Carbon monoxide poisoning associated with water pipe smoking

Clin Toxicol (Phila). 2011 Aug;49(7):697-8. doi: 10.3109/15563650.2011.598160. Epub 2011 Aug 8.


The water pipe is a means of tobacco consumption widespread in Turkey and Arab countries. We present two patients brought to our emergency department due to a syncopal attack secondary to carbon monoxide toxicity following water pipe use. This rare form of poisoning should be borne in mind by emergency physicians as a differential diagnosis in water pipe smokers. Water pipes should be used where there is adequate ventilation.

Publication types

  • Case Reports

MeSH terms

  • Biomarkers / blood
  • Carbon Dioxide / blood
  • Carbon Monoxide Poisoning / blood
  • Carbon Monoxide Poisoning / etiology*
  • Carboxyhemoglobin / analysis
  • Female
  • Humans
  • Male
  • Oxygen / blood
  • Oxygen Inhalation Therapy
  • Smoking / adverse effects*
  • Syncope / chemically induced
  • Treatment Outcome
  • Young Adult


  • Biomarkers
  • Carbon Dioxide
  • Carboxyhemoglobin
  • Oxygen