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Presents a case report on a four-year-old girl on the Hopi reservation in northern Arizona, who was envenomated in her right foot by a 2.5 foot-long rattlesnake. What crotalid venom is known to cause; Antivenin which was administered to the patient; Reference to disseminated intravascular coagulation.

Reports that animal and human laboratory studies suggest that marijuana may cause hyperthermia. Findings concerning life threatening hyperthermia associated with marijuana; Case report involving a patient with severe hyperthermia after using marijuana and jogging; Other aspects of the study.

Antidotal therapy for acetaminophen poisoning is routinely based on a single acetaminophen level obtained four or more hours after ingestion. Some experts recommend additional acetaminophen levels if there are coingestants. This case report describes a 20-year-old woman who ingested acetaminophen 13 g, propoxyphene napsylate 2 g and naproxen sodium 3.75 g. A 4.5 h acetaminophen level was 83.5 mg/L (nontoxic). A 6.75 h acetaminophen level was 124.6 mg/L (toxic). The patient was treated with N-acetylcysteine and recovered without sequelae. This is the first published report of a delayed toxic acetaminophen level occurring after an initial nontoxic level. Although rare, the possibility of a delayed peak acetaminophen level merits consideration, particularly with coingestions that delay gastric emptying. [ABSTRACT FROM AUTHOR]

Presents a case of a suicidal, epileptic patient who ingested ethanol, valproic acid and gabapentin (GBP), a new antiepileptic drug. Lack of serious clinical toxicity.