Survival from a lethal blood concentration of cyanide with associated alcohol intoxication.
We present a patient with a lethal blood concentration of cyanide. Additionally, he was found to have an alcohol blood level of 270 mg. dl-1, but made a complete recovery following administration of the antidotes dimethylaminophenol and thiosulphate. It is postulated that the patient may have been able to detoxify himself as a result of metabolism of cyanide to the non-toxic form, thiocyanate.
Kampe
S
S
Department of Anaesthetics and Intensive Care Medicine, University of Cologne, 50931 Cologne, Joseph-Stelzmann-Str. 9, Germany; Department of Forensic Medicine, University of Cologne, 50823 Cologne, Melatengürtel 60-62, Germany; Depart.
Iffland
R
R
Korenkov
M
M
Diefenbach
C
C
D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications* / Q000378:metabolism; D000627:Aminophenols / Q000627:therapeutic use; D000931:Antidotes / Q000627:therapeutic use; D003422:Critical Care; D006801:Humans; D008297:Male; D011190:Potassium Cyanide / Q000378:metabolism / Q000506:poisoning*; D013885:Thiosulfates / Q000627:therapeutic use; D016896:Treatment Outcome
D000627:Aminophenols; D000931:Antidotes; D013885:Thiosulfates; D011190:Potassium Cyanide