Asunto(s)
Cloruro de Mercurio/metabolismo , Cloruro de Mercurio/envenenamiento , Intoxicación por Mercurio/metabolismo , Adulto , Autopsia , Sobredosis de Droga/terapia , Resultado Fatal , Femenino , Humanos , Cloruro de Mercurio/sangre , Cloruro de Mercurio/orina , Intoxicación por Mercurio/patología , Intoxicación por Mercurio/fisiopatología , Intoxicación por Mercurio/terapia , Suicidio , Distribución TisularRESUMEN
Bacillus cereus is a well-known cause of food-borne illness, but infection with this organism is not commonly reported because of its usually mild symptoms. A fatal case due to liver failure after the consumption of pasta salad is described and demonstrates the possible severity of the emetic syndrome.
Asunto(s)
Bacillus cereus/aislamiento & purificación , Brotes de Enfermedades , Enfermedades Transmitidas por los Alimentos/mortalidad , Adolescente , Bacillus cereus/genética , Niño , Familia , Resultado Fatal , Femenino , Microbiología de Alimentos , Enfermedades Transmitidas por los Alimentos/epidemiología , Enfermedades Transmitidas por los Alimentos/etiología , Humanos , MasculinoRESUMEN
A case of a 27-year-old woman who ingested 9000 mg arsenic trioxide (As2O3) is reported. Classical symptoms of an acute arsenicum (As) poisoning such as gastrointestinal cramps, vomiting, diarrhea, ECG changes and disturbed liver function tests were observed. The absorption of the ingested As was minimalized by a continuous gastric irrigation with highly concentrated NaHCO3 and intestinal cleansing with NaHCO3 and polyethyleneglycol was performed. Forced diuresis, BAL (2,3-dimercaptopropanol) and DMSA (meso-2,3-dimercaptosuccinic acid) were started and therapy to enhance the formation of methylated As derivatives, which are potentially less toxic and which can be excreted more easily, was then administered. The patient survived this massive dose of ingested inorganic As with only polyneuropathy one year later.