Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children

Abstract Children are highly sensitive to toxins which can damage their organs and lead to death. Investigating the main causes of intoxication could reduce mortality and morbidity in children. In this cross-sectional study, the documents of all poisoned patients (214 cases) admitted to the emergenc...

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Main Authors: Leila Barati, Mohammadali Vakili, Omid Mehrpour, Mehrdad Teimoorian
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-79424-w
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author Leila Barati
Mohammadali Vakili
Omid Mehrpour
Mehrdad Teimoorian
author_facet Leila Barati
Mohammadali Vakili
Omid Mehrpour
Mehrdad Teimoorian
author_sort Leila Barati
collection DOAJ
description Abstract Children are highly sensitive to toxins which can damage their organs and lead to death. Investigating the main causes of intoxication could reduce mortality and morbidity in children. In this cross-sectional study, the documents of all poisoned patients (214 cases) admitted to the emergency department of Taleghani children`s Hospital between April 2020 and 2023 were investigated. Approximately 51% of them were females. There were 87 cases (45.3%) of illicit drug poisoning, which included methadone 43.8%, opium 41.4%, amphetamine 8.2%, cannabis 3.3%, buprenorphine 2.2%, and tramadol 1.1%. Children who were poisoned by illicit drugs presented with impaired level of consciousness (92.5%), unstable vital signs and abnormal laboratory results. The level of serum glucose was higher in methadone toxicity. Three and two cases, due to methadone and opium poisoning died. Children with illicit drugs poisoning in terms of vital signs and laboratory data were worse compared to other poisonings and mortality is high in this group. In this study, the blood sugar in methadone poisoning cases was statistically significantly different from other drugs, and it is suggested that in cases of children suspected of poisoning with illicit drugs and high blood sugar, methadone poisoning should be considered in the differential diagnosis.
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spelling doaj-art-49ae1e3b219b40beac7ee0d6ab57dbf32025-01-05T12:18:41ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-024-79424-wClinical manifestation and laboratory data of illicit drugs versus other substances intoxication in childrenLeila Barati0Mohammadali Vakili1Omid Mehrpour2Mehrdad Teimoorian3Neonatal and Children’s Health Research Center, School of Medicine, Golestan University of Medical SciencesHealth Management and Social Development Research Center, Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical SciencesMichigan Poison and Drug Information Center, Wayne State University School of MedicineGolestan Research Center of Gastroentrology and Hepatology & Stem Cell Research Center, Golestan University of Medical SciencesAbstract Children are highly sensitive to toxins which can damage their organs and lead to death. Investigating the main causes of intoxication could reduce mortality and morbidity in children. In this cross-sectional study, the documents of all poisoned patients (214 cases) admitted to the emergency department of Taleghani children`s Hospital between April 2020 and 2023 were investigated. Approximately 51% of them were females. There were 87 cases (45.3%) of illicit drug poisoning, which included methadone 43.8%, opium 41.4%, amphetamine 8.2%, cannabis 3.3%, buprenorphine 2.2%, and tramadol 1.1%. Children who were poisoned by illicit drugs presented with impaired level of consciousness (92.5%), unstable vital signs and abnormal laboratory results. The level of serum glucose was higher in methadone toxicity. Three and two cases, due to methadone and opium poisoning died. Children with illicit drugs poisoning in terms of vital signs and laboratory data were worse compared to other poisonings and mortality is high in this group. In this study, the blood sugar in methadone poisoning cases was statistically significantly different from other drugs, and it is suggested that in cases of children suspected of poisoning with illicit drugs and high blood sugar, methadone poisoning should be considered in the differential diagnosis.https://doi.org/10.1038/s41598-024-79424-w
spellingShingle Leila Barati
Mohammadali Vakili
Omid Mehrpour
Mehrdad Teimoorian
Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
Scientific Reports
title Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
title_full Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
title_fullStr Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
title_full_unstemmed Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
title_short Clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
title_sort clinical manifestation and laboratory data of illicit drugs versus other substances intoxication in children
url https://doi.org/10.1038/s41598-024-79424-w
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AT omidmehrpour clinicalmanifestationandlaboratorydataofillicitdrugsversusothersubstancesintoxicationinchildren
AT mehrdadteimoorian clinicalmanifestationandlaboratorydataofillicitdrugsversusothersubstancesintoxicationinchildren