Acute cyanide poisoning: a case report.
A case of attempted homicide by cyanide ingestion is reported. The victim, a 19-year-old woman, unknowingly ingested cyanide and presented to the Emergency Department unresponsive, in shock, and in profound metabolic acidosis. The differential diagnosis of this presentation and the patient's successful treatment are reviewed. The important management issues surrounding the treatment of cyanide poisoning are discussed.
Chin
R G
RG
Department of Emergency Medicine, Jacobi Hospital, Bronx, New York, USA.
Calderon
Y
Y
D000138:Acidosis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D000208:Acute Disease; D000328:Adult; D000931:Antidotes / Q000627:therapeutic use; D003486:Cyanides / Q000506:poisoning*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006708:Homicide; D006801:Humans; D012121:Respiration, Artificial; D012769:Shock / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D012977:Sodium Nitrite / Q000627:therapeutic use; D013179:Spouse Abuse; D013885:Thiosulfates / Q000627:therapeutic use
D000931:Antidotes; D003486:Cyanides; D013885:Thiosulfates; C017717:sodium thiosulfate; D012977:Sodium Nitrite