Assuntos
Café/microbiologia , Microbiologia de Alimentos , Neoplasias Renais/etiologia , Ocratoxinas/análise , Transformação Celular Neoplásica , Qualidade de Produtos para o Consumidor , Culinária , Temperatura Alta , Humanos , Neoplasias Renais/diagnóstico , Ocratoxinas/efeitos adversos , Medição de Risco , Fatores de Risco , TailândiaRESUMO
We read with interest the recent report by Smedley et al. on an interesting case of cerebral arterial gas embolism (CAGE) after pre-flight ingestion of hydrogen peroxide (H2O2). The authors discuss the safety of aero-medical transfer following H2O2 ingestion. We agree with the possible problems but the concern on the other side of the coin needs to be mentioned; can transfer be delayed is the big question? Indeed, as reported by others, ingestion of even a small amount of concentrated H2O2 can result in CAGE. Hence, whether aero-medical transfer proceeds or not, severe, life-threatening embolism can occur. Since it was reported that "complete neurologic recovery occurred quickly with hyperbaric therapy", this supports the contention that the fastest transfer of the patient for hyperbaric treatment should be the primary focus.