Background: Mad honey is the type of honey made by bees that are nourished from the plants of Rhododendron (Rh.) family, and it contains grayanotoksin (GTX). The most significant types of Rh family, which contain GTX, are Rh. The purpose of this study was to analyze the cases which came to the emergency room because of GTX intoxication in detail in order to help diagnosis, treatment, follow-up and prognosis in daily emergency medicine practice. A total of 36 patients with the symptoms and diagnosis of intoxication after consuming mad honey, were included in the study. Ten healthy individuals who did not have a history of taking mad honey were included in the control group. The study is designed as a prospective case control study. The average GTX level of the group who ate mad honey (studygroup) was 7.88 ng/ml (min: 0.00/max: 30.47). At control group, GTX level was 0 ng/ml. There was no statistically significant relationship between the symptoms (dizziness, nausea, vomiting, weakness, deterioration, angina) and blood GTX level in the study group. Also statistic value reflects relationship between kidney function tests, troponin and control troponin levels in case group. The patients who have absolute decrease in blood pressure and pulse should be questioned by emergency medicine doctors about consuming mad honey. Further studies are needed to demonstrate the relationship between symptoms and GTX poisoning.
Aim: The aim of the present study was to evaluate the effect of the pandemic regulations on clinics of the Oral and Maxillofacial Surgery Department. Material and Methods: Patient data (age, gender, total patient number, total number of applied treatments and total income) between March 16 and June 1, 2020 were evaluated and compared with the records of the previous two years. Results: Comparison of the number of patient treated showed a 90% decrease in 2020. In addition, the total number of applied treatment decreased by more than 90% in 2020. Additionally, the total income of the department decreased by 90% in 2020 compared to the previous two years. Discussion: The SARS-CoV-2 virus can transmit from human to human via airborne droplets or aerosol. Therefore, the dentist and the staff of a dental clinic or department are more likely to be infected with SARS-CoV-2 than the staff of any other health discipline. The COVID-19 pandemic has affected all people around the world, socially, economically, and psychologically. Governments must be economically prepared for such a situation.
Diffuse alveolar hemorrhage (DAH) disease is a rare but acutely developing condition that may occur after general anesthesia, if not diagnosed and treated on time, could be life-threatening. Orthognathic surgeries, frequently performed for functional and esthetic correction, are generally composed of a young population in their twenties with no other disease. The aim of presenting this case report was to describe the etiology, diagnosis, and treatment of DAH to emphasize the importance of timely diagnosis.
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