Carbon Monoxide Poisoning Caused by Water Pipe Smoking: A Case Series

BackgroundCarbon monoxide–related symptoms caused by water pipe smoking may be a frequent occurrence. This might often be overlooked, because patients will not always identify the smoke exposure as the cause of their presenting complaints and may well withhold this information.Case ReportA series of three patients who were 15 to 28 years of age presented to the emergency department with nonspecific symptoms and were found to have carbon monoxide poisoning from water pipe smoking.Why Should an Emergency Physician Be Aware of This?This case series might improve recognition of this phenomenon. Carbon monoxide poisoning can cause serious problems, yet it could be easily diagnosed and treated. Identifying this condition can expedite treatment and prevent unnecessary diagnostic tests in an attempt to explain its symptoms.