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Suspected seizure-survival of a lethal dose of the rodenticide alpha-chloralose.
Bergrath, Sebastian; Castillo-Vargas, Jessika Stefanie; Koc, Nurcihan Joy; Haake, Hendrik; Graeven, Ullrich.
  • Bergrath S; Zentrum für klinische Akut- und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Germany. sebastian.bergrath@mariahilf.de.
  • Castillo-Vargas JS; Lehrstuhl für Anästhesiologie, Medizinische Fakultät RWTH Aachen, Aachen, Germany. sebastian.bergrath@mariahilf.de.
  • Koc NJ; Zentrum für klinische Akut- und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Germany.
  • Haake H; Zentrum für klinische Akut- und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Germany.
  • Graeven U; Klinik für Kardiologie und Internistische Intensivmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.
Anaesthesist ; 68(12): 843-847, 2019 12.
Article en En | MEDLINE | ID: mdl-31701172
ABSTRACT
A 58-year-old female was admitted due to a suspected seizure. A blue colored pharyngeal fluid was visualized during intubation, which is indicative of poisoning. Clinical research revealed an ingestion of 2.4 g of alpha-chloralose, a rodenticide with a lethal dose of 1 g. Immediate detoxification by gastroscopy, gastric lavage and hemodialysis led to full recovery. Substance detection was carried out by gas chromatography-mass spectometry of a urine sample. There are only a few cases reporting poisoning by this substance. Coma and bilateral myoclonus have been reported but blue gastric fluid as the "red flag" in this case has never been described.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Rodenticidas / Convulsiones / Cloralosa Límite: Female / Humans / Middle aged Idioma: En Año: 2019 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Rodenticidas / Convulsiones / Cloralosa Límite: Female / Humans / Middle aged Idioma: En Año: 2019 Tipo del documento: Article