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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Serotonin syndrome: take a closer look at the unwell surgical patient</title>
<author><name sortKey="Shaikh, Zs" sort="Shaikh, Zs" uniqKey="Shaikh Z" first="Zs" last="Shaikh">Zs Shaikh</name>
</author>
<author><name sortKey="Krueper, S" sort="Krueper, S" uniqKey="Krueper S" first="S" last="Krueper">S. Krueper</name>
</author>
<author><name sortKey="Malins, Tj" sort="Malins, Tj" uniqKey="Malins T" first="Tj" last="Malins">Tj Malins</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22041229</idno>
<idno type="pmc">3566678</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3566678</idno>
<idno type="RBID">PMC:3566678</idno>
<idno type="doi">10.1308/147870811X605246</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">002C20</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002C20</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Serotonin syndrome: take a closer look at the unwell surgical patient</title>
<author><name sortKey="Shaikh, Zs" sort="Shaikh, Zs" uniqKey="Shaikh Z" first="Zs" last="Shaikh">Zs Shaikh</name>
</author>
<author><name sortKey="Krueper, S" sort="Krueper, S" uniqKey="Krueper S" first="S" last="Krueper">S. Krueper</name>
</author>
<author><name sortKey="Malins, Tj" sort="Malins, Tj" uniqKey="Malins T" first="Tj" last="Malins">Tj Malins</name>
</author>
</analytic>
<series><title level="j">Annals of The Royal College of Surgeons of England</title>
<idno type="ISSN">0035-8843</idno>
<idno type="eISSN">1478-7083</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>This article describes the sequence of acute clinical deterioration seen in a head and neck oncology patient who developed serotonin syndrome perioperatively. It highlights the clinical dilemma that can be encountered when a septic picture masks the onset of serotonin syndrome and reinforces the importance of awareness of the potential interactions and side effects associated with drugs that surgeons prescribe. We discuss the pathophysiology, causal factors, clinical presentation and diagnosis of serotonin syndrome as well as highlighting some of the dilemmas that this condition presents in the surgical setting.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann R Coll Surg Engl</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann R Coll Surg Engl</journal-id>
<journal-id journal-id-type="publisher-id">rcse</journal-id>
<journal-title-group><journal-title>Annals of The Royal College of Surgeons of England</journal-title>
</journal-title-group>
<issn pub-type="ppub">0035-8843</issn>
<issn pub-type="epub">1478-7083</issn>
<publisher><publisher-name>The Royal College of Surgeons of England</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22041229</article-id>
<article-id pub-id-type="pmc">3566678</article-id>
<article-id pub-id-type="doi">10.1308/147870811X605246</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case-Based Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Serotonin syndrome: take a closer look at the unwell surgical patient</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Shaikh</surname>
<given-names>ZS</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Krueper</surname>
<given-names>S</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Malins</surname>
<given-names>TJ</given-names>
</name>
</contrib>
<aff><institution>University Hospital of North Staffordshire NHS Trust</institution>
<addr-line>Stoke on Trent, UK</addr-line>
</aff>
</contrib-group>
<author-notes><corresp><bold>CORRESPONDENCE TO Zarina S Shaikh</bold>
, Department of Oral and Maxillofacial Surgery, Royal Infirmary, Princes Road, Stoke on Trent, Staffordshire ST4 7LN, UK <email>zar1na@doctors.org.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2011</year>
</pub-date>
<volume>93</volume>
<issue>8</issue>
<fpage>569</fpage>
<lpage>572</lpage>
<history><date date-type="accepted"><day>22</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2011 by the Annals of The Royal College of Surgeons of England</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><p>This article describes the sequence of acute clinical deterioration seen in a head and neck oncology patient who developed serotonin syndrome perioperatively. It highlights the clinical dilemma that can be encountered when a septic picture masks the onset of serotonin syndrome and reinforces the importance of awareness of the potential interactions and side effects associated with drugs that surgeons prescribe. We discuss the pathophysiology, causal factors, clinical presentation and diagnosis of serotonin syndrome as well as highlighting some of the dilemmas that this condition presents in the surgical setting.</p>
</abstract>
<kwd-group><kwd>Serotonin syndrome</kwd>
<kwd>Oncology</kwd>
<kwd>Head and neck surgery</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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