How can his taking opiates account for the anemia?
Dr Joseph Watine, PH, AIHP, PharmD, AAHU, EurClinChem
Laboratoire de Biologie Polyvalente
Centre Hospitalier Général
12027 Rodez Cedex 9
France
>From: Mohmed Ashmaig <[log in to unmask]>
>Reply-To: Mohmed Ashmaig <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Case for discussion - final report
>Date: Thu, 26 Feb 2004 02:06:38 +0000
>
>Thank you for the comment,
>
>The first drug screening using Triage drug screening cartridge showed
>positive for opiate, but reference laboratory using the GCMS identified the
>drugs I mentioned earlier.
>
>thanks
>Mohmed
>
>
> --- [log in to unmask] wrote: > Mohmed,
> > Looking at the "opiate" drug test results gives me
> > some concerns. None of
> > the drugs identified would be classed as opiates.
> > What tests were used to
> > identify the "opiates" in the first place?
> >
> > Regards,
> > Simon.
> >
> > Dr Simon Walker.
> >
> >
> >
> > In a message dated 25/02/2004 06:17:58 GMT Standard
> > Time,
> > [log in to unmask] writes:
> >
> > > Subj: Re: Case for discussion - final report
> > > Date: 25/02/2004 06:17:58 GMT Standard Time
> > > From: [log in to unmask]
> > > To: [log in to unmask]
> > > Sent from the Internet
> > >
> > >
> > >
> > > Dear all,
> > >
> > > thanks to all replies regarding this case....
> > >
> > > Our patient has been discharged few days agao..
> > >
> > > His opiate drug were identified as follow;
> > > Phenylpropanolamine, Ephedrine, and
> > Pseudoephedrine.
> > >
> > > The hepatitis invesitgation was negative, and his
> > las results were as follow Alt =2854, AST =824, and
> > > Troponin I =0.6
> > >
> > > Finally he does not have any cardiac problem, We think the cause of
>all this problem the hi dose of opaite which cause the liver cell damage,
>but whey the troponin I we do not know.
> > >
> > > Any additional comment wellcome....
> > >
> > > Thank to all once again
> > >
> > > Mohmed
> > > USA
> > >
> > > --- Mohmed Ashmaig <[log in to unmask]> wrote: >
> > > Dear All,
> > > > 55 years old male visited our emergency department last night with
>short of breath, and NO other clinical conditions.
> > > >
> > > >His ECG, renal function were normal. His liver
> > > >function were normal except ALT 3726, AST 1926.
> > > >
> > > >His cardiac marker were as follow, normal CPK and
> > > >CK-MB, LDH 3374 U/L, Troponin I from DPC immulite
> > > >2.8
> > > >(0.0-1.0 the normal range), NPEPB 718 ( normal
> > 5-76
> > > >pg/ml).
> > > >The haematology side results were normal except
> > his
> > > >HGB of 11 gm/dl and high Reticulocyte count, PT
> > and
> > > >PTT are normal.
> > > >
> > > >His urine drug of abuse screening were positive
> > for
> > > >opiate.
> > > >
> > > >The doctor thinking of drugs liver toxicity....
> > > > But I think the effect of drugs of abuse on
> > heart
> > > >muscles cells.
> > > >
> > > >Any one can suggest any further investigations to
> > be done...
> > > >
> > > >What could be wrong with this patient....
> > > >
> > > >Thanks to all in advance
> > > >
> > > >Mohmed
> > > >USA
> > > >
> > > >
> > > >
> > > >
> > >
> >
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