Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge

In mid-March 2015, a mother and her teenage daughter and son from Syria presented to a Syrian American Medical Society (SAMS) refugee clinic in the Beqaa Valley in Lebanon with the chief complaints of hair loss together with weakness and numbness of their lower extremities. They reported that on Mar...

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Autores principales:	Ibrahim Almassri, Mohamed Sekkarie
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2018
Materias:	poisoning syria thallium Medicine R
Acceso en línea:	https://doaj.org/article/77dfb21546c144f6831a28eb2ab5dd6f
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spelling	oai:doaj.org-article:77dfb21546c144f6831a28eb2ab5dd6f2021-12-02T18:50:08ZCases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge2231-07702249-446410.4103/ajm.AJM_17_18https://doaj.org/article/77dfb21546c144f6831a28eb2ab5dd6f2018-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_17_18https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464In mid-March 2015, a mother and her teenage daughter and son from Syria presented to a Syrian American Medical Society (SAMS) refugee clinic in the Beqaa Valley in Lebanon with the chief complaints of hair loss together with weakness and numbness of their lower extremities. They reported that on March 1, a military foe of their relative had given him several boxes of Middle Eastern cookies which were consumed by over 20 members of their families and neighbors. Soon after the consumption, most members of the households developed symptoms including abdominal pain, nausea, vomiting, and constipation. Later, many of the affected individuals, including the three who presented to the clinic, had pain and weakness in the extremities, skin lesions, and hair loss. Two subjects died inside Syria of kidney failure. In this report, we describe the diagnostic challenges faced until the arrival to the diagnosis of thallium intoxication and the therapeutic obstacles to getting adequate therapy. We also report the results of a survey sent to all subjects in the affected households and discuss the context of lawlessness that led to this intoxication and perhaps other cases.Ibrahim AlmassriMohamed SekkarieThieme Medical and Scientific Publishers Pvt. Ltd.articlepoisoningsyriathalliumMedicineRENAvicenna Journal of Medicine, Vol 8, Iss 03, Pp 78-81 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	poisoning syria thallium Medicine R
spellingShingle	poisoning syria thallium Medicine R Ibrahim Almassri Mohamed Sekkarie Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
description	In mid-March 2015, a mother and her teenage daughter and son from Syria presented to a Syrian American Medical Society (SAMS) refugee clinic in the Beqaa Valley in Lebanon with the chief complaints of hair loss together with weakness and numbness of their lower extremities. They reported that on March 1, a military foe of their relative had given him several boxes of Middle Eastern cookies which were consumed by over 20 members of their families and neighbors. Soon after the consumption, most members of the households developed symptoms including abdominal pain, nausea, vomiting, and constipation. Later, many of the affected individuals, including the three who presented to the clinic, had pain and weakness in the extremities, skin lesions, and hair loss. Two subjects died inside Syria of kidney failure. In this report, we describe the diagnostic challenges faced until the arrival to the diagnosis of thallium intoxication and the therapeutic obstacles to getting adequate therapy. We also report the results of a survey sent to all subjects in the affected households and discuss the context of lawlessness that led to this intoxication and perhaps other cases.
format	article
author	Ibrahim Almassri Mohamed Sekkarie
author_facet	Ibrahim Almassri Mohamed Sekkarie
author_sort	Ibrahim Almassri
title	Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
title_short	Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
title_full	Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
title_fullStr	Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
title_full_unstemmed	Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge
title_sort	cases of thallium intoxication in syria: a diagnostic and a therapeutic challenge
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2018
url	https://doaj.org/article/77dfb21546c144f6831a28eb2ab5dd6f
work_keys_str_mv	AT ibrahimalmassri casesofthalliumintoxicationinsyriaadiagnosticandatherapeuticchallenge AT mohamedsekkarie casesofthalliumintoxicationinsyriaadiagnosticandatherapeuticchallenge
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Cases of thallium intoxication in Syria: A diagnostic and a therapeutic challenge

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