisome trend suggests increased abuse of these products.
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The normal cholinesterase activity in brain tissue was measured in 15 mammalian and 44 avian species using the Ellman method. Enzyme activity exhibited considerable interspecies variability. In mammals, the enzyme activities ranged from approximately 2 to 10 micromole/min/g of wet tissue. ⋯ Enzyme activities in avian species ranged from approximately 10 to 30 micromole/min/g. Comparisons for uniformity of enzyme activity between closely related avian species were poor in most instances. The considerable variability of the brain cholinesterase activities in avian and mammalian species illustrates the need for reliable normal values for individual species to improve ability to monitor environmental exposure or to confirm acute poisonings associated with organophosphate or carbamate insecticides.