{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T03:25:11Z","timestamp":1761017111224},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T00:00:00Z","timestamp":1430179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acute Medicine & Surgery"],"published-print":{"date-parts":[[2016,1]]},"abstract":"Case<\/jats:title>We report a case with concurrent ingestion of carbamazepine (CBZ<\/jats:styled-content>) overdose and grapefruit juice. A 23\u2010year\u2010old man, with a history of epilepsy, was admitted to our emergency department 2\u2009h after ingesting 10\u2009g CBZ<\/jats:styled-content> with 1\u2009L grapefruit juice. On arrival, the patient's G<\/jats:styled-content>lasgow C<\/jats:styled-content>oma S<\/jats:styled-content>cale score was 9 and he showed signs of restlessness. Grapefruit juice\u2010like gastric fluid, with tablet residue, was observed in his stomach after we inserted a gastric tube. Our initial test detected a blood CBZ<\/jats:styled-content> level of 41.5\u2009mg\/L.<\/jats:p><\/jats:sec>Outcome<\/jats:title>We treated the patient with gastric lavage, activated charcoal, and charcoal hemoperfusion. His blood CBZ<\/jats:styled-content> level began to decrease after gastrointestinal decontamination, and he was discharged without any sequelae on day 9.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Gastric lavage or aspiration may be considered in cases where drug residue is found in the stomach, especially if materials are involved that might exacerbate the drug's toxicity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.117","type":"journal-article","created":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T11:03:18Z","timestamp":1430218998000},"page":"36-38","source":"Crossref","is-referenced-by-count":8,"title":["Successful treatment of a case with concurrent ingestion of carbamazepine overdose and grapefruit juice"],"prefix":"10.1002","volume":"3","author":[{"given":"Katsunori","family":"Mochizuki","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujiro","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Miyama","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Arakawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9236(98)90177-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2006.034884"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/91.5.325"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/15563659309000412"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2013.770154"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00008571-199710000-00008"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/15563657908992443"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e3182258e51"},{"key":"e_1_2_6_10_1","first-page":"485","article-title":"Carbamazepine poisoning in adolescent suicide attempters. Effectiveness of multiple\u2010dose activated charcoal in enhancing carbamazepine elimination","volume":"27","author":"Montoya\u2010Cabrera MA","year":"1996","journal-title":"Arch. Med. Res."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000049045"}],"container-title":["Acute Medicine & Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fams2.117","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:46:33Z","timestamp":1695573993000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,28]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1002\/ams2.117"],"URL":"https:\/\/doi.org\/10.1002\/ams2.117","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,28]]}}}