Successful donation and transplantation of multiple organs after fatal poisoning with brodifacoum, a long-acting anticoagulant rodenticide: case report.
BACKGROUND
Successful organ donation has been reported after death from poisonings with cyanide, carbon monoxide, methanol, benzodiazepines, and tricyclic antidepressants. In this report, we describe a case of multiple organ donation from a previously healthy individual who died from poisoning with the long-acting anticoagulant rodenticide, brodifacoum.


METHODS
Case report and review of the literature.


RESULTS
All organs procured from the poisoned donor functioned adequately, and there were no hemorrhagic complications in any of the recipients.


CONCLUSIONS
This case demonstrates that brodifacoum poisoning is not an absolute contraindication to organ donation from brain-dead patients who have sustained a fatal ingestion.
Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. deborah.l.ornstein@dartmouth.edu
D L
DL
Ornstein
K E
KE
Lord
N N
NN
Yanofsky
C J
CJ
Cornell
L R
LR
Zacharski
D015110:4-Hydroxycoumarins / Q000506:poisoning*; D000328:Adult; D000925:Anticoagulants / Q000506:poisoning*; D016039:Corneal Transplantation; D017809:Fatal Outcome; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation; D016035:Pancreas Transplantation; D011041:Poisoning; D013405:Suicide; D014019:Tissue Donors
D015110:4-Hydroxycoumarins; D000925:Anticoagulants; C013418:bromfenacoum