EN
Epidemiological Survey of Theophylline Poisoning in a tertiary poison center
Abstract
Background: Theophylline belongs to the category of bronchodilators and belongs to the family of methylxanthines. The purpose of this study was the epidemiological and clinical investigation of theophylline poisoning in patients admitted to Loghman Hakim Hospital in Tehran.
Methods: This retrospective study reviewed the archived files of hospitalized patients from 2012 to 2022 by developing a questionnaire. All demographic information and results of examinations and laboratory tests were extracted from the files. The collected data were analyzed by SPSS version 25 software.
Results: The age range of the patients was 3 months to 57 years. Out of 34 studied patients, 79.4% were female and 20.6% were male. The most common symptoms of poisoning were vomiting, nausea, sinus tachycardia, hyperglycemia and respiratory alkalosis. The incidence of hyperglycemia was 47.1%. One person had died.
Conclusion: Poisoning with theophylline is uncommon and is mainly caused by self-harm. Except in severe poisonings, death and serious complications have not followed, and they have mostly recovered with supportive and symptomatic treatments.
Keywords
References
- Nelson LS, Hoffman RS, Howland MA, Lewin NA, Goldfrank LR. Goldfrank's toxicologic emergencies: McGraw Hill Professional; 2018.
- Chandrasekaran V, Parthasarathy A, Muruga B. Theophylline toxicity: successful management of a patient with distributive shock secondary to drug overdose. Am J Emerg Med. 2020;38(11):2491. e1-. e2.
- Tintinalli JE, Stapczynski JS, Ma O, Yealy D, Meckler G, Cline D. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e: McGraw Hill Education; 2016.
- Fisher J, Graudins A. Intermittent haemodialysis and sustained low-efficiency dialysis (SLED) for acute theophylline toxicity. J Med Toxicol. 2015;11:359-63.
- Shannon MW, Borron SW, Burns MJ, Haddad LM, Winchester JF. Haddad and Winchester's clinical management of poisoning and drug overdose: Saunders/Elsevier; 2007.
- Berteram G Katzung K, editor Basic & clinical pharmacology2021: EGC.
- Parr M, Anaes F, Day A, Kletchko S, Crone P, Rankin A. Theophylline poisoning—a review of 64 cases. Intensive Care Med. 1990;16:394-8.
- Hafez R. Serum theophylline level as predictor for complications in adults with acute theophylline overdose. Ain Shams Journal of Forensic Medicine and Clinical Toxicology. 2018;30(1):18-26.
Details
Primary Language
English
Subjects
Emergency Medicine
Journal Section
Clinical Research
Authors
Publication Date
August 31, 2023
Submission Date
May 21, 2023
Acceptance Date
July 4, 2023
Published in Issue
Year 2023 Volume: 5 Number: 2
APA
Baroonian, Z., Ramezani, M., Erfan Talab Evini, P., Shadnia, S., Mostafazadeh, B., & Rahimi, M. (2023). Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian Journal of Toxicology, 5(2), 25-27. https://doi.org/10.51262/ejtox.1300026
AMA
1.Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. 2023;5(2):25-27. doi:10.51262/ejtox.1300026
Chicago
Baroonian, Zahra, Maral Ramezani, Peyman Erfan Talab Evini, Shahin Shadnia, Babak Mostafazadeh, and Mitra Rahimi. 2023. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology 5 (2): 25-27. https://doi.org/10.51262/ejtox.1300026.
EndNote
Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M (August 1, 2023) Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian Journal of Toxicology 5 2 25–27.
IEEE
[1]Z. Baroonian, M. Ramezani, P. Erfan Talab Evini, S. Shadnia, B. Mostafazadeh, and M. Rahimi, “Epidemiological Survey of Theophylline Poisoning in a tertiary poison center”, Eurasian J Tox, vol. 5, no. 2, pp. 25–27, Aug. 2023, doi: 10.51262/ejtox.1300026.
ISNAD
Baroonian, Zahra - Ramezani, Maral - Erfan Talab Evini, Peyman - Shadnia, Shahin - Mostafazadeh, Babak - Rahimi, Mitra. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology 5/2 (August 1, 2023): 25-27. https://doi.org/10.51262/ejtox.1300026.
JAMA
1.Baroonian Z, Ramezani M, Erfan Talab Evini P, Shadnia S, Mostafazadeh B, Rahimi M. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. 2023;5:25–27.
MLA
Baroonian, Zahra, et al. “Epidemiological Survey of Theophylline Poisoning in a Tertiary Poison Center”. Eurasian Journal of Toxicology, vol. 5, no. 2, Aug. 2023, pp. 25-27, doi:10.51262/ejtox.1300026.
Vancouver
1.Zahra Baroonian, Maral Ramezani, Peyman Erfan Talab Evini, Shahin Shadnia, Babak Mostafazadeh, Mitra Rahimi. Epidemiological Survey of Theophylline Poisoning in a tertiary poison center. Eurasian J Tox. 2023 Aug. 1;5(2):25-7. doi:10.51262/ejtox.1300026