Refractory cardiogenic shock caused by zinc phosphide toxicity.
Proc (Bayl Univ Med Cent)
; 36(2): 224-225, 2023.
Article
en En
| MEDLINE
| ID: mdl-36876253
ABSTRACT
Zinc phosphide toxicity is a rare entity that presents most frequently among farmers in developing countries who use it as a rodenticide. The phosphine gas released after the ingestion inhibits cytochrome c oxidase, disrupting the mitochondrial physiology and oxidative phosphorylation and causing myocardial stunning. Here we present a case of a 20-year-old man who attempted suicide with zinc phosphide toxicity. Initially, he was hemodynamically stable with a normal ejection fraction; however, in a few hours, he deteriorated quickly and became hemodynamically unstable, with rapid deterioration of his ejection fraction to 20%. He was started on norepinephrine and then dobutamine; however, he had cardiac arrest from refractory cardiogenic shock despite resuscitative measures.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
Proc (Bayl Univ Med Cent)
Año:
2023
Tipo del documento:
Article