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colchicine overdose in a suicidal attempt
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نویسنده
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eghbali fatemeh ,bidaki reza ,negintaji sina ,dehghani maryam ,sahebnasagh adeleh ,bagheri atabak ali asghar ,saghafi fatemeh
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منبع
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international journal of medical toxicology and forensic medicine - 2019 - دوره : 9 - شماره : 4 - صفحه:265 -270
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چکیده
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Colchicine overdose is uncommon; however, it can cause serious adverse effects and even death. colchicine inhibits microtubule polymerization, causing mitotic spindle disruption. ingesting ˃0.5 mg of colchicine per kilogram bodyweight causes severe adverse effects and can even be fatal. therefore, colchicine toxicity must be accurately monitored and managed.in this case report, we described a 21yearold woman who attempted suicide by the ingestion of an estimated 30 mg colchicine. she was admitted to the hospital due to severe abdominal and chest pain, vomiting, lethargy, and weakness. the patient was medicated with ondansetron, apotel, antibiotics, platelet transfusions, sodium phosphate, calcium gluconate, calcitriol, desmopressin acetate, granulocytecolony stimulating factor (gcsf), and sodium bicarbonate. fortunately, through the appropriate medical treatment, the signs and symptoms of colchicine toxicity were relieved and the patient survived despite the high colchicine serum level.
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کلیدواژه
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colchicine ,toxicity ,case
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آدرس
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shahid sadoughi university of medical sciences, student research committee, school of pharmacy, iran, shahid sadoughi university of medical sciences and health services, school of medicine, research center of addiction and behavioral sciences, diabetes research center, department of psychiatry, iran, shahid sadoughi university of medical sciences, student research committee, school of pharmacy, iran, shahid sadoughi university of medical sciences, student research committee, school of pharmacy, iran, north khorasan university of medical sciences, school of medicine, imam ali hospital, department of internal medicine, iran, shahid sadoughi university of medical sciences and health services, school of medicine, department of medical student, iran, shahid sadoughi university of medical sciences, department of clinical pharmacy, faculty of pharmacy and pharmaceutical sciences research center, iran
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Authors
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