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A prospective study of fatal outcomes of poisoning in Tehran.

Data on 194 fatal poisoning cases admitted to various hospitals in Tehran over a 1-y period showed an overall male:female ratio of 1.9:1, with females predominating only in the 13-19 y age group. Fifty-five percent of the deaths were attributed to suicide, affecting more females than males. Most cases were referred to hospitals between 1 pm and 1 am. There was a slight seasonal variation, with the highest number of cases in July and March and the lowest in April. Drugs were the most frequently used poison (27%) followed closely by pesticides (24%). Benzodiazepines and tricyclic antidepressants accounted for 38% of drug-related poisonings, with diazepam (61%), imipramine (44%) and amitriptyline (33%) the most commonly used agents in each group. Insecticides were responsible for 58% of pesticide-related deaths. Following pesticides, 13% of the deaths were due to chemicals, with depilator and solvent abuse accounting for 88% of the cases in this group.

Adolescent↗

[Amniotic fluid embolism as an obstetric emergency--description of the syndrome and a case with fatal outcome].

Amnotic fluid embolism is an incompletely understood obstetric emergency presenting with the acute onset of hypoxia, hypotension and severe coagulopathy. Up to 86% of the cases are fatal, maternal death occurs within the first hour of symptom onset in 50% of the patients. This report describes the case of a 29-year-old, HIV-positive patient undergoing elective cesarean section who died despite immediate onset of cardiopulmonary resuscitation. The epidemiology of amniotic fluid embolism, clinical presentation, differential diagnosis, pathology and possible treatment are discussed.

Adult↗