Biomedical subjects

S C Curry

Publications and source records attributed to S C Curry.

62 records · Page 4Linked to original sources

PubMed1985

Intravenous mushroom poisoning.

Mushrooms of the genus Psilocybe frequently are ingested by recreational drug users for their hallucinogenic effects. We present the case of a 30-year-old man who allegedly received an intravenous injection of an extract of Psilocybe mushrooms. His clinical course was characterized in part by vomiting, severe myalgias, hyperpyrexia, hypoxemia, and mild methemoglobinemia, and it was similar to two previously reported cases. The patient improved rapidly with supportive care.

Adult↗

PubMed1985

Cardiovascular effects of toxic concentrations of theophylline in the dog.

A canine model of theophylline toxicity was used to study the cardiovascular effects seen in severe theophylline poisoning. Eight mongrel dogs were divided equally into two groups. The dogs were anesthetized with pentobarbital and paralyzed with pancuronium bromide. They were ventilated with 100% oxygen and underwent the placement of pulmonary arterial, central venous, femoral arterial, and peripheral venous lines. Group 1 animals received 5.6 mL/kg D5W intravenously (IV) over 20 minutes. Group 2 animals received 140 mg/kg (5.6 mL/kg) of aminophylline IV over the same period. Peak theophylline levels in Group 2 animals averaged 208.9 micrograms/mL. Group 2 animals suffered a marked fall in mean arterial pressure (MAP) and an increase in heart rate. In spite of the fall in MAP (P less than .01), cardiac index actually was increased almost two-fold over Group 1 animals, due mainly to a fall in systemic vascular resistance index (P less than .01). There were no physiologically significant differences in ventricular filling pressures or stroke index between the two groups.

Animals↗

PubMed1985

The effects of toxic concentrations of theophylline on oxygen consumption, ventricular work, acid base balance, and plasma catecholamine levels in the dog.

Theophylline poisoning, characterized in part by tachyarrhythmias, hypokalemia, and a metabolic acidosis, is similar to that expected from excessive beta-adrenergic activity. Using a previously described canine model of theophylline poisoning, invasive cardiovascular parameters were determined along with oxygen consumption (VO2), arterial pH, base deficit, and plasma epinephrine (EPI) and norepinephrine (NEPI) concentrations in four control animals (Group 1) and in four animals receiving 140 mg/kg aminophylline intravenously (Group 2). Group 2 animals developed a significant rise in VO2 as compared to controls (P less than .01). Although left ventricular stroke work index was less in Group 2 animals (P less than .01), the sum of the total amount of ventricular work performed by both ventricles per minute did not differ between the two groups (P greater than .15). There was a marked increase in circulating levels of EPI (P less than .01) and NEPI (P less than .01) in Group 2 animals, along with the development of a metabolic acidosis. Catecholamines, which have been shown to produce tachyarrhythmias, increased VO2, hypokalemia, and a metabolic acidosis, may play an important role in the cardiovascular and metabolic effects seen in theophylline poisoning.

Analysis of Variance↗

PubMed1985

Noninvasive vascular studies in management of rattlesnake envenomations to extremities.

Twenty-five consecutive patients suffering rattlesnake envenomation to an extremity underwent noninvasive vascular arterial studies using contralateral extremities as controls. All but one received antivenin, and none underwent early surgical decompression. Pulse volume amplitudes in the envenomated extremities, reflecting pulsatile arterial blood flow, were increased in 24 of 25 patients (P less than .02) in spite of edema and discoloration. Ischemia requiring surgical procedures developed in three of seven patients with decreased skin temperatures, as compared to none of 18 with increased or mixed skin temperatures on the envenomated extremity (P less than .02). One of 24 survivors suffered a functional deficit. Most victims of rattlesnake bites have increased arterial pulsatile blood flow in an envenomated extremity and do well with medical therapy. Noninvasive arterial studies help select those who are more likely to require special surgical intervention.

Adolescent↗

PubMedDate not supplied

Lack of correlation between plasma 4-hydroxyglutethimide and severity of coma in acute glutethimide poisoning. A case report and brief review of the literature.

Glutethimide poisoning is characterised by coma, anticholinergic poisoning syndrome, hypotension, and other complications. Previous studies have shown that the severity of intoxication does not correlate with plasma glutethimide concentrations in individual patients. Glutethimide is partly converted to 4-hydroxyglutethimide, a metabolite which accumulates in the plasma of humans, and which has been thought to contribute to coma after plasma glutethimide concentrations have fallen. We followed plasma concentrations of glutethimide and 4-hydroxyglutethimide in a man who overdosed with glutethimide. Plasma 4-hydroxyglutethimide concentrations did not correlate with the degree of coma in our patient, and actually rose as the patient awakened. Other studies also indicate that 4-hydroxyglutethimide may not play an important role in glutethimide poisoning.

Coma↗

PubMedDate not supplied

Pemoline-induced choreoathetosis and rhabdomyolysis.

Pemoline is an indirectly acting sympathomimetic with actions similar to amphetamine and methylphenidate. While choreoathetosis is a well-recognised complication of acute or chronic amphetamine abuse, only 3 previous case reports have implicated pemoline in such a movement disorder. We report a 49-year-old man who developed severe choreoathetosis with rhabdomyolysis after markedly increasing his intake of pemoline. Abnormal movements responded to diazepam and completely resolved over 48 hours. He made a complete recovery with supportive care. This is only the second case of pemoline-induced choreoathetosis in an adult reported in the English literature, and the first case of rhabdomyolysis and myoglobinuria complicating choreoathetosis.

Alcoholism↗

PubMedDate not supplied

Envenomation by the scorpion Centruroides sculpturatus.

Envenomation by the scorpion C. sculpturatus can be life threatening. The action of the venom is to produce prolonged and excessive firing of neuronal axons which results in a wide variety of signs and symptoms. Records of 670 patients suffering from scorpion stings in central Arizona in 1982 were reviewed to characterize the clinical course of these patients. While adults appear to be stung more often than children, children are more likely to develop a severe illness requiring intensive supportive care. The intravenous administration of specific C. sculpturatus antivenom results in resolution of serious signs and symptoms within minutes, with patients completely asymptomatic within 1 1/2 hours. The administration of antivenom is recommended as the treatment of choice for severe envenomations after the initiation of appropriate supportive care.

Action Potentials↗

PubMedDate not supplied

Reptile envenomations.

Venomous reptiles are distributed in select habitats in temperate and tropical areas of the world with few geographical exceptions, and have adapted to not only terrestial existence, but to arboreal and aquatic environments as well. Venomous snakes are found in the families Colubridae (fixed and rear fanged snakes), Elapidae (fixed and front fang snakes), Hydrophiidae (sea snakes), Viperidae (Old World vipers) and Crotalidae (pit vipers). Venomous lizards are found in the United States and Mexico, and comprise the family Helodermatidae. Venom delivery systems and venom components show diversity, and greater appreciation of interspecies clinical effect is apparent in modern literature. First aid care for the bitten individual remains controversial, but most authorities now tend to minimize field procedures, especially those endeavors which may potentially damage tissue. The weight of evidence in the area of definitive therapy lies with the use of antivenin, although proponents of primary surgical intervention in crotalid envenomations have followings, particularly in the United States. Recent developments in "purification" of existing antivenins are promising, and attention to species-specific antivenin production, especially to the venoms of the crotalid species of the New World, is encouraged. Due to a growing international traffic in venomous animals for the purposes of research and supply of zoos and private reptile collections, knowledge of resources for assistance in bites of non-indigenous reptiles is a growing consideration.

Animals↗