title: Cyanide poisoning in the post-transplantation patient-a cautionary tale.
abstract: There have been few reported cases of cyanide toxicity following treatment with sodium nitroprusside. We report on the case of a paediatric patient who had received sodium nitroprusside for intractable hypertension in the post-operative period, resulting in cyanide toxicity. Treatment with sodium thiosulphate, sodium nitrate and haemodialysis resulted in the elimination of cyanide from the circulation. The patient made a full recovery with no neurological sequelae.
authors.affiliation: Paediatric Nephrology, Children's University Hospital, Temple Street, Dublin 1, Ireland. cathyquinlan@mac.com
authors.forename: Catherine
authors.initials: C
authors.lastname: Quinlan
authors.forename: Denis
authors.initials: D
authors.lastname: Gill
authors.forename: Mary
authors.initials: M
authors.lastname: Waldron
authors.forename: Atif
authors.initials: A
authors.lastname: Awan
mesh_terms: D000293:Adolescent; D003486:Cyanides / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D016030:Kidney Transplantation; D009599:Nitroprusside / Q000009:adverse effects* / Q000627:therapeutic use*; D011183:Postoperative Complications; D014665:Vasodilator Agents / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D003486:Cyanides; D014665:Vasodilator Agents; D009599:Nitroprusside