Cyanide Intoxication: A Case Report

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dc.contributor.authorKocak, Sedat
dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorDemirci, Serafettin
dc.contributor.authorCander, Basar
dc.contributor.authorDogan, Hakan
dc.date.accessioned2024-02-23T14:41:35Z
dc.date.available2024-02-23T14:41:35Z
dc.date.issued2010
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Cyanide is a rapid absorbable and powerful poison; even in small doses can cause death in minutes. It is used in many industrial fields; such as mining, chemical industries and agriculture. Recently, its use in gold mining and its enviromental toxicity is on the agenda of our country. Case Report: 60 years old male patient was brought to our clinic after drinking a sip of cyanide in his jewelry shop by 112 emergency team. In physical examination of patient, who was intubated at the scene of accident, general condition was poor, he was unconsciousness, arteriyal blood pressure was 80/50 mmHg and there was no spontaneous respiration. GCS score was 3. Patient's gastric lavage had started at the scene and contuined in our service, then active charcoal was given. The patient was taken to our intensive care unit and mechanically ventilation started with positive inotropic support. Blood cyanide level was >2.0 mg/L. 5 g hydroxycobalamin brought from Ankara could be given 9 hour after poisoning. The patient died at day 4. Discussion: Cyanide inhibits mitochondrial cytochrome oxidase enzyme and disrupts cellular utilization of oxygen lead to cellular hypoxia. Poisoning by oral consumption is a slow process and patient's recovery is sometimes possible. Therefore, the initiation of support and specific treatment as quickly as possible is important. In this case, although effective support treatment was started quickly; the specific antidote treatment could not be begun.en_US
dc.identifier.doi10.5505/jaemcr.2010.08208
dc.identifier.endpage14en_US
dc.identifier.issn2149-9934
dc.identifier.issue1en_US
dc.identifier.startpage11en_US
dc.identifier.urihttps://doi.org/10.5505/jaemcr.2010.08208
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16915
dc.identifier.volume1en_US
dc.identifier.wosWOS:000218290000001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherEmergency Medicine Physicians Assoc Turkeyen_US
dc.relation.ispartofJournal Of Emergency Medicine Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCyanideen_US
dc.subjectIntoxicationen_US
dc.subjectAntidoteen_US
dc.titleCyanide Intoxication: A Case Reporten_US
dc.typeArticleen_US

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