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Clin Case Rep. 2019 May 7;7(6):1178-1180. doi: 10.1002/ccr3.2173. eCollection 2019 Jun.

Tobacco hookah smoking-induced carbon monoxide poisoning: A case report of non-ambient exposure.

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College of Medicine Alfaisal University Riyadh Saudi Arabia.
Department of Emergency Medicine King Faisal Specialist Hospital & Research Center Riyadh Saudi Arabia.
Department of Emergency Medicine King Abdulaziz Medical City Riyadh Saudi Arabia.
Division of Clinical Pharmacology and Toxicology University of Toronto Toronto Canada.


Carbon monoxide (CO) toxicity should be considered in patients presenting to the emergency department with any acute vague manifestations after hookah smoking; furthermore, smoking in an open space does not eliminate the risk of CO toxicity. High-flow supplemental oxygen should be provided immediately while further investigations and management options are considered.


carbon monoxide poisoning; carboxyhemoglobin; hookah smoking

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