[Functional obstruction of the upper airways as an expression of psychogenic vocal cord dysfunction. Fatal outcome of a functional disorder].
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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.
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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.