title: [Serum and urine total arsenic concentration in a case of acute arsenic intoxication].
abstract: The 68-year-old man took arsenic pasta 1 g (arsenic trioxide 0.45 g) to commit suicide and was admitted 16 hours after ingestion. He developed vomiting and coma, followed by pancytopenia. He was treated with activated charcoal, laxative, dimercaprol, sodium thiosulfate and direct hemoperfusion with good recovery. Total arsenic concentrations in serum and urine were 39 ng/ml and 89 ng/ml on admission, respectively. Urine arsenic concentration showed the second peak around 48 hours after admission.
authors.affiliation: Department of Pharmacy, Institute for Clinical Research, National Tokyo Medical Center.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Koyama
authors.forename: Keizi
authors.initials: K
authors.lastname: Tanaka
authors.forename: Namiko
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Takaaki
authors.initials: T
authors.lastname: Kikuno
authors.forename: Yoko
authors.initials: Y
authors.lastname: Shimazu
authors.forename: Hirosi
authors.initials: H
authors.lastname: Kaziwara
authors.forename: Hisanori
authors.initials: H
authors.lastname: Sekiguti
mesh_terms: D000208:Acute Disease; D000368:Aged; D001151:Arsenic / Q000097:blood* / Q000652:urine*; D020261:Arsenic Poisoning / Q000378:metabolism* / Q000628:therapy*; D006801:Humans; D008297:Male; D013406:Suicide, Attempted; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D001151:Arsenic