A sudden awakening from a near coma after combined intake of gamma-hydroxybutyric acid (GHB) and ethanol

被引:52
作者
Louagie, HK
Verstraete, AG
DeSoete, CJ
Baetens, DG
Calle, PA
机构
[1] University Hospital, Ghent
[2] Department of Clinical Biology, University Hospital 1B2, De Pintelaan 185
来源
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY | 1997年 / 35卷 / 06期
关键词
D O I
10.3109/15563659709001237
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 ;
摘要
Objective: A case of a sudden awakening from a near coma after combined intake of gamma-hydroxybutyric acid (GHB) (125 mu g/mL), ethanol (134 mg/dL), and cannabinoids is described. Methods: GHB was determined by gas chromatography-mass spectrometry after acetonitrile precipitation and derivation with N-methyl-N-trimethylsilyltrifluoroacetamide using valproic acid as the internal standard. Conclusion: The described case illustrates the consequences of GHB overdose, GHB overdose should be considered in every case of unexplained sudden coma, i.e., without any evidence of head injury, intake of coma-inducing drugs, or increasing intracranial pressure, GHB overdose will be missed by routine toxicological screening.
引用
收藏
页码:591 / 594
页数:4
相关论文
共 25 条
[1]  
BANERJEE PK, 1995, J PHARMACOL EXP THER, V273, P1534
[2]   GAMMAHYDROXYBUTYRATE - AN OVERVIEW OF THE PROS AND CONS FOR IT BEING A NEUROTRANSMITTER AND/OR A USEFUL THERAPEUTIC AGENT [J].
CASH, CD .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 1994, 18 (02) :291-304
[3]  
*CDC, 1991, JAMA-J AM MED ASSOC, V265, P447
[4]  
CHIN MY, 1992, WESTERN J MED, V156, P380
[6]  
FERRARA SD, 1995, J FORENSIC SCI, V40, P501
[7]   PHARMACOKINETICS OF GAMMA-HYDROXYBUTYRIC ACID IN ALCOHOL DEPENDENT PATIENTS AFTER SINGLE AND REPEATED ORAL DOSES [J].
FERRARA, SD ;
ZOTTI, S ;
TEDESCHI, L ;
FRISON, G ;
CASTAGNA, F ;
GALLIMBERTI, L ;
GESSA, GL ;
PALATINI, P .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1992, 34 (03) :231-235
[8]   THERAPEUTIC GAMMA-HYDROXYBUTYRIC ACID MONITORING IN PLASMA AND URINE BY GAS-CHROMATOGRAPHY MASS-SPECTROMETRY [J].
FERRARA, SD ;
TEDESCHI, L ;
FRISON, G ;
CASTAGNA, F ;
GALLIMBERTI, L ;
GIORGETTI, R ;
GESSA, GL ;
PALATINI, P .
JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL ANALYSIS, 1993, 11 (06) :483-487
[9]   ''Grievous bodily harm'': Gamma hydroxybutyrate abuse leading to a Wernicke-Korsakoff syndrome [J].
Friedman, J ;
Westlake, R ;
Furman, M .
NEUROLOGY, 1996, 46 (02) :469-471
[10]  
GALLIMBERTI L, 1989, LANCET, V2, P787