Hydroxocobalamin for poisoning caused by ingestion of potassium cyanide: a case study.
Hydroxocobalamin, a precursor of vitamin B12, has a history of use in the prehospital setting in France for cyanide poisoning, particularly that associated with smoke inhalation. Because cyanide poisoning by ingestion is less common than smoke inhalation-associated cyanide poisoning, less information is available on prehospital use of hydroxocobalamin to treat cyanide poisoning by ingestion. This report describes a case of prehospital use of hydroxocobalamin for poisoning by ingestion of cyanide. The case supports the efficacy of hydroxocobalamin for acute cyanide poisoning caused by ingestion of a cyanide salt. No adverse events attributed to hydroxocobalamin were observed.
Samu 25, CHU J. Minjoz, Besançon, France.
Jean-Luc
JL
Fortin
Stanislas
S
Waroux
J P
JP
Giocanti
Gilles
G
Capellier
Michel
M
Ruttimann
Jean-Jacques
JJ
Kowalski
D000931:Antidotes / Q000627:therapeutic use*; D006801:Humans; D006879:Hydroxocobalamin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011190:Potassium Cyanide / Q000506:poisoning*; D013406:Suicide, Attempted; D014803:Vitamin B Complex / Q000627:therapeutic use*
D000931:Antidotes; D014803:Vitamin B Complex; D011190:Potassium Cyanide; D006879:Hydroxocobalamin