Immunochemical screening: manipulation, handling and interpretation errors, exemplified by benzodiazepines

The article describes problems related to immunochemical screening-tests with special regard to benzodiazepines, which are commonly used for therapeutic purposes. Focal points are adulteration, manipulation and handling of samples, the selection of cut-off-values, specificity and cross-reactivity, influence of biotransformation and frequently observed pitfalls in the interpretation of the analytical results.     

Fatal diphenhydramine intoxication in infants

Diphenhydramine is an antihistamine available in numerous over-the-counter preparations. Often used for its sedative effects in adults, it can cause paradoxical central nervous system stimulation in children, with effects ranging from excitation to seizures and death. Reports of fatal intoxications in young children are rare. We present five cases of fatal intoxication in infants 6, 8, 9, 12, and 12 weeks old. Postmortem blood diphenhydramine levels in the cases were 1.6, 1.5, 1.6, 1.1 and 1.1 mg/L, respectively. Anatomic findings in each case were normal. In one case the child's father admitted giving the infant diphenhydramine in an attempt to induce the infant to sleep; in another case, a daycare provider admitted putting diphenhydramine in a baby bottle. Two cases remain unsolved; one case remains under investigation. The postmortem drug levels in these cases are lower than seen in adult fatalities. We review the literature on diphenhydramine toxicity, particularly as it pertains to small children, and discuss the rationale for treating these cases as fatal intoxications.     

Extraction of 1,2- and 1,4-dihydroxybenzene from water solutions

The results of extraction of 1,2- and 1,4-dihydroxybenzene from water solutions by the hydrophobic and hydrophilic organic solvents are described. The influence of an extragent nature and of a water-phase pH medium on an extraction degree is demonstrated. The repetition factor needed to extract a preset quantity of examined compounds is calculated.     

Determination of 2.4-dinitrophenol,its basic metabolite and 4-oxide diphenyl in biological materials

A possibility was considered to isolate, by using dimethylformamide, 2.4-dinitrophenol, 2-amino-4-nitrophenol and 4-oxid-diphenyl from a biological-origin object. A method of extraction with subsequent chromatography in thin silicon-gel layer was used to purify the isolates from biological materials. The designed technique provides for identifying and for quantitatively defining the discussed phenol structures contained in the isolates from the liver tissue of corpses and human blood.