Citation

Stankova E, Gesheva M, Hubenova A. Przegl. Lek. 2005; 62(6): 471-474.

Affiliation

Toxicology Clinic, Natonal Toxicology Centre, Emergency Medicine Institute Pirogov, Sofia, Bulgaria. Eugene_Stankova@yahoo.com

Copyright

(Copyright © 2005, Przeglad Lekarski)

DOI

unavailable

PMID

16225098

Abstract

We present a series of 8 cases of acute combined poisonings, occurred in an identical way in patients over 70 years of age for a period of 6 months. The way of exposure, characteristic of the clinical presentation, complications and the outcome of the intoxications, as well as the therapeutic approach is described. In all of the cases combined drug intoxication with benzodiazepines and opiates have been proved. The impact of the combination of two toxic substances: the first causing rapid and brief suppression of the consciousness and the second, causing prolonged continuation of the already suppressed consciousness, on the clinical course is discussed. The similarities in the circumstances of the exposure, clinical course of the poisonings, the identified toxic substances, lead to the consideration of criminal characteristic of the poisonings. The contact with the corresponding authorities brought off the disclosure of a group of criminals, committed the intentional intoxications with the aim of robbery. Age, with all its various characteristics, has been discussed as a factor for occurrence of criminal poisonings.