Carbon Monoxide Poisoning Following Use of a Narghile: Presentation of Three Case Reports

Öz

Narghile, also known as a water pipe, shisha, or hookah, is a type of smoking instrument popular in Indian, Middle Eastern, and Mediterranean countries and has become popular in Europe and North America. Narghile smoke contains high concentrations of carbon monoxide (CO), among other toxic substances, and complications due to CO poisoning after narghile use have been reported by various studies. In this study, three cases were admitted to the emergency department due to CO poisoning after narghile use, and their treatment schemes are presented. The consequences of CO poisoning are important in terms of public health and forensic processes. Therefore, we would like to emphasize that clinicians should be careful about the possibility of CO poisoning due to narghile consumption, especially in closed areas such as narghile cafes. In cases of CO poisoning, forensic case notification should be made, and forensic medicine specialists should be consulted.

Anahtar Kelimeler

• Narghile
• carboxyhemoglobin
• carbon monoxide poisoning
• forensic medicine

Nargile Kullanımına Bağlı Karbonmonoksit Zehirlenmesi: Üç Olgu Sunumu

Öz

Nargile, nargile veya nargile olarak da bilinen nargile, Hindistan, Orta Doğu ve Akdeniz ülkelerinde popüler olan ve Avrupa ve Kuzey Amerika’da popüler hale gelen bir tür sigara içme aracıdır. Nargile dumanı, diğer toksik maddelerin yanı sıra yüksek konsantrasyonlarda karbon monoksit (CO) içerir ve nargile kullanımından sonra CO zehirlenmesine bağlı komplikasyonlar çeşitli çalışmalarda bildirilmiştir. Bu çalışmada, nargile kullanımı sonrası CO zehirlenmesi nedeniyle acil servise başvuran üç olgu ve tedavi şemaları sunulmuştur. CO zehirlenmesinin sonuçları halk sağlığı ve adli süreçler açısından önemlidir. Bu nedenle özellikle nargile kafeler gibi kapalı alanlarda nargile tüketimine bağlı CO zehirlenmesi olasılığı konusunda klinisyenlerin dikkatli olması, CO zehirlenmesi olgularında adli vaka bildiriminin yapılması ve adli tıp uzmanlarına başvurulması gerektiğini vurgulamak isteriz.

Anahtar Kelimeler

• Nargile
• karboksihemoglobin
• karbonmonoksit zehirlenmesi
• adli tıp

Kaynakça

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