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Sample records for acute mercury poisoning

  1. Acute mercury poisoning: a case report

    Aktas Can

    2010-03-01

    Full Text Available Abstract Background Mercury poisoning can occur as a result of occupational hazard or suicide attempt. This article presents a 36-year-old case admitted to emergency department (ED due to exposure to metallic mercury. Case Presentatıon A 36-year-old woman presented to the ED with a three-day history of abdominal pain, diarrhea and fever. One week ago her daughter had brought mercury in the liquid form from the school. She had put it on the heating stove. One day later, her 14-month old sister baby got fever and died before admission to the hospital. Her blood pressure was 134/87 mmHg; temperature, 40.2°C; heart rate 105 bpm and regular; respiration, 18 bpm; O2 saturation, 96%. Nothing was remarkable on examination and routine laboratory tests. As serine or urinary mercury levels could not be tested in the city, symptomatic chelation treatment with N-acetyl cysteine (NAC was instituted with regard to presumptive diagnosis and history. At the 7th day of admission she was discharged without any sequelae or complaint. At the discharge day blood was drawn and sent for mercury levels which turned out to be 30 μg/dL (normal range: 0 - 10 μg/dL. Conclusion Public education on poisoning and the potential hazards of mercury are of vital importance for community health.

  2. Selected case histories and epidemiologic examples of human mercury poisoning

    Gerstner, H.B.; Huff, J.E.

    1977-01-01

    Clinical aspects of mercury poisoning are described for elemental mercury, inorganic mercury compounds, and organic mercury compounds. Critical targets of poisoning by elemental mercury are the lungs and the central nervous system. A case of acute pulmonary injury and a case of chronic brain injury are described. The effects of inorganic mercury compounds are chiefly injuries to the alimentary canal and kidneys. Two cases of acute intoxication from these compounds are described. An epidemiologic study on Africans suffering from the nephrotic syndrome showed that aminomercuric chloride was the causative agent. Organic mercury compounds are discussed with regard to the following: individual cases of the methylmercury syndrome in adults; individual cases of prenatal methylmercury intoxication; epidemic outbreaks of methylmercury poisoning; epidemiology of methylmercury poisoning through dressed seed grain; and epidemic outbreaks of poisonings by organomercurials other than methylmercury. (HLW)

  3. Chelation Therapy for Mercury Poisoning

    Rong Guan; Han Dai

    2009-01-01

    Chelation therapy has been the major treatment for heavy metal poisoning. Various chelating agents have been developed and tested for treatment of heavy metal intoxications, including mercury poisoning. It has been clearly shown that chelating agents could rescue the toxicity caused by heavy metal intoxication, but the potential preventive role of chelating agents against heavy metal poisoning has not been explored much. Recent paper by Siddiqi and colleagues has suggested a protective role o...

  4. Mercury Poisoning Linked to Skin Products

    ... Products For Consumers Home For Consumers Consumer Updates Mercury Poisoning Linked to Skin Products Share Tweet Linkedin ... situations, criminal prosecution. back to top Dangers of Mercury Exposure to mercury can have serious health consequences. ...

  5. Domestic metallic mercury poisoning

    McNeil, N.I.; Issler, H.C.; Olver, R.E.; Wrong, O.M.

    1984-02-04

    In a family exposed to metallic mercury vapour two patients had acrodynia, one had the nephrotic syndrome, and one person remained well. Recognition of the variable manifestations of the disease and prevention of further exposure were the most important aspects of management. Recovery appeared to be complete as blood mercury levels fell to normal. Urinary mercury levels were too variable to be reliable as indications of progress.

  6. Massive acute arsenic poisonings.

    Lech, Teresa; Trela, Franciszek

    2005-07-16

    Arsenic poisonings are still important in the field of toxicology, though they are not as frequent as about 20-30 years ago. In this paper, the arsenic concentrations in ante- and post-mortem materials, and also forensic and anatomo-pathological aspects in three cases of massive acute poisoning with arsenic(III) oxide (two of them with unexplained criminalistic background, in which arsenic was taken for amphetamine and one suicide), are presented. Ante-mortem blood and urine arsenic concentrations ranged from 2.3 to 6.7 microg/ml, respectively. Post-mortem tissue total arsenic concentrations were also detected in large concentrations. In case 3, the contents of the duodenum contained as much as 30.1% arsenic(III) oxide. The high concentrations of arsenic detected in blood and tissues in all presented cases are particularly noteworthy in that they are very rarely detected at these concentrations in fatal arsenic poisonings. PMID:15939162

  7. Chronic mercury poisoning: Report of two siblings

    Yilmaz Cahide

    2010-01-01

    Full Text Available Mercury exists as organic inorganic and elementary forms in nature and is one of the most toxic metals that are poisonous for human beings. Mercury is commonly used in many different sectors of industry such as in insects formulas, agriculture products, lamps, batteries, paper, dyes, electrical/electronic devices, jewelry, and in dentistry. In this study, two siblings (one a 7-year-old boy and the other a 13 years old girl are reported who developed chronic mercury poisoning as a result of long-term contact with batteries. Our aim is to emphasize the importance of mercury poisoning that is extremely rarely seen in childhood.

  8. Acute kidney injury and disseminated intravascular coagulation due to mercuric chloride poisoning

    Dhanapriya, J.; Gopalakrishnan, N; Arun, V.; Dineshkumar, T.; Sakthirajan, R.; Balasubramaniyan, T.; Haris, M

    2016-01-01

    Mercury is a toxic heavy metal and occurs in organic and inorganic forms. Inorganic mercury includes elemental mercury and mercury salts. Mercury salts are usually white powder or crystals, and widely used in indigenous medicines and folk remedies in Asia. Inorganic mercury poisoning causes acute kidney injury (AKI) and gastrointestinal manifestations and can be life-threatening. We describe a case with unknown substance poisoning who developed AKI and disseminated intravascular coagulation (...

  9. Pipazethate--acute childhood poisoning.

    da Silva, O A; Lopez, M

    1977-01-01

    A previously healthy child who who had accidentally ingested an unknown quantity of 20-mg tablets of pipazethate developed severe acute poisoning with neurologic, metabolic, and cardiovascular disturbances. She recovered with symptomatic and supportive therapy. PMID:589958

  10. Clinical studies on mercury poisoning in cattle

    Sonoda, M.; Nakamura, R.; Too, K.; Matsuhashi, A.; Ishimoto, H.; Sasaki, R.; Ishida, K.; Takahashi, M.

    1956-01-01

    A sporadic outbreak of an unknown disease occurred among dairy cattle, from early February to late May 1955, in Japan. The characteristic symptoms of this disease were dyspnea and depilation; out of 29 cases, 8 died while 2 were slaughtered. Clinical studies have disclosed that the symptoms were similar to those found in cases of mercury poisoning as described by others. So the animals' feed was suspected of being the cause of the sickness. It was confirmed that the incident was due to poisoning resulting from ingestion of linseed meal treated with a mercurial fungicide. From the results of the testing anamnesis, it was found that 171 cattle were fed with the meal and 29 cases were affected. In veiw of the wide use of mercurial preparations for treating seed grains against fungi infection, a further experimental study was made on the effects of the feed and fungicide upon calves.

  11. Carbon monoxide poisoning (acute)

    Olson, Kent; Smollin, Craig

    2010-01-01

    The main symptoms of carbon monoxide poisoning are non-specific in nature and relate to effects on the brain and heart. The symptoms correlate poorly with serum carboxyhaemoglobin levels. People with comorbidity, elderly or very young people, and pregnant women are most susceptible.Carbon monoxide is produced by the incomplete combustion of carbon fuels, including inadequately ventilated heaters and car exhausts, or from chemicals such as methylene chloride paint stripper.Poisoning is cons...

  12. Neurology of acute organophosphate poisoning

    Singh Gagandeep

    2009-01-01

    Full Text Available Acute organophosphate (OP poisoning is one of the most common poisonings in emergency medicine and toxicological practice in some of the less-developed nations in South Asia. Traditionally, OP poisoning comes under the domain of emergency physicians, internists, intensivists, and toxicologists. However, some of the complications following OP poisoning are neurological and involve neurologists. The pathophysiological basis for the clinical manifestations of OP poisoning is inactivation of the enzyme, acetylcholinesterase at the peripheral nicotinic and muscarinic and central nervous system (CNS nerve terminals and junctions. Nicotinic manifestations occur in severe cases and late in the course; these comprise of fasciculations and neuromuscular paralysis. There is a good correlation between the electrophysiological abnormalities and the severity of the clinical manifestations. Neurophysiological abnormalities characteristic of nicotinic junctions (mainly neuromuscular junction dysfunction include: (1 single, supramaximal electrical-stimulus-induced repetitive response/s, (2 decrement-increment response to high frequency (30 Hz repetitive nerve stimulation (RNS, and (3 decremental response to high frequency (30 Hz RNS. Atropine ameliorates muscarinic manifestations. Therapeutic agents that can ameliorate nicotinic manifestations, mainly neuromuscular, are oximes. However, the evidence for this effect is inconclusive. This may be due to the fact that there are several factors that determine the therapeutic effect of oximes. These factors include: The OP compound responsible for poisoning, duration of poisoning, severity of poisoning, and route of exposure. There is also a need to study the effect of oximes on the neurophysiological abnormalities.

  13. Pulmonary edema in acute carbon monoxide poisoning

    Acute carbon monoxide poisoning has frequently occurred in Korean, because of the coal briquette being widely used as fuel in Korean residences. Carbon monoxide poisoning has been extensively studied, but it has been sparsely reported that pulmonary edema may develop in acute CO poisoning. We have noticed nine cases of pulmonary edema in acute CO poisoning last year. Other possible causes of pulmonary edema could be exclude in all cases but one. The purpose of this paper is to describe nine cases of pulmonary edema complicated in acute CO poisoning and discuss the pathogenesis and the prognosis

  14. Organophosphorus poisoning (acute)

    Eddleston, Michael; Singh, Surjit; Buckley, Nick

    2007-01-01

    Acetylcholinesterase inhibition by organophosphorus pesticides or nerve gases can cause acute parasympathetic system dysfunction, muscle weakness, seizures, coma, and respiratory failure. Prognosis depends on the dose and relative toxicity of the specific compound, as well as pharmacokinetic factors.

  15. Organophosphorus poisoning (acute)

    Blain, Peter G

    2011-01-01

    Acetylcholinesterase inhibition by organophosphorus pesticides or organophosphate nerve agents can cause acute parasympathetic system dysfunction, muscle weakness, seizures, coma, and respiratory failure. Prognosis depends on the dose and relative toxicity of the specific compound, as well as pharmacokinetic factors.

  16. Self poisoning in the home by mercury and its compounds

    Mercury poisoning can take place in the home. The metal may be present as a toy and the compounds as medicines or cosmetics. Unfortunately these materials are considered to be harmless and the victims do not connect the symptoms of poisoning (if recognised as such) with them. The tissue mercury levels are similar to those found in industrial exposure and as with them no relationship between symptoms and tissue concentrations can be found. (author)

  17. Profile of acute mixed organophosphorus poisoning.

    Thunga, Girish; Sam, Kishore Gnana; Khera, Kanav; Xavier, Vidya; Verma, Murlidhar

    2009-06-01

    Organophosphorus (OP) pesticide self-poisoning is a major clinical and public health problem across much of rural Asia and responsible for two thirds of suicidal deaths. However, clinical reports or evidence for the management of mixed poisoning are lacking. Patients are often treated based on the type of symptoms they exhibit, and there are no specific guidelines available to treat mixed poisoning. In this case series, we report 3 acute OP poisoning cases with mixed poisons such as organochlorine, fungicide, copper sulfate, and kerosene. All 3 patients were treated successfully, with a greater focus on OP poisoning with pralidoxime and atropine infusion along with standard decontamination procedures. Because patients developed complications due to the concomitant poisons ingested, they were later treated symptomatically, and in one case, D-penicillamine was administered as antidote for copper poisoning. Mixed poisoning especially with OP compounds makes the diagnosis difficult because the clinical symptoms of OP predominate, whereas damage produced by other pesticides is late to develop and often neglected. Common treatment procedures are focused mainly on the OP poisoning ignoring the complications of other concomitant pesticides ingested. Treating physicians should be prepared and consider the possibility of mixed poisoning prevalent in that region before initiating therapy. PMID:19497478

  18. Mercury poisoning in two 13-year-old twin sisters

    Ezzat Khodashenas

    2015-01-01

    Full Text Available Mercury (Hg is a toxic agent that evaporates in room temperature and its inhalation may cause poisoning. Due to the nonspecific symptoms, diagnosis is difficult in special circumstances with no initial history of Hg exposure. We report two such cases of Hg poisoning. The patients were two sisters, presenting with pain in extremities, itchy rashes, sweating, salivation, weakness, and mood changes. They have used a compound that contains mercury, for treatment of pedicullosis three months before admission. This compound was purchased from a herbal shop and was applied locally on the scalps for 2 days. Their urinary mercury concentrations were 50 and 70 mg/L. They were successfully treated by D-penicillamine and gabapentin. In a patient with any kind of bone and joint pain, skin rash erythema and peripheral neuropathy, mercury poisoning should be considered as a differential diagnosis.

  19. Delayed encephalopathy after acute carbon monoxide poisoning

    Mehmet İbrahim Turan

    2014-03-01

    Full Text Available Carbon monoxide poisoning is a major cause of death following attempted suicide and accidental exposures. Although clinical presentation depends on the duration and the intensity of exposure, the assessment of the severity of intoxication is difficult. A small percentage of patients who show complete initial recovery may develop delayed neurological deficits. Delayed encephalopathy after acute carbon monoxide poisoning is a rare and poor prognosis neurologic disorders and there is no specific treatment. We present a case with early onset of delayed encephalopathy after acute carbon monoxide poisoning with typical cranial imaging findings in a child with atypical history and clinical presentation.

  20. Severe chorea after acute carbon monoxide poisoning.

    Davous, P; Rondot, P; Marion, M H; Gueguen, B

    1986-01-01

    Ten days after an acute exposure to carbon monoxide, a 33-year-old woman exhibited severe chorea. CT scan revealed bilateral lucencies of the pallidum and anterior arm of the internal capsule. Chorea was successfully treated by chlorpromazine and did not relapse after treatment withdrawal. The mechanism of chorea in acute carbon monoxide poisoning is discussed.

  1. Delayed encephalopathy after acute carbon monoxide poisoning

    Mehmet İbrahim Turan; Atilla Çayır; Haşim Olgun

    2014-01-01

    Carbon monoxide poisoning is a major cause of death following attempted suicide and accidental exposures. Although clinical presentation depends on the duration and the intensity of exposure, the assessment of the severity of intoxication is difficult. A small percentage of patients who show complete initial recovery may develop delayed neurological deficits. Delayed encephalopathy after acute carbon monoxide poisoning is a rare and poor prognosis neurologic disorders and there is no specific...

  2. [Acute poisoning by pesticides in children].

    Leveau, P

    2016-07-01

    Acute pesticide poisoning in children is rare but potentially serious. Some clinical patterns (toxidromes) are suggestive of the drug class: cholinergic crisis for organophosphate or carbamate insecticides; neurological syndrome for rodenticides; digestive and respiratory syndrome for herbicides. Treatment is symptomatic and only a few patients are treated with an antidote: atropine and pralidoxime for organophosphate insecticides, vitamin K for anticoagulant rodenticides. PMID:27266642

  3. Review of treatment and nursing of mercury poisoning%汞中毒治疗及护理综述

    唐芸

    2015-01-01

    In this paper, the conventional treatment of acute and chronic mercury poisoning and daily care are reviewed, and puts forward measures on how to prevent.%本文就急性及慢性汞中毒的常规治疗及日常护理进行了综述,并就如何预防提出了措施.

  4. Acute Poisoning in Children in Bahia, Brazil.

    Rodrigues Mendonça, Dilton; Menezes, Marta Silva; Matos, Marcos Antônio Almeida; Rebouças, Daniel Santos; Filho, Jucelino Nery da Conceição; de Assis, Reginara Souza; Carneiro, Leila

    2016-01-01

    Acute poisoning is a frequent accident in childhood, particularly in children under 4 years of age. This was a descriptive study with data collected from standardized forms of the Poison Control Center and patient record charts. All the cases of acute poisoning in children aged 0 to 14 years during the period 2008 to 2012 were selected. The variables studied comprised characteristics of the events and toxic agents, clinical development, and outcome. A total of 657 cases of acute poisoning, with higher frequency in the age-group from 1 to 4 years (48.7%) and male sex (53.4%), were recorded. The occurrences were accidental in 92% of the cases, and 5.8% were due to suicide attempts. Among the toxic agents, medications (28.5%), venomous animals (19.3%), nonvenomous animals (10%), household cleaning products (9.0%), and raticide agents (8.7%) predominated. The majority of cases were characterized as light (73.5%) and around 18% required hospitalization, and there was low lethality (0.5%). PMID:27335994

  5. Acute Poisoning in Children in Bahia, Brazil

    Rodrigues Mendonça, Dilton; Menezes, Marta Silva; Matos, Marcos Antônio Almeida; Rebouças, Daniel Santos; Filho, Jucelino Nery da Conceição; de Assis, Reginara Souza; Carneiro, Leila

    2016-01-01

    Acute poisoning is a frequent accident in childhood, particularly in children under 4 years of age. This was a descriptive study with data collected from standardized forms of the Poison Control Center and patient record charts. All the cases of acute poisoning in children aged 0 to 14 years during the period 2008 to 2012 were selected. The variables studied comprised characteristics of the events and toxic agents, clinical development, and outcome. A total of 657 cases of acute poisoning, with higher frequency in the age-group from 1 to 4 years (48.7%) and male sex (53.4%), were recorded. The occurrences were accidental in 92% of the cases, and 5.8% were due to suicide attempts. Among the toxic agents, medications (28.5%), venomous animals (19.3%), nonvenomous animals (10%), household cleaning products (9.0%), and raticide agents (8.7%) predominated. The majority of cases were characterized as light (73.5%) and around 18% required hospitalization, and there was low lethality (0.5%). PMID:27335994

  6. Mercury in food products. 2. Methyl mercury poisoning by eating game birds

    Berglund, F.; Nilsson, G.

    1967-01-01

    Case histories were of 11 persons who have eaten considerable quantities of game birds and were suspected to have been affected by methyl mercury poisoning. No objective findings were found to support this diagnosis, which however could not be completely disregarded in this case. Present use of methoxiethyl mercury should completely exclude the risk of methyl mercury absorption by eating game birds. This is the second article in Laekartid-ningen in a series of articles about the problems connected with the presence of mercury in food products.

  7. ONE CASE REPORT OF ACUTE POISONING BY BARIUM CARBONATE

    GE Qin-min; BIAN Fan; WANG Shu-yun; SHEN Sheng-hui

    2009-01-01

    @@ Most barium poisoning cases were caused by oral intake by mistake. Recent years, barium carbonate poisoning has been rare to be reported. Here we reported a case of acute barium carbonate toxication taken orally on purpose.

  8. The Profile of Acute Poisonings in South East of Turkey

    Davut Akın; Yekta Tüzün; Timuçin Çil

    2007-01-01

    The aim of this prospective study was to analyze the rate characteristics of acute poisonning adults admitted to Departments emergency and hospitalized in Department of internal medicineAll cases of acute poisoning admitted to Dicle University Hospital, between, 2005 and 2006, were included in study. Clinical, laboratory, and demographic characteristics, type of poison and patient’s outcomes were recorded.Eighty poisoning cases included in the study. The mean age was 23±8 years and the majori...

  9. Acute organophosphorus poisoning complicated by acute coronary syndrome.

    Pankaj, Madhu; Krishna, Kavita

    2014-07-01

    We report a case of 30 year old alcoholic male admitted with vomiting, drowsiness, limb weakness and fasciculations after alleged history of consumption of 30 ml of chlorpyriphos insecticide. He had low serum cholinesterase levels. With standard treatment for organophosphorus poisoning (OPP), he improved gradually until day 5, when he developed neck and limb weakness and respiratory distress. This intermediate syndrome was treated with oximes, atropine and artificial ventilation. During treatment, his ECG showed fresh changes of ST elevation. High CPK & CPK-MB levels, septal hypokinesia on 2D echo suggested acute coronary syndrome. Coronary angiography was postponed due to his bedridden and obtunded status. The patient finally recovered fully by day 15 and was discharged. Acute coronary syndrome is a rare occurrence in OP poisoning. The present case thus emphasises the need for careful electrocardiographic and enzymatic monitoring of all patients of organophosphorus poisoning to prevent potential cardiac complication which can prove fatal. PMID:25672037

  10. HYPERTENSIVE ENCEPHALOPATHY INDUCED BY MERCURY POISONING; A REPORT OF 3 CASES (IN AN IRANIAN FAMILY)

    M. Sharifian MD; M. Noorisafa MD; M. Kiahosseini MD

    2007-01-01

    ObjectiveMercury poisoning is one of the important recent causes of mortality and mortality in children worldwide, particularly in industrial environments; mercury is a poisonous metal, especially harmful to the nervous and immune systems and the kidneys and can even be fatal. Elemental mercury is present in thermometers, barometer batteries, sphygmomanometers and latex paints.Inorganic mercury salts are found in antiseptics, pesticides, pigments and explosives and are used as preservatives i...

  11. Gastric lavage in patients with acute poisoning

    Montserrat Amigó Tadín

    2012-05-01

    Full Text Available Acute poisonings are a frequent complaint in emergency departments and therapy which prevents the absorption of toxic products taken orally is often indicated: one such option is gastric lavage. Gastric lavage is a digestive decontamination technique whose goal is to remove the maximum amount of poison from the stomach and prevent its absorption. The procedure involves inserting a gastric tube into the stomach through the mouth or nose; firstly to aspirate all the stomach contents and then to perform gastric washing manoeuvres. The effectiveness of gastric lavage is limited and involves a risk of iatrogenesis, and therefore the indications and contraindications should be carefully considered and the technique carried out meticulously to increase its effectiveness and reduce complications, primarily bronchoaspiration. Gastric lavage may be used in conjunction with other digestive decontamination techniques such as administration of activated charcoal. This gastric lavage protocol is based on a review of the literature on this procedure and is supported by the expertise of our research group in gastrointestinal decontamination techniques in patients with acute poisoning.

  12. Acute arsenic poisoning in two siblings.

    Lai, Melisa W; Boyer, Edward W; Kleinman, Monica E; Rodig, Nancy M; Ewald, Michele Burns

    2005-07-01

    We report a case series of acute arsenic poisoning of 2 siblings, a 4-month-old male infant and his 2-year-old sister. Each child ingested solubilized inorganic arsenic from an outdated pesticide that was misidentified as spring water. The 4-month-old child ingested a dose of arsenic that was lethal despite extraordinary attempts at arsenic removal, including chelation therapy, extracorporeal membrane oxygenation, exchange transfusion, and hemodialysis. The 2-year-old fared well with conventional therapy. PMID:15995066

  13. Cortical blindness in acute carbon monoxide poisoning.

    Katafuchi, Y; Nishimi, T; Yamaguchi, Y; Matsuishi, T; Kimura, Y; Otaki, E; Yamashita, Y

    1985-01-01

    A 3-year-old boy had persistent cortical blindness following acute carbon monoxide poisoning. He was believed to have suffered anoxic brain damage due to incomplete combustion of the briquette-type solid fuel. Computed tomographic (CT) scan of the brain and visual evoked potentials (VEP) in the early stage were normal. However, on the 20th hospital day CT scan showed leukomalacia and VEP showed an absence of N1-, and P1-waves which was well correlated with the clinical feature at that time. PMID:4083389

  14. Acute Anterolateral Myocardial Infarction Due to Aluminum Phosphide Poisoning

    Bita Dadpour; Zohre Oghabian

    2013-01-01

    Aluminum phosphide (AlP) is a highly effective rodenticide which is used as a suicide poison. Herein, a 24 year-old man who’d intentionally ingested about 1liter of alcohol and one tablet of AlP is reported. Acute myocardial infarction due to AlP poisoning has been occurred secondary to AIP poisoning. Cardiovascular complications are poor prognostic factors in AlP poisoning

  15. Acute Anterolateral Myocardial Infarction Due to Aluminum Phosphide Poisoning

    Bita Dadpour

    2013-08-01

    Full Text Available Aluminum phosphide (AlP is a highly effective rodenticide which is used as a suicide poison. Herein, a 24 year-old man who’d intentionally ingested about 1liter of alcohol and one tablet of AlP is reported. Acute myocardial infarction due to AlP poisoning has been occurred secondary to AIP poisoning. Cardiovascular complications are poor prognostic factors in AlP poisoning

  16. Evaluation of the chelating action of methicillin in prolonged experimental metallic mercury poisoning.

    Lyle, W H

    1986-01-01

    Studies were conducted to measure the effect of methicillin on the urinary excretion of mercury in rabbits poisoned for three months by mercury vapour. Simultaneously, studies were done to compare the quantity of eliminated mercury after treatment with methicillin or penicillamine (Cuprenil). The results show that the urinary excretion of mercury in animals treated with either drug was clearly greater than in untreated controls. Furthermore, the quantity of eliminated mercury after treatment ...

  17. Acute Pancreatitis Caused By Mushroom Poisoning

    Karahan, Samet; Erden, Abdulsamet; Cetinkaya, Ali; Avci, Deniz; Ortakoyluoglu, Adile Irfan; Karagoz, Hatice; Bulut, Kadir; Basak, Mustafa

    2016-01-01

    Of the more than 5000 species of mushrooms known, 100 types are toxic and approximately 10% of these toxic types can cause fatal toxicity. A type of mushroom called Amanita phalloides is responsible for 95% of toxic mushroom poisonings. In this article, we report 2 cases of mushroom poisonings caused by Lactarius volemus, known as Tirmit by the local people. The patient and his wife were admitted to the emergency room with abdominal pain, nausea, and vomiting 20 hours after consuming Lactarius volemus, an edible type of mushroom. The patients reported that they had been collecting this mushroom from the mountains and eating them for several years but had never developed any clinicopathology to date. Further examination of the patients revealed a very rare case of acute pancreatitis due to mushroom intoxication. The male patient was admitted to the intensive care unit while his wife was followed in the internal medicine service, because of her relative mild clinical symptoms. Both patients recovered without sequelae and were discharged. In this article, we aimed to emphasize that gastrointestinal symptoms are often observed in mushroom intoxications and can be confused with acute pancreatitis, thus leading to misdiagnosis of patients. Early diagnosis and appropriate treatment can improve patients’ prognosis and prevent the development of complications. PMID:26835473

  18. Elemental mercury poisoning caused by subcutaneous and intravenous injection: An unusual self-injury

    Elemental mercury poisoning most commonly occurs through vapor inhalation as mercury is well absorbed through the lungs. Administering subcutaneous and intravenous elemental mercury is very uncommon but with only a few isolated case reports in the literature. We present an unusual case of elemental mercury poisoning in a 20-year-old young male who presented with chest pain, fever, and hemoptysis. He had injected himself subcutaneously with elemental mercury obtained from a sphygmomanometer. The typical radiographic findings in the chest, forearm, and abdomen are discussed, with a review of the literature

  19. Clinico-morphological changes and diagnosis of animal poisoning with mercury preparations

    Tishkov, A.I.

    1976-01-01

    This paper examines animal poisoning with mercury compounds used to dress seeds. Chickens, guinea pigs, and mice were fed plants grown from seeds dressed with mercury compounds. The chickens exhibited stomatitis, pharyngitis, esophagitis, and leukocytosis. The guinea pigs and mice exhibited a biological accumulation of mercury.

  20. Pre-hospital treatment of acute poisonings in Oslo

    Nore Anne K; Bjornaas Mari A; Hovda Knut E; Heyerdahl Fridtjof; Figueiredo Jose CP; Ekeberg Oivind; Jacobsen Dag

    2008-01-01

    Background Poisoned patients are often treated in and discharged from pre-hospital health care settings. Studies of poisonings should therefore not only include hospitalized patients. Aims: To describe the acutely poisoned patients treated by ambulance personnel and in an outpatient clinic; compare patients transferred to a higher treatment level with those discharged without transfer; and study the one-week mortality after pre-hospital discharge. ...

  1. The Profile of Acute Poisonings in South East of Turkey

    Davut Akın

    2007-01-01

    Full Text Available The aim of this prospective study was to analyze the rate characteristics of acute poisonning adults admitted to Departments emergency and hospitalized in Department of internal medicineAll cases of acute poisoning admitted to Dicle University Hospital, between, 2005 and 2006, were included in study. Clinical, laboratory, and demographic characteristics, type of poison and patient’s outcomes were recorded.Eighty poisoning cases included in the study. The mean age was 23±8 years and the majority of the patients (75% were in 15-25 years of ages. 85% of acute poisonings were self-inflicted. Medical drugs overdose were the major cause (62.5% of intoxication followed by agricultural chemicals (35%. The most frequently involved medicinal drugs were psychiatric drugs (20% and paracetamol (17.5%. There was a high rate of suicides attemp in groups of young singles, females, crowded families, patients with low education status, and patient living in cities.

  2. Acute carbon monoxide poisoning alters hemorheological parameters in human.

    Ozturk, Baris; Arihan, Okan; Coskun, Figen; Dikmenoglu-Falkmarken, Neslihan H

    2016-01-01

    Acute carbon monoxide (CO) poisoning seriously hinders oxygen delivery to tissues. This harmful effect of CO may be aggravated by accompanying changes in the viscosity of blood. We had previously reported increased plasma viscosity in people chronically exposed to CO. This study was planned to test our hypothesis that acute CO poisoning increases blood viscosity. For this purpose four main parameters contributing to blood viscosity - hematocrit, erythrocyte deformability, erythrocyte aggregation and plasma viscosity - were determined in patients with acute CO poisoning and compared with healthy controls. Plasma viscosity and erythrocyte aggregation tendency were lower in the CO group (p <  0.05). Erythrocyte deformability was also lower in CO group (p <  0.05). Our results indicate that acute CO poisoning has diverse effects on hemorheological parameters such as attenuating hematocrit value, plasma viscosity, erythrocyte aggregation tendency and erythrocyte deformability. PMID:25536918

  3. Public Health Department Response to Mercury Poisoning: The Importance of Biomarkers and Risks and Benefits Analysis for Chelation Therapy

    McKay, Charles A.

    2013-01-01

    Chelation therapy is often used to treat mercury poisoning. Public health personnel are often asked about mercury toxicity and its treatment. This paper provides a public health department response to use of a mercury-containing cosmetic in Minnesota, a perspective on two unpublished cases of chelation treatment for postulated mercury toxicity, and comments on the use of a nonsystemic treatment for removal of mercury following the Iraqi seed coat poisoning incident. Physicians should evaluate...

  4. Emergency care outcomes of acute chemical poisoning cases in Rawalpindi

    Ibrar Rafique; Umbreen Akhtar; Umar Farooq; Mussadiq Khan; Junaid Ahmad Bhatti

    2016-01-01

    Objective: To assess the emergency care outcomes of acute chemical poisoning cases in tertiary care settings in Rawalpindi, Pakistan. Methods: The data were extracted from an injury surveillance study conducted in the emergency departments (ED) of three tertiary care hospitals of Rawalpindi city from July 2007 to June 2008. The World Health Organization standard reporting questionnaire (one page) was used for recording information. Associations of patients' characteristics with ED care outcomes, i.e., admitted vs. discharged were assessed using logistic regression models. Results: Of 62 530 injury cases reported, chemical poisoning was identified in 434 (0.7%) cases. The most frequent patient characteristics were poisoning at home (61.9%), male gender (58.6%), involving self-harm (46.0%), and youth aged 20–29 years (43.3%). Over two-thirds of acute poisoning cases (69.0%) were admitted. Acute poisoning cases were more likely to be admitted if they were youth aged 10–19 years [odds ratio (OR)=4.41], when the poisoning occurred at home (OR=21.84), and was related to self-harm (OR=18.73) or assault (OR=7.56). Conclusions: Findings suggest that controlling access of poisonous substances in youth and at homes might reduce related ED care burden. Safety promotion agencies and emergency physicians can use these findings to develop safety messages.

  5. Methylmercury poisoning

    ... containing mercury are poisonous. Methylmercury is a very poisonous form of mercury. It forms when bacteria react with mercury in water, soil, or plants. It has been used to preserve grain that ...

  6. Respiratory Failure in Acute Organophosphorus Pesticide Self-Poisoning

    Eddleston, Michael; Mohamed, Fahim; Davies, James OJ; Eyer, Peter; Worek, Franz; Sheriff, Mh Rezvi; Buckley, Nick A.

    2006-01-01

    Background: Acute organophosphorus (OP) pesticide poisoning is a major clinical problem in the developing world. Textbooks ascribe most deaths to respiratory failure occurring in one of two distinct clinical syndromes - acute cholinergic respiratory failure or the intermediate syndrome. The delayed failure appears to be due to respiratory muscle weakness, but its pathophysiology is not yet clear.

  7. Current approaches of the management of mercury poisoning: need of the hour.

    Rafati-Rahimzadeh, Mehrdad; Rafati-Rahimzadeh, Mehravar; Kazemi, Sohrab; Moghadamnia, Ali Akbar

    2014-01-01

    Mercury poisoning cases have been reported in many parts of the world, resulting in many deaths every year. Mercury compounds are classified in different chemical types such as elemental, inorganic and organic forms. Long term exposure to mercury compounds from different sources e.g. water, food, soil and air lead to toxic effects on cardiovascular, pulmonary, urinary, gastrointestinal, neurological systems and skin. Mercury level can be measured in plasma, urine, feces and hair samples. Urinary concentration is a good indicator of poisoning of elemental and inorganic mercury, but organic mercury (e.g. methyl mercury) can be detected easily in feces. Gold nanoparticles (AuNPs) are a rapid, cheap and sensitive method for detection of thymine bound mercuric ions. Silver nanoparticles are used as a sensitive detector of low concentration Hg2+ ions in homogeneous aqueous solutions. Besides supportive therapy, British anti lewisite, dimercaprol (BAL), 2,3-dimercaptosuccinic acid (DMSA. succimer) and dimercaptopropanesulfoxid acid (DMPS) are currently used as chelating agents in mercury poisoning. Natural biologic scavengers such as algae, azolla and other aquatic plants possess the ability to uptake mercury traces from the environment. PMID:24888360

  8. Acute Pancreatitis Caused By Mushroom Poisoning

    Karahan, Samet; Erden, Abdulsamet; Cetinkaya, Ali; Avci, Deniz; Ortakoyluoglu, Adile Irfan; Karagoz, Hatice; BULUT, Kadir; Basak, Mustafa

    2016-01-01

    Of the more than 5000 species of mushrooms known, 100 types are toxic and approximately 10% of these toxic types can cause fatal toxicity. A type of mushroom called Amanita phalloides is responsible for 95% of toxic mushroom poisonings. In this article, we report 2 cases of mushroom poisonings caused by Lactarius volemus, known as Tirmit by the local people. The patient and his wife were admitted to the emergency room with abdominal pain, nausea, and vomiting 20 hours after consuming Lactariu...

  9. A CLINICAL PROFILE OF ACUTE POISONING

    Vaddadi

    2015-04-01

    Full Text Available 100 patients were studied to know the common poisons, age, sex, clinical manifestations, response to treatment, motive behind the consumption and prognostic factors. Out of 100 cases, most of them committed this with suicidal intention, 21 - 30 age group, males, insecticide poison consumed were affected. 70% of them had domestic problems as the main reason to commit this extreme step. Those who reached early to the hospital had recovered well with a mortality rate of 7%.

  10. CLINICAL STUDY OF ACUTE POISONING: A RETROSPECTIVE STUDY

    Praveen

    2014-11-01

    Full Text Available : OBJECTIVES: To determine the common agents, clinical features and outcomes of acute poisoning. MATERIALS AND METHODS: A retrospective study of patients of acute poisoning of more than 14 years age admitted through emergency with a history of intentional, self-inflicted and suicidal poisoning in SRMS-IMS from Jan 2010 to Dec 2012. RESULTS: A total of 58 cases were included with a common age of affection 16 to 25 years and male to female ratio 1.63: 1. Poisoning cases occur throughout the year with maximum prevalence in May and minimum in June. Organophosphorus was the most common poison followed by aluminium phosphide. Vomiting was the most common symptoms followed by altered sensorium. 70.68% patients were discharged, 20.68% expired and 8.62% left against medical advice. Aluminium phosphide was the most common toxin consumed by dead patients. CONCLUSION: Acute poisoning is commonly affecting young population and is caused by variety of toxin. High mortality is associated with aluminum phosphide.

  11. HYPERTENSIVE ENCEPHALOPATHY INDUCED BY MERCURY POISONING; A REPORT OF 3 CASES (IN AN IRANIAN FAMILY

    M. Sharifian MD

    2009-01-01

    Full Text Available ObjectiveMercury poisoning is one of the important recent causes of mortality and mortality in children worldwide, particularly in industrial environments; mercury is a poisonous metal, especially harmful to the nervous and immune systems and the kidneys and can even be fatal. Elemental mercury is present in thermometers, barometer batteries, sphygmomanometers and latex paints.Inorganic mercury salts are found in antiseptics, pesticides, pigments and explosives and are used as preservatives in medicine. Mercury was once used to stop fever, and this worked because the immune system was so weakened that it could no longer sustain the attack for which the fever was created. Some medical drugs still contain mercury chloride and mercurous chloride and certain forms of mercury are still used in some laxatives. Mercury toxicity of the nervous system causes anorexia, ataxia, lack of ability to coordinate voluntary muscle movements, dementia, depression, dizziness, emotional instability, erethism (abnormal irritability in response to stimulation, incoordination, insomnia, irritability, loss of ability to speak, memory impairment, numbness, saresthesias (sensation of prickling, tingling or creeping on the skin, psychosis, tremors, drowsiness, fatigue and weakness.Other organ damages include kidney failure, headaches, hearing impairment, visual impairment, hypertension, dermatitis, digestive tract problems, colitis, diarrhea, stomatitis and excessive salivation, loss of teeth, metallic taste, chromosomal damage, birth defects and ensuing organ failure. Chronic mercury poisoning can cause Acrodynia (Pink disease. Mercury poisoning is a rare cause of hypertension in children. Herein we report 3 cases, the first a child with hypertensive encephalopathy due to severe mercury poisoning and his two siblings with moderate symptoms.Case reportA 10 year old boy was admitted in psychiatric ward of Imam Hossein Hospital with behavioral disorder, irritability, mood

  12. Acute Pancreatitis in the Course of Meprobamate Poisoning

    Neila Fathallah

    2011-07-01

    Full Text Available Context We report a case of massive poisoning with meprobamate leading to acute pancreatitis. Case report A 43-year-old patient with a history of schizophrenia and multiple suicide attempts was admitted to the intensive care unit for severe poisoning with meprobamate (voluntary ingestion of 60 g. On admission, the patient was deeply comatose with low blood pressure and hypothermia. Laboratory analysis revealed leukocytosis and high lipase and amylase serum levels. There was no eosinophilia. Abdominal computed tomography showed pancreatitis grade A. The patient was intubated and ventilated, and intravenous dopamine was infused. The patient regained consciousness and was extubated five days later. Improvement in pancreatic tests was noted several days later. The outcome was favorable. Discussion According to the Naranjo probability scale, meprobamate-induced acute pancreatitis was probable. Acute pancreatitis in meprobamate poisoning is exceptional. The pathogenesis of pancreatitis-induced meprobamate poisoning may be explained by two mechanisms: stimulation of pancreatic secretion secondary to cholinergic activation and pancreatic ductal hypertension. Conclusions The signs of severe meprobamate toxicity are numerous including cardiovascular and central nervous symptoms. Acute pancreatitis should also be added as a possible manifestation of meprobamate poisoning.

  13. Spectrum of Acute Pharmaceutical and Chemical Poisoning in Northern Bangladesh

    Devendranath Sarkar

    2013-03-01

    Full Text Available Background: Acute poisoning is a major public health problem in Bangladesh. It is a common method for suicide. A clear picture regarding clinical presentation, most commonly used toxic agents, background factors and outcome of poisoned patients is necessary in every region. The aim of this study was to investigate frequency and outcome of acute pharmaceutical and chemical poisoning cases in Northern Bangladesh. Methods: This was a retrospective descriptive study on poisoned patients with 18 years of age and above who were admitted to Rangpur Medical College Hospital during 1st December 2011 to 30th November 2012. Results: During the study period, a total of 956 patients were investigated. Males slightly outnumbered females (51.6%. The majority of patients (92% were in the 18-40 year age-group. Regarding occupation, housewives were the most frequent (33.6% followed by farmers (31.7% and students (20.9%. Organophosphate compounds (OPC were the most commonly used toxic agents (73.5%. Most of poisoning cases occurred following suicidal attempts (88%. Familial disharmony was the main cause of suicidal attempts (92.3%. Univariate Analysis showed that age less than 40 years, being married, living in rural areas and educational attainment below secondary level were significantly associated with an increased risk of poisoning (P

  14. Pre-hospital treatment of acute poisonings in Oslo

    Nore Anne K

    2008-11-01

    Full Text Available Abstract Background Poisoned patients are often treated in and discharged from pre-hospital health care settings. Studies of poisonings should therefore not only include hospitalized patients. Aims: To describe the acutely poisoned patients treated by ambulance personnel and in an outpatient clinic; compare patients transferred to a higher treatment level with those discharged without transfer; and study the one-week mortality after pre-hospital discharge. Methods A one-year multi-centre study with prospective inclusion of all acutely poisoned patients ≥ 16 years of age treated in ambulances, an outpatient clinic, and hospitals in Oslo. Results A total of 3757 health service contacts from 2997 poisoning episodes were recorded: 1860 were treated in ambulances, of which 15 died and 750 (40% were discharged without transfer; 956 were treated in outpatient clinic, of which 801 (84% were discharged without transfer; and 941 episodes were treated in hospitals. Patients discharged alive after ambulance treatment were mainly poisoned by opiates (70%, were frequently comatose (35%, had respiratory depression (37%, and many received naloxone (49%. The majority of the patients discharged from the outpatient clinic were poisoned by ethanol (55%, fewer were comatose (10%, and they rarely had respiratory depression (4%. Among the hospitalized, pharmaceutical poisonings were most common (58%, 23% were comatose, and 7% had respiratory depression. Male patients comprised 69% of the pre-hospital discharges, but only 46% of the hospitalized patients. Except for one patient, who died of a new heroin overdose two days following discharge from an ambulance, there were no deaths during the first week after the poisonings in the 90% of the pre-hospital discharged patients with known identity. Conclusion More than half of the poisoned patients treated in pre-hospital treatment settings were discharged without transfer to higher levels. These poisonings were more often

  15. Cardiovascular Effects of Acute Organophosphate Poisoning

    Shankar Laudari

    2014-06-01

    Conclusion:Cardiac effects of OP poisoning can be life-threatening. Prompt diagnosis, early supportive and definitive therapies with atropine and oximes along with vigilant monitoring of the patients for prominent cardiac effects such as QT prolongation, VT or VF during hospital stay can definitely save lives of the victims.

  16. Profile of acute poisoning in three health districts of Botswana

    Mary Kasule

    2009-04-01

    Full Text Available Background: This study sought to characterise acute poisoning cases seen in three health districts of Botswana.Method: A retrospective review of patients’ records was conducted and included patients treated from January 2004 to December 2005. Data on the demographic status of the patients, information about the poisonous agent(s involved, and the circumstances and outcomes of the poisoning incidents were recorded on a pre-tested data collection form.Results: A total of 590 cases of acute poisoning were included in the analysis. The most affected age category was that of children aged less than six years, who constituted 33.4% of the cases. Most incidents were recorded in the urban district of Gaborone. Seventy-eight percent (78% of the incidents were accidental, with the remainder being intentional. The poisonous agents involved were pharmaceuticals (26.6%, natural toxins (25.6%, household products (14.6%, foods (14.4%, alcohol (6.9%, traditional medicines (4.7%, unspecified agents (3.2%, and agrochemicals (2.7%. The most common route of poison exposure was by oral (82.2%, followed by dermal contact (16.5%, while the inhalation of gases occurred in 1.2% of cases. An incidence rate of 4.7/1000, a case fatality rate of 3.8/100, and 1.5% of deaths were recorded over the two-year period.Conclusion: In conclusion, it can be stated that acute poisoning involved mainly young children and resulted in an incidence rate of 4.7/1000, a case fatality rate of 3.8/100, and 1.5% of deaths over the two-year period. There were differences based on age category, gender and residence of the victims, the types of toxic agents involved, as well as the circumstances and the outcomes of the poisoning incidents. Given the fact that pharmaceuticals, natural toxins, household products and foods were the agents most commonly involved, targeted interventions should take these differences into account in addressing the problem of acute poisoning.

  17. Acute myocardial infarction: Can it be a complication of acute organophosphorus compound poisoning?

    Joshi, P.; P Manoria; Joseph, D., T.; Z Gandhi

    2013-01-01

    Organophosphorus compounds are used as pesticides and represent a common cause of poisoning in developing countries including India due to their widespread availability and use. Toxicity due to these agents can affect many organs including heart. Here, we report a case of acute organophosphorus poisoning (parathion), followed by acute myocardial infarction; documented by clinical features, electrocardiographic changes, and elevated cardiac enzymes. Myocardial infarction has been rarely report...

  18. Acute aluminium phosphide poisoning, what is new?

    Yatendra Singh

    2014-01-01

    Full Text Available Aluminium phosphide (AlP is a cheap solid fumigant and a highly toxic pesticide that is commonly used for grain preservation. AlP has currently generated interest with increasing number of cases in the past four decades because of its increased use for agricultural and nonagricultural purposes, and also its easy availability in the markets has led to its increased misuse to commit suicide. Ingestion is usually suicidal in intent, uncommonly accidental and rarely homicidal. The poison affects all systems, shock, cardiac arrhythmias with varied ECG changes and gastrointestinal features being the most prominent. Diagnosis is made on the basis of clinical suspicion, a positive silver nitrate paper test to phosphine, and gastric aspirate and viscera biochemistry. Treatment includes early gastric lavage with potassium permanganate or a combination of coconut oil and sodium bicarbonate, administration of charcoal and palliative care. Specific therapy includes intravenous magnesium sulphate and oral coconut oil. Unfortunately, the lack of a specific antidote Results in very high mortality and the key to treatment lies in rapid decontamination and institution of resuscitative measures. This article aims to identify the salient features and mechanism of AlP poisoning along with its management strategies and prognostic variables.

  19. Mercury and health care

    Rustagi Neeti; Singh Ritesh

    2010-01-01

    Mercury is toxic heavy metal. It has many characteristic features. Health care organizations have used mercury in many forms since time immemorial. The main uses of mercury are in dental amalgam, sphygmomanometers, and thermometers. The mercury once released into the environment can remain for a longer period. Both acute and chronic poisoning can be caused by it. Half of the mercury found in the atmosphere is human generated and health care contributes the substantial part to it. The world ha...

  20. An Unusual Cause of Supraventricular Tachycardia: Acute Carbon Monoxide Poisoning

    Suat Zengin

    2014-03-01

    Full Text Available      Carbon monoxide (CO is a toxic gas produced by the incomplete combustion of carbon-containing compounds. Exposure to high concentrations of CO can be letha and is the most common cause of death from poisoning worldwide. Cardiac manifestations after exposure to CO, including myocardial ischemia, heart failure, and arrhythmias, have been reported. A 28-year-old a patient was admitted to our emergency department with altered consciousness as a consequence of acute domestic exposure to CO from a stove. His carboxyhemoglobin level was 39%. The oxygen treatment was started promptly, and therapeutic red cell exchange was performed. An electrocardiogram revealed supraventricular tachycardia (SVT, and an echocardiographic examination demonstrated normal cardiac functions. To the best of our knowledge, this study is the second to report a case of SVT attack due to acute CO intoxication. This paper discusses the management of this complication in patients poisoned with CO.

  1. HYPERTENSIVE ENCEPHALOPATHY INDUCED BY MERCURY POISONING; A REPORT OF 3 CASES (IN AN IRANIAN FAMILY

    M. Noorisafa MD,

    2007-08-01

    Full Text Available ObjectiveMercury poisoning is one of the important recent causes of mortality andmortality in children worldwide, particularly in industrial environments; mercuryis a poisonous metal, especially harmful to the nervous and immune systemsand the kidneys and can even be fatal. Elemental mercury is present inthermometers, barometer batteries, sphygmomanometers and latex paints.Inorganic mercury salts are found in antiseptics, pesticides, pigments andexplosives and are used as preservatives in medicine. Mercury was once usedto stop fever, and this worked because the immune system was so weakenedthat it could no longer sustain the attack for which the fever was created. Somemedical drugs still contain mercury chloride and mercurous chloride and certainforms of mercury are still used in some laxatives.Mercury toxicity of the nervous system causes anorexia, ataxia, lack of abilityto coordinate voluntary muscle movements, dementia, depression, dizziness,emotional instability, erethism (abnormal irritability in response to stimulation,incoordination, insomnia, irritability, loss of ability to speak, memory impairment,numbness, saresthesias (sensation of prickling, tingling or creeping on the skin,psychosis, tremors, drowsiness, fatigue and weakness.Other organ damages include kidney failure, headaches, hearing impairment,visual impairment, hypertension, dermatitis, digestive tract problems, colitis,diarrhea, stomatitis and excessive salivation, loss of teeth, metallic taste,chromosomal damage, birth defects and ensuing organ failure. Chronic mercurypoisoning can cause Acrodynia (Pink disease. Mercury poisoning is a rarecause of hypertension in children. Herein we report 3 cases, the first a childwith hypertensive encephalopathy due to severe mercury poisoning and histwo siblings with moderate symptoms.Case reportA 10 year old boy was admitted in psychiatric ward of Imam Hossein Hospitalwith behavioral disorder, irritability, mood change and convulsion

  2. Prognostic Significance of Various Biochemical Parameters in Acute Organophosphorus Poisoning

    Sumathi, M. E.; Kumar, S. Harish; Shashidhar, K N; Takkalaki, Nandini

    2014-01-01

    Background: Organophosphorus (OP) compounds are a heterogeneous group of insecticides widely used in agricultural industry. These OP compounds are likely to have more adverse effects in developing countries like India due to its easy availability and less awareness which results in high morbidity and mortality. Aims and objectives: 1. To estimate plasma cholinesterase, amylase, lipase and, creatine phosphokinase (CPK) in acute OP poisoning. 2. To correlate these biochemical parameters with pl...

  3. Respiratory Complications from Acute Corrosive Poisonings in Adults

    Chibishev, Andon; Simonovska, Natasa; Bozinovska, Cvetanka; Pereska, Zanina; Smokovski, Ivica; Glasnovic, Marija

    2014-01-01

    Introduction: Acute corrosive poisonings are caused by ingestion of corrosive chemicals which are most commonly used as household agents. Intoxications with these kind of agents produce numerous and severe post-corrosive complications of the upper gastrointestinal tract. On the other hand, our experience showed that corrosive agents may also cause injuries of the respiratory system, which makes the treatment very hard and additionally complicates the severe clinical condition of the patient. ...

  4. Cases of Acute Poisoning in Southeast Anatolia of Turkey

    Cahfer Güloğlu

    2004-01-01

    Full Text Available This study was conducted to determine the biological effects of acute poisoning, nature ofagents involved and pattern of poisoning during 2000 in Diyarbakır City in Southeast AnatolianRegion of Turkey.Data from hospital records of all admissions to Emergency Department (ED of Dicle UniversityHospital following acute poisoning collected retrospectively were analysed for the period January toDecember in 2000. Present study included 44 (25.9% male (M and 126 (74.1% female (F, a total170 consecutive patients. A M/F ratio was found as 1.0/3.5 in the study.Mean age of cases was 23.3±6.3 years old; 63 (37.1% of them were under age of 20 years oldand 147 (86.5% of them were under age of 30 years old. Cases of intoxication have admitted insummer season (93 of 170 patients, especially in April, May and July (24, 26 and 30 patients,respectively. Sixty-two (36.5% cases due to accidental, 108 (63.5% cases due to suicidal goal. Thecases of suicidal purposeful intoxications were mostly determined in females (77 cases, 71.3%,p<0.05, and singles (74 cases, 68.5%, p<0.05. There were only two deaths (1.2% among the 170admissions of acute poisonings during hospitaliztion. One of the deaths was due to pesticides; otherone was due to abuse of medical drug. According to physical examination, tachycardia (59, 34.7%,vomit history (55, 32.4%, and unconsciousness (42, 24.7% were frequently observed; however,hypersecretion (15, 8.8%, bradycardia (5, 2.9%, convulsion (8, 4.7%, and hipertension (2, 1.2%,were seen rarely. Cases who poisoned with pesticide compared other cases have had significantlyhigher rate of convulsion (6, 10.2%, miosis (6, 10.2%, and hypersecretion (12, 20.3% (p=0.018,p<0.0001 and p<0.0001, respectively.In our region, pesticides intoxication especially affected to young unmarried females, and mostof them resulted from suicidal purpose. The annual rate of poisoning-related ED visits and mortalitywere within the reported ranges, psychoactive agents being

  5. Acute pesticide poisoning--a global public health problem

    Konradsen, Flemming

    2007-01-01

    Acute pesticide poisoning has become a major public health problem worldwide, following the intensification of agriculture and the promotion of agro-chemicals in low and middle income countries, with more than 300,000 deaths each year. The easy availability of highly toxic pesticides in the homes...... of farming communities has made pesticides the preferred means of suicide with an extremely high case fatality. Similarly, the extensive use of pesticides exposes the community to both long-term and acute occupational health problems. A concerted effort is urgently needed to address the situation....

  6. To identify morbidity and mortality predictors in acute organophosphate poisoning

    Arti Muley

    2014-01-01

    Full Text Available Background: Organophosphorus poisoning remains an important cause of morbidity and mortality, but no definite parameters have been identified as predictors of outcome. Prediction of morbidity at presentation might help in decision making in places of limited resources like rural settings in developing countries. Materials and Methods: A total of 76 cases were included in this retrospective cohort study. Logged relative risk of requirement of mechanical ventilation and hospital stay >7 days was measured in patients with serum acetylcholinesterase (s. acetylcholinesterase 1000, presenting in 12 and in patients with SpO 2 7 days. Conclusion: S. acetylcholinesterase, SpO 2 at room air, GCS, and duration of exposure at presentation can be used to identify the requirement of special care in acute organophosphorus poisoning. This can aid in decision making regarding admission to intensive care unit and referral in the places with limited resources.

  7. Wide use of skin-lightening soap may cause mercury poisoning in Kenya.

    Harada, M; Nakachi, S; Tasaka, K; Sakashita, S; Muta, K; Yanagida, K; Doi, R; Kizaki, T; Ohno, H

    2001-03-26

    In a previous study, we speculated that some of the high mercury levels observed in head hair from a total of 14 subjects who resided around Lake Victoria, Tanzania, might be attributable to the habitual use of toilet soap containing considerable amounts of mercury (Harada et al. Sci Total Environ 1999;227:249-256). In August 1998, the current study was conducted to investigate if such mercury-containing soap was also available in the surroundings of Lake Victoria, Kenya, and if so, its toxic effects. A total of nine goldminers, 44 fishermen and their families, and 12 residents of Kisumu City, Kenya, volunteered for the study. Fourteen types of toilet soap were collected in Kisumu. Total mercury content was very significantly higher than in European-made soap (0.47-1.7%, as mercury iodide) compared with Kenya-made soap (0.41 x 10(-4)-6.2 x 10(-4)%). Indeed, all the subjects with a high hair mercury level (> 36.1 ppm) had made habitual use of European-made soap, accompanied by various symptoms, such as tremor, lassitude, vertigo, neurosthenia, and black and white blots, suggesting inorganic-mercury poisoning. On the other hand, any subject who had used soap other than the European-made soap, did not exceed a mercury level of 10 ppm in hair that is well within normal limits (Harada et al. Sci Total Environ 1999:227:249-256). The findings obtained suggest that the mercury-containing soap must be barred from circulation without delay, and that the residents' health in addition to the environmental pollution in Lake Victoria (Kenya as well as Tanzania) should be kept under close observation. PMID:11305339

  8. Analysis of chest image performance in patients with acute chlorine poisoning

    Objective: To explore chest image features of patients with acute chlorine poisoning and their clinical values. Methods: A retrospective analysis was performed by chest image features of 117 patients with acute chlorine poisoning. All the patients were classified according to Chinese management of occupational acute chlorine poisoning diagnosis standard. Results: Sixty-five patients presented with stimulus response, and normal or both lungs had a little more white on their chest images. Thirty-one cases presented with minor poisoning, and without or the texture of both lungs was increased, and grew hazy and coarse.seventeen cases were moderate, and small sample vague shadows or single or multiple limitations lamellar shadow. Four cases were serious,and two lungs had extensive and density homogeneous consolidation shadow. Conclusions: It would make the diagnosis and assessment of chlorine poisoning more easier based on the combination of chest image features, the clear history of acute chlorine poisoning and relevant clinical performance. (authors)

  9. Pattern of acute poisoning at two urban referral hospitals in Lusaka, Zambia

    Z’gambo, Jessy; Siulapwa, Yorum; Michelo, Charles

    2016-01-01

    Background Poisoning remains an important public health problem contributing significantly to the global burden of disease. Evidence on the exact burden and pattern of acute poisoning in Zambia is limited. We aimed to characterise acute poisoning with regard to demographic and epidemiologic factors of cases reported at the University Teaching Hospital and Levy Mwanawasa General Hospital; two large referral hospitals in Lusaka, Zambia. Methods This was a cross-sectional study involving retrosp...

  10. Severe but reversible acute kidney injury resulting from Amanita punctata poisoning

    Kang, Eunjung; Cheong, Ka-Young; Lee, Min-Jeong; Kim, Seirhan; Shin, Gyu-Tae; Kim, Heungsoo; Park, In-Whee

    2015-01-01

    Mushroom-related poisoning can cause acute kidney injury. Here we report a case of acute kidney injury after ingestion of Amanita punctata, which is considered an edible mushroom. Gastrointestinal symptoms occurred within 24 hours from the mushroom intake and were followed by an asymptomatic period, acute kidney injury, and elevation of liver and pancreatic enzymes. Kidney function recovered with supportive care. Nephrotoxic mushroom poisoning should be considered as a cause of acute kidney i...

  11. CT of the brain in acute carbon monoxide poisoning

    Cerebral computed tomographic (CT) findings of acute carbon monoxide (Co) poisoning were analized in thirty-six cases treated with hyperbraric oxygen therapy and their relationship with prognosis was evaluated. The cases were classified into there groups, early stage, interval form, and non-interval form groups. In all groups, the initial abnormality was low density areas presumably due to edema, demyelination and/or softening. It was seen in the globus pallidus and/or white matter. Following these initial changes, cerebral hemorrhage, ventricular dilatation, and cerebral atrophy developed in a few cases. The frequency of abnormal CT findings was higher in the interval form group (85 %) or non-interval group (83 %) than the early stage group (41 %). The prognosis was good in most cases with normal CT findings. The possibility of recovery diminished in the patients with abnormal CT findings. The prognosis was particularly poor in cases showing abnormality both in globus pallidus and white matter. We conclude that CT is useful not only for detecting the pathologic change but also for predicting the prognosis of the patient with acute Co poisoning. (author)

  12. A simplified acute physiology score in the prediction of acute aluminum phosphide poisoning outcome

    Shahin Shadnia

    2010-01-01

    Full Text Available Background : Aluminum phosphide (AlP is used as a fumigant. It produces phosphine gas, which is a mitochondrial poison. Unfortunately, there is no known antidote for AlP intoxication, and also, there are few data about its prognostic factors. AIMS: The aim of this study was to determine the impact of the Simplified Acute Physiology Score II (SAPS II in the prediction of outcome in patients with acute AlP poisoning requiring admission to the Intensive Care Unit (ICU. Materials and Methods : This was a prospective study in patients with acute AlP poisoning, admitted to the ICU over a period of 12 months. The demographic data were collected and SAPSII was recorded. The patients were divided into survival and non-survival groups due to outcome. Statistical Analysis : The data were expressed as mean ± SD for continuous or discrete variables and as frequency and percentage for categorical variables. The results were compared between the two groups using SPSS software. Results : During the study period, 39 subjects were admitted to the ICU with acute AlP poisoning. All 39 patients required endotracheal intubation and mechanical ventilation in addition to gastric decontamination with sodium bicarbonate, permanganate potassium, and activated charcoal, therapy with MgSO 4 and calcium gluconate and adequate hydration. Among these patients, 26 (66.7% died. SAPSII was significantly higher in the non-survival group than in the survival group (11.88 ± 4.22 vs. 4.31 ± 2.06, respectively (P < 0.001. Conclusion : SAPSII calculated within the first 24 hours was recognized as a good prognostic indicator among patients with acute AlP poisoning requiring ICU admission.

  13. Correlation between tibial nerve ultrastructural abnormalities and post-mercury poison-induced muscular pain in rats

    Ping Dai; Yongtian Zhou; Xudong Xu; Jingyun Du; Lin Xie; Juan Li; Mingyi Xu

    2008-01-01

    BACKGROUND: The pathways induced/activated by mercury poisoning that lead to muscle pain remain unclear. The present study addressed the structural changes observed in the peripheral nerve following mercury poisoning. OBJECTIVE: To establish the mercury poison rat model, rats were intragastrically administered mercury. The correlation between post-mercury poison-induced muscular pain and tibial nerve morphological changes were observed. DESIGN: Observational contrast animal study.SETTING: Shangdong Academy of Occupational Health and Occupational Medicine.MATERIALS: Thirty adult Sprague Dawley rats of equal gender. Mercury chloride (HgCl2, analytical grade: 99.99%; batch number: 990402) was provided by Shanghai Chemical Reagent Factory, and sodium dimercaptopropanesulfonate (DMPS) injection by Shanghai Harvest Pharmaceutical Co., Ltd. (batch number: 0309011).METHODS: This study was performed at the Animal Experimental Center of Shangdong Academy of Occupational Health and Occupational Medicine from December 2005 to January 2006. Rats were randomly divided into high-dose mercury, low-dose mercury, and control groups, with 10 rats in each group. Rats in the two mercury groups were intragastrically administered 17 mg/kg and 8.5 mg/kg HgCl2 solution, respectively, once a day to establish a rat model of subacute mercury poisoning. Rats in the control group were intragastrically administered 2 mL saline, once a day. Intragastric administration in the three groups lasted for (20 ± 2) days. After model establishment, rats in the two mercury groups were injected DMPS once a day to remove mercury. The injection lasted for 3 days after every 4-day interval. Seven days was regarded as one treatment cycle, and there were two treatment cycles in total.MAIN OUTCOME MEASURES: Mercury-induced muscular pain status; ultrastructural changes of the right tibial nerve following model establishment and mercury removal under transmission electron microscope.RESULTS: Thirty rats were

  14. Severe acute caffeine poisoning due to intradermal injections: Mesotherapy hazard

    Perković-Vukčević Nataša

    2012-01-01

    Full Text Available Introduction. Caffeine is indicated in the treatment of migraine headaches, as well as neonatal apnea and bradycardia syndrome. In mild poisoning, the most prevalent symptoms are nausea, vomiting, diarrhea, tremor, anxiety and headache. In more severe cases, symptoms consist of heart rythym abnormalities, myocardial infarction and seizures. Due to its common lipolytic effect, caffeine is used in mesotherapy, usually in combination with drugs of similar effect. We presented a patient with acute iatrogenic caffeine poisoning. Case report. A 51-year-old woman, with preexisting hypertension and hypertensive cardiomyopathy was subjected to cosmetic treatment in order to remove fat by intradermal caffeine injections. During the treatment the patient felt sickness, an urge to vomit, and a pronounced deterioration of general condition. Upon examination, the patient exhibited somnolence, hypotension and nonsustained ventricular tachycardia, which was sufficient enough evidence for further hospitalization. On admission to the intensive care unit the patient was anxious with increased heart rate, normotensive, with cold, damp skin, and visible traces of injection sites with surrounding hematomas on the anterior abdominal wall. Paroxysmal supraventricular tachycardia (PSVT on electrocardiographic monitoring was found. The laboratory analysis determined a lowered potassium level of 2.1 mmol/L (normal range 3,5 - 5.2 mmol/L, and a toxicological analysis (liquid chromatography with ultraviolet detection proved a toxic concentration of caffeine in plasma - 85.03 mg/L (toxic concentration over 25 mg/L. On application of intensive therapy, antiarrhythmics, and substitution of potassium, as well as both symptomatic and supportive therapy, there was a significant recovery. The patient was discharged without any sequele within four days. Conclusion. A presented rare iatrogenic acute caffeine poisoning occured due to massive absorption of caffeine from the

  15. Electrocardiographic findings and cardiac manifestations in acute aluminum phosphide poisoning.

    Soltaninejad, Kambiz; Beyranvand, Mohammad-Reza; Momenzadeh, Seyed-Akbar; Shadnia, Shahin

    2012-07-01

    Aluminium phosphide (AlP) poisoning has a high mortality due to cardiovascular involvement. In this study, we evaluated the frequency of cardiac manifestations and electrocardiographic (ECG) findings in 20 patients with acute AlP poisoning, who were admitted to the intensive care unit (ICU) in Tehran, Iran, over a period of 6 months (between October 2008 and April 2009). The sex, age, cause and manner of ingestion, number of ingested AlP tablets, cardiac and ECG manifestations, creatine phosphokinase (CPK), CPK-myocardial band (CPK-mb) and troponin-T (TnT) were extracted from the patients' files. All data were analysed with Statistical Package for the Social Sciences (SPSS) software. The majority (60%) of patients were male. The mean age was 27 ± 8.7 years. The mortality rate was 40%. In all of the patients, the cause of poisoning was intentional suicide and ingestion was the route of exposure. The mean number of ingested AlP tablets per patient was 2.2 ± 1.1. The average time interval between admission and cardiovascular manifestations or ECG findings was 168.8 ± 116.2 min. The range of systolic (SBP) and diastolic blood pressure was 60-130 mmHg and 40-70 mmHg, respectively. Dysrhythmia was observed in nine (45%) cases. Elevation of the ST segment was seen in nine cases (45%). Seven patients (35%) had prolonged QTc intervals. Bundle branch block (BBB) was observed in four (20%) patients. In nine (45%) patients, the serum cardiac TnT qualitative assay was positive. There were no significant differences between normal and abnormal ECG groups according to sex, age, number and manner of ingested AlP tablets and SBP. There was a significant correlation between cardiac manifestations and ECG findings and TnT-positive results with mortality in acute AlP poisoning. PMID:22687771

  16. Poisoning

    ... talking with the Poison Control Center. GETTING HELP Call the Poison Control Center emergency number at 1-800-222-1222. DO NOT wait until the person has symptoms before you call. Try to have the following information ready: The ...

  17. Acute poisoning in children; changes over the years, data of pediatric clinic department of toxicology

    Alije Keka

    2014-01-01

    Conclusion: In our study drugs and house cleaning products are the most frequent agents causing accidental poisoning in children less than 5 years-old, this age of children is the most susceptible in terms of morbidity. Compared with the previous studies in Pediatric Clinic of Pristina, drugs are still the most frequent cause of acute poisoning in children; the number of poisoning with pesticides has fallen but has increased the number of poisoning with cleaning products. All preventive measures against poisoning should be taken including preventive strategies of education at national level especially in drug and household product storage.

  18. Brain CT scan in acute carbon monoxide poisoning

    The brain CT findings in 19 patients with acute carbon monoxide poisoning was analysed and the emphasis was placed on the relationship between CT findings and prognosis. Five had a normal manifestation in CT ; eight had the findings of ovoid or patchy low density area in globus pallidus, bilateral or unlateral, during the second day to fifth week after poisoning, and the low density areas were decreasing and blurring in edge in follow up and at last disappeared during 3 - 14 weeks in three cases of them ; nine showed the appearance of diffuse low density of white matter and of globus pallidus in some of them ; two had an appearance of brain atrophy. The pathology of CT findings mentioned above may be brain edema, necrosis, malacia and degeneration in gray matter and globus pallidus. The result suggested the cases with normal CT manifestation, cerebral edema and decreasing and disappearing low density area had a good prognosis, in contrary, the cases with persistant low density in globus pallidus had a poorer prognosis. (author)

  19. EEG spectral analysis and its clinical significance for patients with non-occupationalchronic mercury poisoning

    Bin-bin SUN

    2015-03-01

    Full Text Available Objective To evaluate the features of EEG spectrum and its clinical significance for patients with non-occupational chronic mercury poisoning.  Methods Eighteen patients with chronic mercury poisoning were collected continuously as poisoning group at Affiliated Hospital of Academy of Military Medical Sciences from March 2012 to September 2013. At the same time, 12 age- and sex-matched healthy people were selected as control group. All patients underwent video EEG, and EEGLAB in Matlab 2013 software was used to analyze their EEG data. Relevant spectrum data of the 2 groups were compared and analyzed.  Results The frequency-energy curves of 12 normal subjects were similar to sine curve, with obvious energy peak at α band. The frequency-energy curves of 18 patients showed as follows: 5 cases had the peak at slow δ wave, and the energy curve decreased since δ band appeared, with α band peak disappearing. The curve of 10 cases had 2 peaks respectively at α and δ band, and δ peak was higher than α peak. The spectrum in other 3 cases was normal. The quantitative analysis of EEG revealed the proportion of δ band for the total energy. The proportion of δ band for total energy of the poisoning group in right middle temporal (P = 0.018 and left posterior temporal (P = 0.039 channel was significantly higher than that of the normal group, while the proportion of δ band in middle frontal (P = 0.003, right frontal (P = 0.016 and right anterior temporal (P = 0.024, left middle temporal (P = 0.036 and right posterior temporal (P = 0.031 was lower than that of the normal group. Conclusions EEG examination plays an important role in assessing the severity of brain injury for patients with non-occupational chronic mercury poisoning. Spectrum analysis is an intuitive and simple method, and can provide some help for clinical diagnosis and treatment. DOI: 10.3969/j.issn.1672-6731.2015.02.013

  20. Analysis of Nine Cases of Acute Thallium Poisoning

    WANG Qiwei; HUANG Xiaojiang; LIU Liang

    2007-01-01

    In this study nine cases of thallium poisoning in a series of homicidal poisoning were analyzed in order to provide more information concerning thallium poisoning. It was found that the most common clinical feature of thallium poisoning was peripheral neuropathy and paraesthesia was more common than amyasthenia. Understanding of these clinical characteristics of thallium poisoning was helpful to early identification and differential diagnosis. Since the early administration of Prussian Blue, as a specific antidote for thallium poisoning, can substantially improve the prognosis, it is of great importance to establish a correct and early diagnosis.

  1. [Acute coronary syndrome with impaired left ventricular function in a carbon monoxide poisoning].

    Capilla, E; Pons, F; Poyet, R; Kerebel, S; Jego, C; Louge, P; Cellarier, G-R

    2016-02-01

    Carbon monoxide poisoning is the leading cause of death by poisoning in France. Neuropsychological symptoms are most common. We report on a patient with acute coronary syndrome and transient left ventricular dysfunction in carbon monoxide poisoning. Patient improved under hyperbaric oxygen therapy. Coronary angiography shows no significant lesion leading to myocardial stunning diagnose. Patients exposed to carbon monoxide must have systematic cardiac evaluation with electrocardiogram and dosage of biomarkers. PMID:25261170

  2. Acute poisoning in northern Vietnam: epidemiologic, diagnostic and therapeutic aspects

    Ha, Tran Hung

    2010-01-01

    Poisoning is a major health problem in northern Vietnam. The aims of these studies were to improve prevention, differential diagnosis and treatment of this threat to the public. A hospital-based retrospective study of poisoning emergencies admitted to the first Poison Control Center (PCC) in Vietnam during the years 1999 and 2003 (Paper I) revealed that a vast majority of the poisoning emergencies occurred at home. Pesticides, hypnotic pharmaceuticals and heroin were among t...

  3. Acute poisoning with clenbuterol--a case report.

    Chodorowski, Z; Sein Anand, J

    1997-01-01

    In the paper we have described a case of acute, unintentional intoxication with clenbuterol, a selective beta 2-agonist. A 21-year-old bodybuilder to improve his physical fitness and to increase his muscle bulk was using clenbuterol in a dose of two tablets (20 mg) daily for a week before poisoning. On a day of acute intoxication he drank orange juice containing 48 tablets (4.8 g) of clenbuterol, which had been placed there by his friends. The patient was admitted to our clinic with tachycardia at rate 160 bpm, headache, dizziness, tremor, sweats, muscle weakness, agitation. Serum potassium concentration was 2.6 mmol/L, blood glucose level 18.7 mmol/L. All the symptoms and biochemical abnormalities disappeared after intravenous treatment with propranolol (1.0 mg) and potassium chloride (60 mmol) within five hour period. This case indicates that more attention should be paid to clenbuterol widely used as a stimulant by athletes, especially by bodybuilders. PMID:9478104

  4. Metal mercury poisoning in two boys initially treated for brucellosis in Mashhad, Iran.

    Sasan, M S; Hadavi, N; Afshari, R; Mousavi, S R; Alizadeh, A; Balali-Mood, Mahdi

    2012-02-01

    Elemental mercury (Hg) is the only metal which evaporates in room temperature and its inhalation may cause toxicity. Hg poisoning may occur by mishandling the metal, particularly in children who play with it. Wide-spectrum of the clinical presentations of chronic Hg poisoning may cause misdiagnosis, particularly when history of exposure is unknown. We report two cases of accidental Hg poisoning, which initially had been diagnosed and treated for brucellosis. The patients were two brothers (7 and 14 years old) who presented with pain in their lower extremities, sweating, salivation, weight loss, anorexia and mood changes on admission. Meticulous history taking revealed that they had played with a ball of Hg since 3 months before admission. The level of urinary Hg was 125.9 and 54.2 9 g/L in the younger and older brother, respectively (normal ≤25 g/L). The patients were successfully treated by dimercaprol and discharged in good condition 24 days after admission. These cases are being reported to emphasize the importance of acrodynia as a differential diagnosis for brucellosis in endemic areas. PMID:21803782

  5. Causes of Acute Poisoning Hospital admission in Shahid Beheshti Hospital of Yasuj, 2008

    S Mohammad Hosseini

    2012-08-01

    Full Text Available Background & aim: About 7% of patient referred to hospital are various forms of poisoning. This study was performed to determine the major causes of acute poisoning leading to Hospitalization at Shahid Beheshti Hospital of Yasuj, Iran. Methods: This descriptive study was performed from August 2007 to July 2008 on 470 cases of poisonings referred to Shahid Beheshti hospital of Yasuj. Demographic characteristics, time of poisoning, poisoning factor, history of previous poisoning, history of psychiatric disease, medication and other therapeutic intervention based on questionnaires and interviews with patients or companions of patients were recorded. Data were analyzed by Chi-Square Test. Results: Majority of poisoned patients were single females, in the age range of 21-30 years, unemployed, lived in urban areas, and had at least a diploma. The majority of cases were intentional poisoning with a history of depression, previous poisoning and attempted suicide. Significant relationship were seen between poisoning, age, sex, and job, (p0.05. Conclusion: With respect to the results of this study, the majority of these poisonings occurred among young, single and unemployed females due to suicide and drug intoxication. Necessary actions should be done in drug usage and maintenance, taking action against non-prescription drugs and giving proper public education to families.

  6. Diagnostic value of low-field MRI for acute poisoning brain injury

    Objective: To investigate the value of low-field MIR in diagnosis of acute CO poisoning brain injury. Methods: The brain MIR and clinical data of 110 patients with acute CO poisoning brain injury confirmed by clinical examination were retrospectively analyzed. Results: Long T1 and T2 signal intensity was showed on MRI in cerebral hemispheres and globus pallidus symmetrically. There were three basic types of MIR manifestations, white matter of brain type, globus pallidus type and brain mixed type. Conclusions: MRI could be used for confirming the degree and range of acute CO poisoning brain injury. It has important clinical value in the diagnosis, staging and prognosis of patients with acute CO poisoning brain injury. (authors)

  7. Structural Findings in the Brain MRI of Patients with Acute Carbon Monoxide Poisoning

    Yasmin Davoudi

    2014-09-01

    Conclusion: The white matter and globus pallidus were the most common affected regions in brain following acute CO poisoning. Signal abnormalities and restricted diffusion in MRI were correlated with duration of exposure to CO but not with the carboxyhemoglobin levels.

  8. Neurological Effects of Acute Carbon Monoxide Poisoning in Children

    Coskun YARAR

    2009-11-01

    Full Text Available Carbon monoxide poisoning (COP is one of the most common causes of mortality and morbidity due to poisoning in all over the world. Although the incidence of COP has not been known exactly in the childhood, almost one-third of CO exposures occurred in children. The data regarding COP in children are inconclusive. Children may be more vulnerable to CO exposure than adults as a result of their high respiration and metabolic rates, high oxygen metabolism, and immature central nervous system. Recent researches proposed new theories about neurological effects of CO toxicity. The clinical presentations associated acute COP may be various and nonspecific. Unrecognized CO exposure may lead to significant morbidity and mortality. CO exposed children often become symptomatic earlier, and recover more rapidly, than similarly CO exposed adults. Mild clinical signs and symptoms associated with COP are headache, dizziness, weakness, lethargy, and myalgia; however, severe signs and symptoms such as blurred vision, syncope, convulsion, coma, cardiopulmonary arrest and death can also accompany with COP. Neurologic manifestations can include altered mental status at different degrees, neck stiffness, tremor, ataxia, and positive Babinski's sign. Delayed neurologic sequels (DNS of COP might be seen in children like adults. DNS symptoms and signs in children include memory problems, mental retardation, mutism, fecal and urinary incontinence, motor deficits, facial palsy, psychosis, chronic headache, seizures, and epilepsy. After CO exposure children must be cared to detect and treat DNS. Although hyperbaric oxygen therapy (HBOT is reported to prevent development of DNS, its indications, application duration and procedures are controversial in both of the children and adults. Although their predictive values are limited, exposing to CO more than eight hours and suffering from CO-induced coma, cardiac arrest, lactic acidosis, high COHb levels, and pathologic findings

  9. Pattern of acute food, drug, and chemical poisoning in Sari City, Northern Iran.

    Ahmadi, Amirhossein; Pakravan, Nasrin; Ghazizadeh, Zeynab

    2010-09-01

    This descriptive and retrospective study was conducted at the poisoning ward of Imam teaching hospital, Sari, Iran, with the aim of evaluating the pattern of poisoning. Hence, the medical profiles of 2057 patients, who were admitted, were carefully reviewed during the period from April 2006 to March 2008 for 2 years. During this period, 2057 cases, 53.9% female and 46.1% male, were admitted with the indication of acute poisoning. The greatest proportion of poisoning occurred between the ages of 18 and 29 years, with suicidal intentions. Most cases of poisoning were intentional (85%). The most common agents involved in acute poisoning were drugs (77.7%), especially sedatives/hypnotics such as benzodiazepines, followed by opioid analgesics. Organophosphate and carbamate insecticides were the third major agent that induced poisoning. Twenty-seven patients (1.3%) who were mostly females and young adults died. Death mostly occurred due to organophosphate and carbamate insecticides (19 cases) poisoning, followed by sedatives/hypnotics like benzodiazepines (3 cases). High prevalence of intentional overdose and mortality among young adults requires considerable attention and further studies to find out the underlying causes. In addition, strict rules must be followed regarding the sale of central nervous system drugs and pesticides, particularly organophosphate and carbamate insecticides. Establishing poison information centers in different parts of the country, preparing national treatment guidelines, training healthcare providers, and ensuring easy availability of the antidotes are also recommended. PMID:20144960

  10. Characteristics of Children with Acute Carbon Monoxide Poisoning in Ankara: A Single Centre Experience.

    Unsal Sac, Rukiye; Taşar, Medine Ayşin; Bostancı, İlknur; Şimşek, Yurda; Bilge Dallar, Yıldız

    2015-12-01

    The purpose of the study was to define characteristics of children with acute carbon monoxide poisoning. Eighty children hospitalized with acute carbon monoxide poisoning were recruited prospectively over a period of 12 months. Sociodemographic features, complaints and laboratory data were recorded. When the patient was discharged, necessary preventive measures to be taken were explained to parents. One month later, the parents were questioned during a control examination regarding the precautions that they took. The ages of the cases were between one month and 16 yr. Education levels were low in 86.2% of mothers and 52.6% of fathers. All families had low income and 48.8% did not have formal housing. The source of the acute carbon monoxide poisoning was stoves in 71.2% of cases and hot-water heaters in 28.8% of cases. Three or more people were poisoned at home in 85.1% of the cases. The most frequent symptoms of poisoning were headache and vertigo (58.8%). Median carboxyhemoglobin levels at admission to the hospital and discharge were measured as 19.5% and 1.1% (P carbon monoxide poisoning are usually from families with low socioeconomic and education levels. Education about prevention should be provided to all people who are at risk of carbon monoxide poisoning before a poisoning incident occurs. PMID:26713060

  11. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P 1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned that acutely poisoned children who received home remedies prior arrival are more likely to endure an extended LOS. This non-conventional practice is not recommended. PMID:26717371

  12. Edaravone attenuates brain damage in rats after acute CO poisoning through inhibiting apoptosis and oxidative stress.

    Li, Qin; Bi, Ming Jun; Bi, Wei Kang; Kang, Hai; Yan, Le Jing; Guo, Yun-Liang

    2016-03-01

    Acute carbon monoxide (CO) poisoning is the most common cause of death from poisoning all over the world and may result in neuropathologic and neurophysiologic changes. Acute brain damage and delayed encephalopathy are the most serious complication, yet their pathogenesis is poorly understood. The present study aimed to evaluate the neuroprotective effects of Edaravone against apoptosis and oxidative stress after acute CO poisoning. The rat model of CO poisoning was established in a hyperbaric oxygen chamber by exposed to CO. Ultrastructure changes were observed by transmission electron microscopy (TEM). TUNEL stain was used to assess apoptosis. Immunohistochemistry and immunofluorescence double stain were used to evaluate the expression levels of heme oxygenase-1 (HO-1) and nuclear factor erythroid 2-related factor 2 (Nrf-2) protein and their relationship. By dynamically monitored the carboxyhemoglobin (HbCO) level in blood, we successfully established rat model of severe CO poisoning. Ultrastructure changes, including chromatin condensation, cytoplasm dissolution, vacuoles formation, nucleus membrane and cell organelles decomposition, could be observed after CO poisoning. Edaravone could improve the ultrastructure damage. CO poisoning could induce apoptosis. Apoptotic cells were widely distributed in cortex, striatum and hippocampus. Edaravone treatment attenuated neuronal apoptosis as compared with the poisoning group (P < 0.01). Basal expressions of HO-1 and Nrf-2 proteins were found in normal brain tissue. CO poisoning could activate HO-1/Nrf-2 pathway, start oxidative stress response. After the administration of Edaravone, the expression of HO-1 and Nrf-2 significantly increased (P < 0.01). These findings suggest that Edaravone may inhibit apoptosis, activate the Keapl-Nrf/ARE pathway, and thus improve the ultrastructure damage and neurophysiologic changes following acute CO poisoning. © 2014 Wiley Periodicals, Inc. Environ Toxicol 31: 372-379, 2016

  13. Successful Treatment of Acute Lethal Dose of Acrylamide Poisoning

    Ali Banagozar Mohammadi

    2015-03-01

    Full Text Available Background: Acrylamide (C3H5NO is a vinyl monomer. This water-soluble crystalline solid is a colorless, odorless agent which is used in scientific laboratories and some industries. Acrylamide has cellular oxidative effects. Acute or chronic poisoning with this agent happens as a result of skin, respiratory, or oral contacts. Clinical manifestations depend on the dose, duration, and frequency of contact. Management of these patients consists of conservative and palliative therapies to reduce the oxidative effects. Case: The case was a 29-year-old girl with a Master of Sciences degree in genetics who worked in a university research center with previous history of depression. She had ingested 100cc of 30% Acrylamide solution for intentional suicide attempt. The patient was successfully managed using N-acetyl cysteine, vitamin C, and melatonin. Conclusion: Early diagnosis and appropriate treatment with recommended agents together with supportive therapies can save the life of patients exposed to potentially lethal doses of acrylamide, although intentional or accidental.

  14. Poisoning

    ... that could poison you include the following: Cleaning products Household products, such as nail polish remover and other personal ... Get rid of old or expired medicines and household products. Keep medicines and chemicals in their original containers. ...

  15. Salvianolic Acids Attenuate Rat Hippocampal Injury after Acute CO Poisoning by Improving Blood Flow Properties

    Li Guan

    2015-01-01

    Full Text Available Carbon monoxide (CO poisoning causes the major injury and death due to poisoning worldwide. The most severe damage via CO poisoning is brain injury and mortality. Delayed encephalopathy after acute CO poisoning (DEACMP occurs in forty percent of the survivors of acute CO exposure. But the pathological cause for DEACMP is not well understood. And the corresponding therapy is not well developed. In order to investigate the effects of salvianolic acid (SA on brain injury caused by CO exposure from the view point of hemorheology, we employed a rat model and studied the dynamic of blood changes in the hemorheological and coagulative properties over acute CO exposure. Compared with the groups of CO and 20% mannitol + CO treatments, the severe hippocampal injury caused by acute CO exposure was prevented by SA treatment. These protective effects were associated with the retaining level of hematocrit (Hct, plasma viscosity, fibrinogen, whole blood viscosities and malondialdehyde (MDA levels in red blood cells (RBCs. These results indicated that SA treatment could significantly improve the deformation of erythrocytes and prevent the damage caused by CO poisoning. Meanwhile, hemorheological indexes are good indicators for monitoring the pathological dynamic after acute CO poisoning.

  16. Risk factors for acute pesticide poisoning in Sri Lanka

    van der Hoek, Wim; Konradsen, Flemming

    2005-01-01

    pesticide poisoning and having ended an emotional relationship in the past year was clearly associated with intentional self-poisoning. The presence of mental disorders could only be assessed for a subsample of the cases and controls and this showed that alcohol dependence was a risk factor. This study...

  17. Electrophysiological correlates of respiratory failure in acute organophosphate poisoning: Evidence for differential roles of muscarinic and nicotinic stimulation

    Jayawardane, Pradeepa; Senanayake, Nimal; Buckley, Nick A.; Dawson, Andrew H

    2012-01-01

    Background. Respiratory failure in acute organophosphate (OP) poisoning can occur early and also relatively late in the clinical course, and the pathophysiology of respiratory failure at these different phases may have important clinical implications. Objective. To compare the electrophysiological findings in patients with early and late respiratory failure following acute OP poisoning. Methods. A prospective observational case series of consenting symptomatic patients with acute OP poisoning...

  18. Pharmacotherapy to protect the neuromuscular junction after acute organophosphorus pesticide poisoning.

    Bird, Steven B; Krajacic, Predrag; Sawamoto, Keigo; Bunya, Naofumi; Loro, Emanuele; Khurana, Tejvir S

    2016-06-01

    Organophosphorus (OP) pesticide poisoning is a leading cause of morbidity and mortality in the developing world, affecting an estimated three million people annually. Much of the morbidity is directly related to muscle weakness, which develops 1-4 days after poisoning. This muscle weakness, termed the intermediate syndrome (IMS), leads to respiratory, bulbar, and proximal limb weakness and frequently necessitates the use of mechanical ventilation. While not entirely understood, the IMS is most likely due to persistently elevated acetylcholine (ACh), which activates nicotinic ACh receptors at the neuromuscular junction (NMJ). Thus, the NMJ is potentially a target-rich area for the development of new therapies for acute OP poisoning. In this manuscript, we discuss what is known about the IMS and studies investigating the use of nicotinic ACh receptor antagonists to prevent or mitigate NMJ dysfunction after acute OP poisoning. PMID:27258847

  19. An interesting cause of pulmonary emboli: Acute carbon monoxide poisoning

    Sevinc, A.; Savli, H.; Atmaca, H. [Gaziantep University, Gaziantep (Turkey). School of Medicine

    2005-07-01

    Carbon monoxide poisoning, a public health problem of considerable significance, is a relatively frequent event today, resulting in thousands of hospitalizations annually. A 70-year-old lady was seen in the emergency department with a provisional diagnosis of carbon monoxide poisoning. The previous night, she slept in a tightly closed room heated with coal ember. She was found unconscious in the morning with poor ventilation. She had a rare presentation of popliteal vein thrombosis, pulmonary emboli, and possible tissue necrosis with carbon monoxide poisoning. Oxygen treatment with low-molecular-weight heparin (nadroparine) and warfarin therapy resulted in an improvement in both popliteal and pulmonary circulations. In conclusion, the presence of pulmonary emboli should be sought in patients with carbon monoxide poisoning.

  20. Acute methanol poisonings: Folates administration and visual sequelae

    Zakharov, S.; Nurieva, O.; Navrátil, Tomáš; Diblik, P.; Kuthan, P.; Pelclová, D.

    2014-01-01

    Roč. 12, č. 4 (2014), s. 309-316. ISSN 1214-021X Institutional support: RVO:61388955 Keywords : Methanol poisoning * Treatment outcome * Folinic acid Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 1.302, year: 2014

  1. Acute carbon monoxide poisoning: Emergency management and hyperbaric oxygen therapy

    Severance, H.W.; Kolb, J.C.; Carlton, F.B.; Jorden, R.C.

    1989-10-01

    An ice storm in February 1989 resulted in numerous incidences of carbon monoxide poisoning in central Mississippi secondary to exposure to open fires in unventilated living spaces. Sixteen cases were treated during this period at the University of Mississippi Medical Center and 6 received Hyperbaric Oxygen therapy. These 6 cases and the mechanisms of CO poisoning are discussed and recommendations for emergency management are reviewed.10 references.

  2. Profile of acute carbon monoxide poisoning in the west province of Iran

    Objective: To document the epidemiology and risk factors of acute carbon monoxide (CO) poisoning in the west of Iran and specify potentially presentable characteristics. Study Design: Observational study. Place and Duration of Study: Imam Khomeini Hospital of Kermanshah, Iran, from July 2006 to March 2008. Methodology: This study was conducted using the records of 143 cases of CO poisoning referred to the only centre for the reference of poisoning cases. Intent, age groups, source of poisoning and clinical presentation were noted and described as frequency. Results: One-hundred forty two cases (99.3%), were accidental and only one case (0.7%) was suicidal. Mortality was (21.7%, n=31). The highest mortality was found in the age groups of 20-30 years and below 10 years. The greatest frequency happened in autumn and winter. The clinical symptoms and manifestations of CO poisoning included headache (35.3%), nausea (25.4%), vomiting (21%), dyspnea (10.3%), and decrease in level of consciousness (8%). Gas water heaters (35%), room heaters (32%), stoves (24%) and other items (9%) were the principal sources of the individuals' exposure to CO. Conclusion: CO poisoning is a serious public health problem in west of Iran (Kermanshah). The number of CO poisoning cases was highest in the colder seasons of the year, whereas the majority of the poisoning cases could be prevented. (author)

  3. Pattern of acute poisonings in childhood in Ankara: what has changed in twenty years?

    Andiran, Nesibe; Sarikayalar, Fikriye

    2004-01-01

    Poisoning represents one of the most common medical emergencies in childhood, and epidemiological properties differ from country to country. Thus, special epidemiological surveillance for each country is necessary to determine the problem according to which preventive measures can be taken. The purpose of this study was to clarify the characteristics of acute poisoning cases admitted to a pediatric referral hospital. All poisoned patients under 17 years of age, except for cases food poisoning, presenting to the Emergency Department (ED) from January 1995 to December 2000 were determined. The information about each case was recorded on standardized forms and a retrospective chart review survey was done. Complete epidemiological and clinical data were obtained for 489 patients. The mean age of all poisoned patients (mean +/- standard deviation) was 5.96 +/- 4.87 years, and the age range was 0.01 to 17 years. Three hundred and thirty-one children, forming 63.6% of all patients, were under five years of age. Slightly more boys (52.3%) than girls were intoxicated at ages less than 10 years, after which more girls (79%) than boys were involved. The majority of all cases were due to accidental poisoning (78.1% of all poisonings) which occurred mostly in children under five years of age (73.3%). While accidental poisonings (97.1%) were the most common mode of poisoning between 1-5 years, self-poisonings (67.3%) had the highest ratio in cases over 10 years of age. In patients younger than one year of age, 74.2% of all poisonings were due to therapeutical error. Drugs were the most frequent offending agent (57.7%), followed by ingestion of a caustic/corrosive substance (16.8%) and carbon monoxide (CO) intoxication (9.4%). Analgesics were the most common agents, forming 23.7% of all poisonings due to drugs, followed by ingestion of multiple drugs and tricyclic antidepressants at ratios of 21.6% and 9.6%, respectively. The most common route of poisoning was ingestion of the

  4. Ultrasensitive and rapid screening of mercury(II) ions by dual labeling colorimetric method in aqueous samples and applications in mercury-poisoned animal tissues

    Highlights: • Rapid and ultrasensitive screening of mercury ions are achieved by using gold nanoparticles based colorimetric method. • Dual labeling strategy is adopted for sensing signal amplification. • The proposed method is successfully used for analysis of mercury-poisoned animal tissues. - Abstract: Rapid and ultrasensitive detection of trace heavy metal mercury(II) ions (Hg2+) are of significant importance due to the induced serious risks for environment and human health. This presented article reports the gold nanoparticle-based dual labeling colorimetric method (Dual-COLO) for ultrasensitive and rapid detection of Hg2+ using the specific thymine–Hg2+–thymine (T–Hg2+–T) as recognition system and the dual labeling strategy for signal amplification. Both qualitative and quantitative detections of Hg2+ are achieved successfully in aqueous samples. More importantly, the achieved detection limit of 0.005 ng mL−1 (0.025 nM) without any instruments is very competitive to other rapid detection methods even ICP-MS based methods. This Dual-COLO method is also applied directly for real water sample monitoring and, more importantly, applied in analysis of mercury poisoned animal tissues and body fluidic samples, indicating a potentially powerful and promising tool for environmental monitoring and food safety control

  5. Ultrasensitive and rapid screening of mercury(II) ions by dual labeling colorimetric method in aqueous samples and applications in mercury-poisoned animal tissues

    Deng, Yi; Wang, Xin; Xue, Feng [School of Biotechnology and Food Engineering, Hefei University of Technology, Hefei 230009 (China); Zheng, Lei [School of Medical Engineering, Hefei University of Technology, Hefei 230009 (China); Liu, Jian [School of Biotechnology and Food Engineering, Hefei University of Technology, Hefei 230009 (China); Yan, Feng [Applied Physics Department, Hong Kong Polytechnic University, Hong Kong (China); Xia, Fan, E-mail: xiafan@hust.edu.cn [School of Chemistry & Chemical Engineering, Huazhong University of Science & Technology, Wuhan 430074 (China); Chen, Wei, E-mail: chenweishnu@163.com [School of Biotechnology and Food Engineering, Hefei University of Technology, Hefei 230009 (China)

    2015-04-08

    Highlights: • Rapid and ultrasensitive screening of mercury ions are achieved by using gold nanoparticles based colorimetric method. • Dual labeling strategy is adopted for sensing signal amplification. • The proposed method is successfully used for analysis of mercury-poisoned animal tissues. - Abstract: Rapid and ultrasensitive detection of trace heavy metal mercury(II) ions (Hg{sup 2+}) are of significant importance due to the induced serious risks for environment and human health. This presented article reports the gold nanoparticle-based dual labeling colorimetric method (Dual-COLO) for ultrasensitive and rapid detection of Hg{sup 2+} using the specific thymine–Hg{sup 2+}–thymine (T–Hg{sup 2+}–T) as recognition system and the dual labeling strategy for signal amplification. Both qualitative and quantitative detections of Hg{sup 2+} are achieved successfully in aqueous samples. More importantly, the achieved detection limit of 0.005 ng mL{sup −1} (0.025 nM) without any instruments is very competitive to other rapid detection methods even ICP-MS based methods. This Dual-COLO method is also applied directly for real water sample monitoring and, more importantly, applied in analysis of mercury poisoned animal tissues and body fluidic samples, indicating a potentially powerful and promising tool for environmental monitoring and food safety control.

  6. Acute poisoning in children; changes over the years, data of pediatric clinic department of toxicology

    Keka Alije; Ramosaj A; Toro H; Azemi M; Baloku A; Sylaj B; Lenjani B; Kyseni K

    2014-01-01

    Objective:To present the frequency, etiology, changes over the years of acute poisoning in children admitted toPediatricClinic ofPristina and to determine the extent and characteristics of the problem, according to which related preventive measures can be taken.Methods:Retrospectively we have analyzed the epidemiology of accidental and suicidal poisonings in children hospitalization inPediatricClinicDepartment ofToxicology during the year2012. Our data we compared with data from previous studies on acute poisoning in children in the PediatricClinic conducted during the years1976-1985 and2001.Results:During the year2012, inPediatricClinic ofPristina5723 children were hospitalized,136 of them or2.3% were treated due to acute poisoning inDepartment ofToxicology,82 of them was boys and54 was girls, rate boys girls was1.5:1.The majority of cases101 or74.2% were under five years with peak age three and35% or25.7% were over five years.The most of the cases was accidentally97% and only 2.9% was suicidal and all of them were over the age of ten.Drugs were the most common agent causing the poisoning71(52.2%) followed by house cleaning products38(27.9%), food10(5.8%), pesticides7(5.14%), rare agent that caused poisoning were: narcotic substances, plant, heavy metals, alcohol, carbon monoxide, carburant.Poisoning occurred mostly in spring and the peak was observed inMay,(1.17% of all patients).January was the month of lowest rate of poisoning. During the years1976-1985, inPediatricClinic ofPristina900 children were hospitalized due to acute poisoning,44.11% were from drugs,15.88% from pesticides,65(7.2%), while during2001 in the unit care intensive were hospitalized66 children due to acute poisoning, among them51.5% were poisoning from drugs,30.03 from pesticides,12.2% from cleaning products.Conclusion:In our study drugs and house cleaning products are the most frequent agents causing accidental poisoning in children less than5 years-old, this age of children is the most

  7. Effect of acute paraquat poisoning on CYP450 isoforms activity in rats by cocktail method.

    Wang, Shuanghu; Wang, Zhiyi; Chen, Dongxin; Chen, Mengchun; Lin, Yingying; Liu, Zezheng; Zhang, Lijing; Wen, Congcong; Wang, Xianqin; Ma, Jianshe

    2015-01-01

    Paraquat is a highly effective contact herbicide that is marketed worldwide as a fantastical, non-selective compound for broadleaf weed control. As compared to most pesticides, paraquat is extremely toxic to humans and the lack of strategies to manage paraquat poisoning has resulted in high fatality rates. The rats were randomly divided into acute paraquat poisoning group and control group. The paraquat group rats were given 36 mg/kg paraquat by intragastric administration. The influence of acute paraquat poisoning on the activities of CYP450 isoforms CYP2B6, CYP1A2, CYP2C9, CYP2D6, CYP3A4 and CYP2C19 were evaluated by cocktail method, they were responded by the changes of pharmacokinetic parameters of bupropion, phenacetin, tolbutamide, metoprolol, midazolam and omeprazole. The six probe drugs were given to rats through intragastric administration, and the plasma concentrations were determined by UPLC-MS/MS. In the results of paraquat group compared to control group, there was statistical pharmacokinetic difference for bupropion, tolbutamide, metoprolol, midazolam and omeprazole. Acute paraquat poisoning may induce the activities of CYP2C19, and inhibit of CYP2B6, CYP2C9, CYP2D6 and CYP3A4 in rats. This may give advising for reasonable drug use after acute paraquat poisoning. PMID:26770539

  8. Modern methods of water and air purification from mercury

    Dolina, L. F.; Chornaya, A. Yu.; Nagornaya, E. K.

    2015-01-01

    People can be exposed to mercury in any form in different circumstances. Depending on the amount of mercury and duration of exposure potential acute poisoning, chronic poisoning, micromercurialism. As of release into the environment (air, sediment, water), it undergoes a series of complex transformations. Methylmercury is the most highly toxic form of mercury, it is especially enhanced in the food chain. Extreme danger as contaminants in natural waters are heavy metals, have a toxic effect on...

  9. Minoxidil poisoning presenting as acute coronary syndrome: a rare case scenario

    Shrikant Kalyanrao Panchal

    2014-04-01

    Full Text Available We present a case of severe minoxidil poisoning (3000 mg with resultant severe hypotension, tachycardia and subendocardial ischemia initially treated crystalloid, dopamine, aspirin, clopidogrel on the lines of acute coronary syndrome with partial haemodynamic improvement. After getting the history of minoxidil poisoning, the patient was treated with bolus doses of norepinephrine, and norepinephrine infusion, resulting in resolution of hypertension, tachycardia and reversal of ischemia. Topical minoxidil is commonly used agent for male pattern baldness. It also has got antihypertensive action when ingested, acute coronary syndrome and compensatory tachycardia with successful management with norepinephrine bolus and infusion. [Int J Res Med Sci 2014; 2(2.000: 784-785

  10. Acute Poisoning in Children: A Hospital-Based Study in Arak, Iran (2008-2012

    Ali Arjmand Shabestari

    2014-09-01

    Full Text Available Background: Poisoning is one of the important reasons for children’s admission to hospital. Knowledge of epidemiology of poisoning in each region plays an important role in planning prevention, care, and treatment of patients. This study was conducted to determine the characteristics of acute poisoning epidemiology in children attending pediatric wards of Amirkabir Hospital in Arak in a five-year period (March 2008 to March 2012. Methods: This descriptive cross-sectional study was conducted on 224 children admitted for poisoning. Data were retrospectively collected from patients’ files and analyzed using SPSS 16 software. Results: Of the total population, 54.9% were boys and the rest were girls. Mean age of children was 3.54±2.99 years, and the most common age range was 1-3 years (50.9%. The highest rate of children’s admission due to poisoning was in the winter (30.8%. The most common causes of poisoning included drugs (65.2%, kerosene (7.1%, and food poisoning (5.4%. The most common poisoning drugs, included benzodiazepines (21.9%, gastrointestinal drugs (19.9%, opioid analgesics (15.1%. The most prevalent drugs were methadone, metoclopramide, and clonazepam. At admission, the most common presenting symptoms were neurological (51.3%, and gastrointestinal symptoms (38.4%. Conclusion: High prevalence of poisoning with groups of drugs mentioned could indicate community-wide excessive use of these drugs, as well as negligence of families in keeping them out of children’s reach. Therefore, raising knowledge and awareness about variety of poisoning and how to prevent them, through holding workshops, national media, schools, and health centers can be a valuable step toward upkeep of children’s health.

  11. ACUTE ACCIDENTAL POISONING IN CHILDREN: A HOSPITAL-BASED RETROSPECTIVE STUDY

    Kameshore

    2014-10-01

    Full Text Available INTRODUCTION: Acute accidental poisoning in children is a big problem anywhere in the world. Studies done elsewhere in India showed a wide range of incidence of the problem. Hence, it was felt important to study its magnitude and associated characteristics as of now. OBJECTIVE: The current study was taken up to know the magnitude among children admitted in JNIMS, Imphal which is a newly established medical institute and also to study the characteristics like age, gender, type of poison, duration of hospital-stay and outcome of the cases. MATERIALS & METHODS: Retrospective data of all acute accidental poisoning cases among children admitted in the Pediatrics Ward, JNIMS, Imphal during the period July 2008 - December 2013 were analyzed by using descriptive statistics. RESULT: Of all the 13,663 children admitted, 148 cases were because of acute accidental poisoning giving an incidence rate of 1.08%. The male is to female ratio was 1.31:1. The last three years of the study period showed a slightly increasing trend in the incidence. Children aged 1-4 years were the most commonly affected (65.54%. Kerosene oil was by far the commonest (42% of all the poisonous substances consumed. Food poisoning, poisoning with organic compounds, poisoning with medicinal drugs and poisoning with corrosives comprised 21%, 12%, 9% and 8% respectively of all the cases. There was no mortality. DISCUSSION: The incidence rate of 1.08% as found out from the current study was on the lower side as compared to reports of previous studies done in other parts of the country. Yet, it was two-fold of the incidence reported from RIMS which is situated in the same State. Parental negligence in storing poisonous substances in the household was implicated. They need to be made aware for keeping harmful poisonous substances in safe places out of the reach of children. CONCLUSION: Community-based studies are recommended for estimating more accurately the magnitude of the problem in the

  12. A Case of Mushroom Poisoning with Russula subnigricans: Development of Rhabdomyolysis, Acute Kidney Injury, Cardiogenic Shock, and Death.

    Cho, Jong Tae; Han, Jin Hyung

    2016-07-01

    Mushroom exposures are increasing worldwide. The incidence and fatality of mushroom poisoning are reported to be increasing. Several new syndromes in mushroom poisoning have been described. Rhabdomyolytic mushroom poisoning is one of new syndromes. Russula subnigricans mushroom can cause delayed-onset rhabdomyolysis with acute kidney injury in the severely poisoned patient. There are few reports on the toxicity of R. subnigricans. This report represents the first record of R. subnigricans poisoning with rhabdomyolysis in Korea, describing a 51-year-old man who suffered from rhabdomyolysis, acute kidney injury, severe hypocalcemia, respiratory failure, ventricular tachycardia, cardiogenic shock, and death. Mushroom poisoning should be considered in the evaluation of rhabdomyolysis of unknown cause. Furthermore, R. subnigricans should be considered in the mushroom poisoning with rhabdomyolysis. PMID:27366018

  13. Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning

    Van Hoesen, K.B.; Camporesi, E.M.; Moon, R.E.; Hage, M.L.; Piantadosi, C.A. (Duke Univ. Medical Center, Durham, NC (USA))

    1989-02-17

    Carbon monoxide (CO) is the leading cause of death due to poisoning. Although uncommon, CO poisoning does occur during pregnancy and can result in fetal mortality and neurological malformations in fetuses who survive to term. Uncertainty arises regarding the use of hyperbaric oxygen (HBO) as a treatment for the pregnant patient because of possible adverse effects on the fetus that could be induced by oxygen at high partial pressures. While the dangers of hyperoxia to the fetus have been demonstrated in animal models, careful review of animal studies and human clinical experience indicates that the short duration of hyperoxic exposure attained during HBO therapy for CO poisoning can be tolerated by the fetus in all stages of pregnancy and reduces the risk of death or deformity to the mother and fetus. A case is presented of acute CO poisoning during pregnancy that was successfully treated with HBO. Recommendations are suggested for the use of HBO during pregnancy.

  14. The Effects of Acute Hydrogen Sulfide Poisoning on Cytochrome P450 Isoforms Activity in Rats

    Xianqin Wang

    2014-01-01

    Full Text Available Hydrogen sulfide (H2S is the second leading cause of toxin related death (after carbon monoxide in the workplace. H2S is absorbed by the upper respiratory tract mucosa, and it causes histotoxic hypoxemia and respiratory depression. Cocktail method was used to evaluate the influences of acute H2S poisoning on the activities of cytochrome P450 isoforms CYP2B6, CYP2D6, CYP3A4, CYP1A2, CYP2C19, and CYP2C9, which were reflected by the changes of pharmacokinetic parameters of six specific probe drugs, bupropion, metoprolol, midazolam, phenacetin, omeprazole, and tolbutamide, respectively. The experimental rats were randomly divided into two groups, control group and acute H2S poisoning group (inhaling 300 ppm for 2 h. The mixture of six probes was given to rats by oral administration and the blood samples were obtained at a series of time points through the caudal vein. The concentrations of probe drugs in rat plasma were measured by LC-MS. The results for acute H2S poisoning and control groups were as follows: there was a statistically significant difference in the AUC and Cmax for bupropion, metoprolol, phenacetin, and tolbutamide, while there was no statistical pharmacokinetic difference for midazolam and omeprazole. Acute H2S poisoning could inhibit the activity of CYP2B6, CYP2D6, CYP1A2, and CYP2C9 in rats.

  15. Oral administration of lactulose: a novel therapy for acute carbon monoxide poisoning via increasing intestinal hydrogen production.

    Fan, Dan-Feng; Hu, Hui-Jun; Sun, Xue-Jun; Meng, Xiang-En; Zhang, Yu; Pan, Shu-Yi

    2016-01-01

    It has been known that the pathophysiology of carbon monoxide (CO) poisoning is related to hypoxia, the increased production of reactive oxygen species (ROS) and oxidative stress. Studies have shown that the novel, safe and effective free radical scavenger, hydrogen, has neuroprotective effects in both acute CO poisoning and delayed neuropsychological sequelae in CO poisoning. Orally administered lactulose, which may be used by some intestinal bacteria as a food source to produce endogenous hydrogen, can ameliorate oxidative stress. Based on the available findings, we hypothesize that oral administration of lactulose may be a novel therapy for acute CO poisoning via increasing intestinal hydrogen production. PMID:27000012

  16. Severe acute caffeine poisoning due to intradermal injections: Mesotherapy hazard

    Perković-Vukčević Nataša; Babić Gordana; Šegrt Zoran; Vuković-Ercegović Gordana; Janković Snežana; Aćimović Ljubomir

    2012-01-01

    Introduction. Caffeine is indicated in the treatment of migraine headaches, as well as neonatal apnea and bradycardia syndrome. In mild poisoning, the most prevalent symptoms are nausea, vomiting, diarrhea, tremor, anxiety and headache. In more severe cases, symptoms consist of heart rythym abnormalities, myocardial infarction and seizures. Due to its common lipolytic effect, caffeine is used in mesotherapy, usually in combination with drugs of similar effect. We presented a patient wit...

  17. Mercury poisoning in Nicaragua: a case study of the export of environmental and occupational health hazards by a multinational corporation.

    Hassan, A; Velasquez, E; Belmar, R; Coye, M; Drucker, E; Landrigan, P J; Michaels, D; Sidel, K B

    1981-01-01

    Pennwalt Inc., a multinational chemical and pharmaceutical firm based in the United States, operates a chloralkali plant in Managua, Nicaragua. This plant utilizes elemental mercury in the production of chlorine and caustic soda for markets throughout Central America. The plant was recently found to be contaminating the waters of Lake Managua (on which the plant is located) with 2 to 4 tons of inorganic mercury effluent per year-over 40 tons in the 13-year history of the plant. Examination of the 152 workers employed in the plant showed that 56(37 percent) were suffering symptoms and signs of mercury poisoning, including tremors (in 45), memory and attention deficits (in 45) and paresthesias (in 52). Levels of airborne mercury vapor in the plant were found to range as high as 600 microgram/m3. (The airborne standard set by the U.S. Occupational Safety and Health Administration is 100 microgram/m3.) Workers in the plant had never been alerted to the hazards of mercury. The plant was found to be in deteriorated condition, with no recent investments in maintenance or modern safety equipment. It is reported that the parent corporation, Pennwalt, has been withdrawing capital from the operation (and from Nicaragua) since the fall of the Somoza regime. PMID:7239735

  18. N-acetylcysteine in Acute Organophosphorus Pesticide Poisoning: A Randomized, Clinical Trial.

    El-Ebiary, Ahmad A; Elsharkawy, Rasha E; Soliman, Nema A; Soliman, Mohammed A; Hashem, Ahmed A

    2016-08-01

    Organophosphorus poisoning is a major global health problem with hundreds of thousands of deaths each year. Research interest in N-acetylcysteine has grown among increasing evidence of the role of oxidative stress in organophosphorus poisoning. We aimed to assess the safety and efficacy of N-acetylcysteine as an adjuvant treatment in patients with acute organophosphorus poisoning. This was a randomized, controlled, parallel-group trial on 30 patients suffering from acute organophosphorus poisoning, who were admitted to the Poison Control Center of Tanta University Emergency Hospital, Tanta, Egypt, between April and September 2014. Interventions included oral N-acetylcysteine (600 mg three times daily for 3 days) as an added treatment to the conventional measures versus only the conventional treatment. Outcome measures included mortality, total dose of atropine administered, duration of hospitalization and the need for ICU admission and/or mechanical ventilation. A total of 46 patients were screened and 30 were randomized. No significant difference was found between both groups regarding demographic characteristics and the nature or severity of baseline clinical manifestations. No major adverse effects to N-acetylcysteine therapy were reported. Malondialdehyde significantly decreased and reduced glutathione significantly increased only in the NAC-treated patients. The patients on NAC therapy required less atropine doses than those who received only the conventional treatment; however, the length of hospital stay showed no significant difference between both groups. The study concluded that the use of N-acetylcysteine as an added treatment was apparently safe, and it reduced atropine requirements in patients with acute organophosphorus pesticide poisoning. PMID:26786042

  19. Magnetic resonance (MR) imaging in delayed encephalopathy of acute carbon monoxide poisoning - comparison with CT -

    Eleven magnetic resonance (MR) and computed tomographic (CT) imaging were performed in nine patients with mild to moderate degree of delayed neuropsychiatric symptoms following acute carbon monoxide (CO) poisoning, to evaluate the capability of MR in demonstrating any additional finding to CT. The MR images were obtained using 0.15 Tesla resistive system with various combination of three pulse sequences, including partial saturation recovery, T2-weighted spin echo and inversion recovery. Bilateral white matter abnormalities suggesting demyelination were demonstrated in 4 patients with MR and in only 2 patients with CT. The contrast discrimination between normal and abnormal white matter proved to be better with T2-weighted spin echo and inversion recovery than with partial saturation recovery and CT. But necrosis of the globus pallidus (1 patient) and diffuse atrophy (3 patients) were equally demonstrated on both MR and CT. It is suggested that MR be used as a initial imaging method in the evaluation of the delayed encephalopathy following acute CO poisoning, especially for the detection of the possible white matter lesions. Acute carbon monoxide (CO) poisoning produces hypoxia by displacing oxygen from hemoglobin and preventing its release from hemoglobin in tissues, often resulting in fetal event. Victims who survive acute CO poisoning may have various delayed symptoms and signs. Occasionally, an apparent recovery is followed within two days to three weeks by a sudden neurological deterioration. The degree of neuropsychiatric symptoms depends upon the extent and severity of the pathologic changes in the brain. The pathologic effects of CO poisoning are present in almost all organs of patients. However, the most important changes occur in the brain, which consist of necrosis of the globus pallidus and reticular zone of the substantia nigra, and the degeneration of the cerebral white matter. The diagnostic superiority of magnetic resonance (MR) over CT has already

  20. Ulinastatin suppresses endoplasmic reticulum stress and apoptosis in the hippocampus of rats with acute paraquat poisoning

    Hai-feng Li

    2015-01-01

    Full Text Available Lung injury is the main manifestation of paraquat poisoning. Few studies have addressed brain damage after paraquat poisoning. Ulinastatin is a protease inhibitor that can effectively stabilize lysosomal membranes, prevent cell damage, and reduce the production of free radicals. This study assumed that ulinastatin would exert these effects on brain tissues that had been poisoned with paraquat. Rat models of paraquat poisoning were intraperitoneally injected with ulinastatin. Simultaneously, rats in the control group were administered normal saline. Hematoxylin-eosin staining showed that most hippocampal cells were contracted and nucleoli had disappeared in the paraquat group. Fewer cells in the hippocampus were concentrated and nucleoli had disappeared in the ulinastatin group. Western blot assay showed that expressions of GRP78 and cleaved-caspase-3 were significantly lower in the ulinastatin group than in the paraquat group. Immunohistochemical findings showed that CHOP immunoreactivity was significantly lower in the ulinastatin group than in the paraquat group. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling staining showed that the number of apoptotic cells was reduced in the paraquat and ulinastatin groups. These data confirmed that endoplasmic reticular stress can be induced by acute paraquat poisoning. Ulinastatin can effectively inhibit this stress as well as cell apoptosis, thereby exerting a neuroprotective effect.

  1. Using bosentan to treat paraquat poisoning-induced acute lung injury in rats.

    Zhongchen Zhang

    Full Text Available BACKGROUND: Paraquat poisoning is well known for causing multiple organ function failure (MODS and high mortality. Acute lung injury and advanced pulmonary fibrosis are the most serious complications. Bosentan is a dual endothelin receptor antagonist. It plays an important role in treating PF. There is no related literature on the use of bosentan therapy for paraquat poisoning. OBJECTIVE: To study the use of bosentan to treat acute lung injury and pulmonary fibrosis as induced by paraquat. METHOD: A total of 120 adult Wister male rats were randomly assigned to three groups: the paraquat poisoning group (rats were intragastrically administered with paraquat at 50 mg/kg body weight once at the beginning; the bosentan therapy group (rats were administered bosentan at 100 mg/kg body weight by intragastric administration half an hour after paraquat was administered, then the same dose was administered once a day; and a control group (rats were administered intragastric physiological saline. On the 3rd, 7th, 14th, and 21st days following paraquat exposure, rats were sacrificed, and samples of lung tissue and venous blood were collected. The levels of transforming growth factor-β1 (TGF-β1, endothelin-1 (ET-1, and hydroxyproline (HYP in the plasma and lung homogenate were determined. Optical and electronic microscopes were used to examine pathological changes. RESULT: The TGF-β1, ET-1, and HYP of the paraquat poisoning group were significantly higher than in the control group, and they were significantly lower in the 21st day therapy group than in the paraquat poisoning group on the same day. Under the optical and electronic microscopes, lung tissue damage was observed to be more severe but was then reduced after bosentan was administered. CONCLUSION: Bosentan can reduce inflammation factor release. It has a therapeutic effect on acute lung injury as induced by paraquat.

  2. Research progress in immunological mechanism of delayed encephalopathy after acute carbon monoxide poisoning

    Kai FENG

    2014-10-01

    Full Text Available Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP is a syndrome constituted by acute dementia, psychiatric symptoms, pyramidal and extrapyramidal symptoms, which can be developed after the original clinical symptoms of carbon monoxide poisoning recovered. Lots of studies have been done to explain the mechanisms of DEACMP, and more and more researches have demonstrated that the immunological mechanism may be involved in or play an important role on the pathogenesis of the process. This article will review the researches of immunological mechanism of DEACMP in recent years and give some prompts to clinical study in the future. doi: 10.3969/j.issn.1672-6731.2014.10.006

  3. Acute Lantana camara poisoning in a Boer goat kid : case report

    A. Ide

    1998-07-01

    Full Text Available Acute Lantana camara poisoning in a Boer goat kid is described. The animal was part of a flock of boer goats that was introduced from the Kalahari thornveld, where the plant does not occur, to an area where the plant grew abundantly. At necropsy, the animal was severely icteric, dehydrated and constipated, with hepatosis, distention of the gall-bladder and nephrosis, but no skin lesions. Histopathological findings of the liver confirmed moderate hepatosis with single-cell necrosis and bile stasis. The pathology is consistent with that described in acute Lantana poisoning in cattle, sheep and goats. The absence of photosensitisation may be attributed to relatively mild liver damage, or the rapid course of this toxicosis.

  4. Analysis of characteristics of acute poisoning caused by various poisons in Guangxi, China%广西各类毒物致急性中毒分析

    胡德宏; 张振明; 刘清华; 蒋东方

    2013-01-01

    Objective To investigate the characteristics of acute poisonings caused by various poisons in Guangxi,China.Methods A retrospective investigation was performed in 5859 cases of acute poisonings who were admitted to 63 hospitals in 11 cities,as well as 531 types of poisons involved.The poisons were categorized into 6 groups; each group of cases was stratified by the rural or urban settings,frequency of poisoning,and cause of poisoning to analyze the numbers of cases and constituent ratios.Results Most types of poisons (68.74%) belonged to drugs (217 types) and pesticides (148 types).Most cases of poisonings (61.63%) were caused by pesticides (n=2547) and chemicals (n=1064).Pesticides,poisons of plant origins,and poisons of animal origins were responsible for most of the cases in rural settings; 88.46%,79.10%,and 66.74% of the cases of these poison categories happened in rural settings.Chemicals,drugs,and other poisons were responsible for most of the cases in urban settings; 70.20%,61.74%,and 63.73% of the cases of these poison categories happened in urban settings.The numbers of cases in 5-year-poisoning groups were the highest in all categories of poisons,accounting for 85.24%,88.57%,55.16%,70.79%,68.36%,and 66.44% of cases of respective categories.Most cases of poisonings by chemicals,poisons of animal origin,and other poisons were accident-related (86.24%,72.66%,and 46.71% of the poison categories).Most cases of poisonings by pesticides and drugs were suiciderelated (59.39% and 33.52% of the poison categories).Most cases by poisons of plant origin were caused by accidental ingestion (70.36% of the poison category).Conclusion Most of the acute poisonings in Guangxi area are caused by pesticides and chemicals; the most common causes of poisoning are accidents,accidental ingestion,and suicide.There are significant differences in the causes of acute poisonings between the urban and rural settings.%目的 探讨广西各类毒

  5. Combined administration of hyperbaric oxygen and hydroxocobalamin improves cerebral metabolism after acute cyanide poisoning in rats

    Hansen, M B; Olsen, Niels Vidiendal; Hyldegaard, O

    2013-01-01

    -to-pyruvate ratio in rat brain by means of microdialysis during acute CN poisoning. Anesthetized rats were allocated to three groups: 1) vehicle (1.2 ml isotonic NaCl intra-arterially); 2) potassium CN (5.4 mg/kg intra-arterially); 3) potassium CN, OHCob (100 mg/kg intra-arterially) and subsequent HBOT (284 kPa in...

  6. ACUTE ACCIDENTAL POISONING IN CHILDREN: A HOSPITAL-BASED RETROSPECTIVE STUDY

    Kameshore; Singh; Jibo; Minita

    2014-01-01

    INTRODUCTION: Acute accidental poisoning in children is a big problem anywhere in the world. Studies done elsewhere in India showed a wide range of incidence of the problem. Hence, it was felt important to study its magnitude and associated characteristics as of now. OBJECTIVE: The current study was taken up to know the magnitude among children admitted in JNIMS, Imphal which is a newly established medical institute and also to study the characteristics like age, gender, type ...

  7. Sequential CT change of the globus pallidus in acute carbon monoxide poisoning

    We presented CT findings in the globus pallidus of three cases of acute CO poisoning. The initial low density lesions in the bilateral globus pallidus became isodense two to three weeks after the onset, and later appeared again as low density spots. These changes on CT were similar to the so-called ''fogging effect'' that is often found in cases of cerebral infarcts. (author)

  8. Acute Lantana camara poisoning in a Boer goat kid : case report

    Ide, A.; C.L.C. Tutt

    1998-01-01

    Acute Lantana camara poisoning in a Boer goat kid is described. The animal was part of a flock of boer goats that was introduced from the Kalahari thornveld, where the plant does not occur, to an area where the plant grew abundantly. At necropsy, the animal was severely icteric, dehydrated and constipated, with hepatosis, distention of the gall-bladder and nephrosis, but no skin lesions. Histopathological findings of the liver confirmed moderate hepatosis with single-cell necrosis and bile st...

  9. Abnormal pancreatic enzymes and their prognostic role after acute paraquat poisoning

    Yi Li; Meng Wang; Yanxia Gao; Wen Yang; Qun Xu; Michael Eddleston; Li Li; Xuezhong Yu

    2015-01-01

    Ingestion of paraquat causes multi-organ failure. Prognosis is best estimated through measurement of blood paraquat concentrations but this facility is not available in most hospitals. We studied the prognostic significance of abnormal pancreatic enzymes for survival. Patients with acute paraquat poisoning were recruited. An extensive series of blood tests including serum amylase were serially checked. Patients were sorted according to their serum amylase activity (normal [660 U/L]), and surv...

  10. The Effect of Acute Fluoride Poisoning on Nitric Oxide and Methemoglobin Formation in the Guinea pig

    ŞİRELİ, Meltem

    2004-01-01

    To study the effect of acute fluoride poisoning on nitric oxide and methemoglobin formation, 250 mg/kg bw sodium fluoride was applied alone and verapamil was applied together with fluoride. Blood nitric oxide (Griess reaction) and calcium levels; hemoglobin, methemoglobin and hematocrit values; and erythrocyte counts were determined and compared with those of the controls. After the fluoride application it was found that there was a relative relationship between the increase in nitric oxide a...

  11. Effect of hemoperfusion on internal environment of patients with acute poisoning

    Hua Li; Wen-Qiang Li

    2016-01-01

    Objective:To explore the effect of hemoperfusion on the internal environment of patients with acute poisoning.Methods: A total of 36 patients with the acute poisoning who received the hemoperfusion treatment in Department of Emergency Medicine of this hospital were selected as the research subjects and a retrospective study was performed on them. At the beginning, 30 min and 120 min of hemoperfusion treatment, the blood was taken from the blood-collecting point of artery with cardiopulmonary bypass to detect the blood pH, partial pressure of CO2, partial pressure of oxygen, blood lactic acid, potassium, sodium, free calcium, bicarbonate ion and blood glucose level. The above indicators at the different time point were compared. Results:At the beginning, 30 min and 120 min of hemoperfusion, there was no significant difference in the partial pressure of CO2, pH, blood potassium, blood sodium, bicarbonate ion and free calcium between groups. But at the beginning, 30 min and 120 min of hemoperfusion, there was the significant difference in the partial pressure of oxygen, lactic acid and blood glucose between groups.Conclusion:There is no significant effect on the internal environment of patients with acute poisoning who receive the hemoperfusion treatment.

  12. Acute Copper Sulfate Poisoning: Case Report and Review of Literature

    Mahesh Chand Meena

    2014-09-01

    Full Text Available Background: Copper sulfate ingestion is a relatively popular method for committing suicide in Indian subcontinent. It causes a high mortality rate, and so a growing concern has been raised to identify the severe alarming signs suggestive of poor prognosis and to improve treatment approaches. Case report: A 22-year-old unmarried man working as a painter was found unconscious at his friend residence. The patient developed hypotension, hemorrhagic gastroenteritis with hematemesis and melena, renal and hepatic failure, severe metabolic acidosis and intravascular hemolysis during admission at hospital. His signs were refractory to treatment with fluid replacement therapy, vasoactive drugs, antiemetic drugs, ranitidine, furosemide, methylene blue and 2,3 dimercaptopropane-1-sulphonate. He died six hours post-admission. In post-mortem examinations, there were multiple sub-pleural and sub-epicardial hemorrhages and the gastrointestinal mucosa was congested, hemorrhagic, and greenish blue in color. The liver, on histological examination, showed sub-massive hepatic necrosis. On toxicological analyses, copper sulfate was detected in preserved viscera and results for other heavy metals were negative. Conclusion: Hypotension, cyanosis, uremia and jaundice can be considered as signs of poor prognosis in copper sulfate poisoning. Copper sulfate ingestion is life-threatening due to its deleterious effects on the upper GI, kidneys, liver and blood. Having no time to waste, aggressive treatments should be immediately instituted and signs of poor prognosis should be kept in mind.

  13. Acute human self-poisoning with imidacloprid compound: a neonicotinoid insecticide.

    Fahim Mohamed

    Full Text Available BACKGROUND: Deliberate self-poisoning with older pesticides such as organophosphorus compounds are commonly fatal and a serious public health problem in the developing world. The clinical consequences of self-poisoning with newer pesticides are not well described. Such information may help to improve clinical management and inform pesticide regulators of their relative toxicity. This study reports the clinical outcomes and toxicokinetics of the neonicotinoid insecticide imidacloprid following acute self-poisoning in humans. METHODOLOGY/PRINCIPAL FINDINGS: Demographic and clinical data were prospectively recorded in patients with imidacloprid exposure in three hospitals in Sri Lanka. Blood samples were collected when possible for quantification of imidacloprid concentration. There were 68 patients (61 self-ingestions and 7 dermal exposures with exposure to imidacloprid. Of the self-poisoning patients, the median time to presentation was 4 hours (IQR 2.3-6.0 and median amount ingested was 15 mL (IQR 10-50 mL. Most patients only developed mild symptoms such as nausea, vomiting, headache and diarrhoea. One patient developed respiratory failure needing mechanical ventilation while another was admitted to intensive care due to prolonged sedation. There were no deaths. Median admission imidacloprid concentration was 10.58 ng/L; IQR: 3.84-15.58 ng/L, Range: 0.02-51.25 ng/L. Changes in the concentration of imidacloprid in serial blood samples were consistent with prolonged absorption and/or saturable elimination. CONCLUSIONS: Imidacloprid generally demonstrates low human lethality even in large ingestions. Respiratory failure and reduced level of consciousness were the most serious complications, but these were uncommon. Substitution of imidacloprid for organophosphorus compounds in areas where the incidence of self-poisoning is high may help reduce deaths from self-poisoning.

  14. The pathology of acute Nolletia gariepina poisoning of cattle

    E. C. Du Plessis

    2011-04-01

    Full Text Available Toxicity in cattle by the shrub Nolletia gariepina was induced experimentally by intraruminal administration of 3 g/kg dried, milled plant material as a single dose. The animals had to be starved for 24 hours before dosing, as dosing on a full rumen did not induce any signs of toxicity during 5 days of observation and clinical pathology monitoring. Clinical signs were not specific and varied according to the duration (acute versus subacute of the toxicological process. Clinical pathological parameters indicated renal and to a lesser extent hepatic damage, with raised serum concentrations of urea, creatinine, aspartate aminotransferase (AST and gamma glutamyl transferase (GGT. Increased urinary sodium and potassium concentration and GGT activity, as well as proteinuria, were evident. Histological and electron microscopic examinations revealed acute renal tubular epithelial cell degeneration and necrosis, especially of the proximal convoluted tubules. Mild hepatocellular degeneration was also noticeable.

  15. Acute methoxetamine and amphetamine poisoning with fatal outcome: A case report

    Marek Wiergowski

    2014-08-01

    Full Text Available Methoxetamine (MXE is a psychoactive substance distributed mostly via the Internet and is not liable to legal regulation in Poland. MXE has a toxicity profile similar to that of ketamine but longer-lasting effects. The paper describes a case of acute poisoning that resulted from recreational use of MXE and amphetamine and ended in death. In mid-July 2012, a 31-year old man was admitted to the clinical toxicology unit in Gdańsk because of poisoning with an unknown psychoactive substance. The patient was transported to the emergency department (ED at 5:15 a.m. in a very poor general condition, in a deep coma, with acute respiratory failure, hyperthermia (> 39°C and generalized seizures. Laboratory tests showed marked leukocytosis, signs of massive rhabdomyolysis, hepatic failure and beginning of acute renal failure. Despite intensive therapy, the patient died 4 weeks after the poisoning in the course of multi-organ dysfunction syndrome. Chemical and toxicological studies of serum and urine samples collected on the poisoning day at 1:40 p.m. confirmed that amphetamine and MXE had been taken earlier that day. Concentration of amphetamine in the serum (0.06 μg/ml was within the non-toxic range, while MXE (0.32 μg/ml was within the toxic range of concentrations. Amphetamine was also detected in the patient's hair, which suggested a possibility of its use within the last dozen weeks or so. The serious clinical course of intoxication and co-existence of amphetamine and MXE in the patient's blood and urine suggest the possibility of adverse interactions between them.

  16. Toxicokinetics of paraquat in Korean patients with acute poisoning

    Kim, Hak-Jae; Kim, Hyung-Ki; Lee, HwaYoung; Bae, Jun-Seok; Kown, Jun-Tack; Gil, Hyo-Wook; Hong, Sae-Yong

    2015-01-01

    To conduct a kinetic study of paraquat (PQ), we investigated 9 patients with acute PQ intoxication. All of them ingested more than 20 ml of undiluted PQ herbicide to commit suicide and arrived at our hospital early, not later than 7 h after PQ ingestion. The urine dithionite test for PQ in all of the nine patients was strongly positive at emergency room. Blood samples were obtained every 30 min for the first 2~3 h and then every 1 or 2 h, as long as the clinical progression was stable among t...

  17. Mercury

    Papers are presented on future observations of and missions to Mercury, the photometry and polarimetry of Mercury, the surface composition of Mercury from reflectance spectrophotometry, the Goldstone radar observations of Mercury, the radar observations of Mercury, the stratigraphy and geologic history of Mercury, the geomorphology of impact craters on Mercury, and the cratering record on Mercury and the origin of impacting objects. Consideration is also given to the tectonics of Mercury, the tectonic history of Mercury, Mercury's thermal history and the generation of its magnetic field, the rotational dynamics of Mercury and the state of its core, Mercury's magnetic field and interior, the magnetosphere of Mercury, and the Mercury atmosphere. Other papers are on the present bounds on the bulk composition of Mercury and the implications for planetary formation processes, the building stones of the planets, the origin and composition of Mercury, the formation of Mercury from planetesimals, and theoretical considerations on the strange density of Mercury

  18. Duration of an induced resistance of sheep to acute poisoning by Crotalaria retusa seeds

    Lisanka Angelo Maia

    2014-06-01

    Full Text Available The aim of this study was to determine the duration of the resistance after the end of the ingestion of non-toxic doses of Crotalaria retusa seeds. Ten sheep were divided into 3 groups of 3 animals each and a control group with 1 sheep. To induce resistance, sheep in groups 1, 2 and 3 received 20 daily doses of 2g kg-1 of C. retusa seeds, followed by 7 daily doses of 4g kg-1. To determine the duration of resistance the sheep in groups 1, 2 and 3 were challenged orally, 3, 7 and 15 days, respectively, after receiving the last dose of 4g kg-1, with a single dose of 5g kg-1. Sheep of groups 1 and 2 did not develop overt signs of poisoning. Two sheep of group 3, challenged 15 days after the end of the resistance induction period, showed signs of acute poisoning and died. These results suggest that the induced resistance of sheep to acute poisoning by C. retusa seeds is of short duration, from 7 to 15 days.

  19. Effects of acute organophosphate poisoning on pituitary target gland hormones at admission, discharge and three months after poisoning: A hospital based pilot study

    Pinaki Dutta

    2015-01-01

    Full Text Available Background: Organophosphate compound (OPC poisoning is common in the developing countries such as India. The acute and later effects of OPC poisoning on pituitary and target gland hormones is largely unknown. Materials and Methods: This prospective study was conducted at Postgraduate Institute of Medical Education and Research between January 2012 and March 2013. Fourteen patients (8 males, age 18-50 years with acute OPC poisoning were included in the study based on the history and clinical features, documented decreased in plasma cholinesterase activity or presence of the OPC in gastric lavage/blood samples. The hormonal parameters were done at baseline, at the time of discharge and at three months of follow-up. Results: A total of 14 patients out of 46 with the mean age of 30.1 ± 10.3 years were finally eligible for the study. Hormonal alterations at admission were similar to sick euhormonal syndrome. Overall 7 of them had nine hormonal deficits at three months of follow up, 4 having sub normal basal cortisol level and two each had low testosterone and growth hormone and only one had thyroxine deficiency. Conclusion: Acute organophosphate poisoning results in endocrine dysfunction akin to sick euhormonal syndrome. However, in a small subset of patients, varying level of hormonal insufficiency may occur either at admission or later. These observations need re-validation in a larger group of patients with specific OPC.

  20. [Acute drug poisonings in children in a general pediatric service (epidemiologic profile)].

    Aïlal, F; Dehbi, F; Slaoui, B

    1998-06-01

    Acute drug poisonings of the child is a major problem for health authorities all over the world, and are responsible for serious morbidity with mortality risks. The present retrospective study has involved 150 cases of drug poisoning observed in the Casablanca children's hospital over a period of 7 years. Most intoxication cases are accidental (84%), (mostly in children of 1 to 5 years old 74.6%), willful (11.3%), or iatrogenic (4.7%). Happening most often at home (95%) with a high frequency between 5 and 6 p.m. (24%) and 11 a 12 p.m. (13.3%), time of strong hunger. The large majority of drugs wer psychotropic agents (56%), principally diazepins (39%). Followed by oral contraceptive (8%), antihistaminics (8%), analgesics (7%), antibiotics (4%) and others (11%). Prevention is of high importance, and must be made effective on the wildest scale. PMID:9689865

  1. [Clinical symptoms and circumastances of acute poisonings with fly agaric (Amanita muscaria) and panther cap (Amanita pantherina)].

    Łukasik-Głebocka, Magdalena; Druzdz, Artur; Naskret, Maciej

    2011-01-01

    Mushroom poisonings in Poland are quite common, especially in summer and autumn, but fly agaric (Amanita muscaria) and panther cap (Amanita pantherina) are rather rare cause of these intoxications. Fly agaric is a cause of deliberate poisoning, whereas panther cap poisoning also happens accidentally. The main toxins of these two mushrooms are ibotenic acid (pantherine, agarine), muscimol, muscazone and muscaridine. The other bioactive substances are stizolobic and stizolobinic acids and aminodicarboxyethylthiopropanoic acids. All these compounds are responsible for diverse picture of intoxication. An analysis of patients with Amanita muscaria and Amanita pantherina poisoning hospitalized in the Poznan Departament of Toxicology revealed that symptoms occurred after 30 minutes to 2 hours with vomiting, hallucinations, restlessness, increased psychomotor drive and central nervous system depression. Other antycholinergic symptoms like tachycardia and increased blood pressure, mydriasis, dry and red skin were seen only in a few cases. Acute respiratory failure was the most dangerous symptom observed in the course of poisoning. PMID:22010435

  2. Toxicokinetics of paraquat in Korean patients with acute poisoning.

    Kim, Hak-Jae; Kim, Hyung-Ki; Lee, Hwayoung; Bae, Jun-Seok; Kown, Jun-Tack; Gil, Hyo-Wook; Hong, Sae-Yong

    2016-01-01

    To conduct a kinetic study of paraquat (PQ), we investigated 9 patients with acute PQ intoxication. All of them ingested more than 20 ml of undiluted PQ herbicide to commit suicide and arrived at our hospital early, not later than 7 h after PQ ingestion. The urine dithionite test for PQ in all of the nine patients was strongly positive at emergency room. Blood samples were obtained every 30 min for the first 2~3 h and then every 1 or 2 h, as long as the clinical progression was stable among the patients for 30 h after PQ ingestion. The area under the plasma concentration-time curve (AUCinf), which was extrapolated to infinity, was calculated using the trapezoidal rule. Toxicokinetic parameters, such as the terminal elimination half-life, apparent oral clearance, and apparent volume of distribution (Vd/F) were calculated. The maximum PQ concentration (Cmax) and the time to reach maximum PQ concentration (Tmax) were also obtained. Plasma PQ concentrations in nine patients were well described by a bi-exponential curve with a mean terminal elimination half-life of 13.1±6.8 h. Cmax and AUCinf were 20.8±25.7 mg/l and 172.5±160.3 h·mg/l, respectively. Apparent volume of distribution and apparent oral clearance were 50.9±61.3 l/kg and 173.4±111.2 l/h, respectively. There were a significant correlation (r =0.84; p<0.05) between the PQ amount ingested and Cmax. AUCinf also showed a significant correlation (r =0.83; p<0.05) with the PQ amount ingested. These correlations provide evidence that PQ has dose-linear toxicokinetic characteristics. PMID:26807021

  3. Inorganic mercury poisoning due to the use of beauty cream in Hong Kong

    Cheung, TT; Tsoi, MF; Cheung, BMY

    2015-01-01

    INTRODUCTION: Use of inorganic mercury compounds in cosmetic products is prohibited as it can cause significant nephrotoxicity. However, the public continues to have access to these illegal products in Hong Kong ...

  4. Ultrastructural effects of acute tetraethyllead poisoning on nerve cells of the rabbit brain

    Niklowitz, W.J.

    1974-08-01

    A study of the ultrastructural alterations of nerve cell components in specific areas of the brain of the rabbit after acute poisoning with tetraethyllead (TEL). A single dose of 100 mg/kg of TEL caused neurological disorders such as convulsions after a latency of 12 to 18 h. An electron microscopic study revealed that the nerve cells of the areas investigated contained different stages of degenerative changes not demonstrated by light microscopy. These appear to be dependent on location and antedate the neurological disorders. The cytopathogenesis is discussed in the light of these findings and available biochemical data. (CIS Abstract Vol. 2)

  5. Glasgow coma scale in acute poisonings before and after use of antidote in patients with history of use of psychotropic agents

    Poplas-Sušić Tonka; Klemenc-Ketis Zalika; Komericki-Grzinić Marija; Kersnik Janko

    2010-01-01

    Introduction. Data on emergency interventions in poisonings are scarce. Objective. To determine the effectiveness of antidote therapy in acute poisoning-related emergency medical services (EMS) interventions. Methods. A prospective observational study included all poisoning-related intervention cases over 3 years (1999-2001) in the Celje region, Slovenia, covering 125,000 inhabitants. Data were recorded on an EMS form. Results. Psychoactive agents were present in 56.5% out of 244 poisoning-re...

  6. Brain injury due to acute organophosphate poisoning Magnetic resonance imaging manifestation and pathological characteristics

    2007-01-01

    BACKGROUND: Acute organophosphate poisoning can cause injuries of multiple visceras; especially,central nervous system injury can increase risk factors of patients with severe acute organophosphate poisoning. An application of modem image may increase diagnostic rate of brain injury in an earlier period and provide evidences for clinical treatment.OBJECTIVE: To reveal imaging manifestations, pathological characteristics and multi-ways injured mechanism of brain injury due to acute organophosphate poisoning.DESIGN: Contrast observational study.SETTING: Department of Medical Image, the Second Hospital of Hebei Medical University.MATERIALS: The experiment was carried out in the Department of Nerve Molecule Imaging Medicine and Laboratory of Neurology, the Second Hospital of Hebei Medical University from August 2003 to February 2004. A total of 30 healthy cats weighing 2.8 - 3.5 g and of both genders were selected from Animal Experimental Center of Hebei Medical University.METHODS: Thirty healthy cats were randomly divided into control group (n =5) and intoxication group (n=25). Cats in the control group were subcutaneously injected with 0.3 mL/kg saline at four points; while, cats in the intoxication group were subcutaneously injected with 400 g/L 0.3 mL/kg O,O-dimethyl-S-(methoxycarbonylmethyl) thiophosphate at four points. Two minutes after intoxication, cats received muscular injection with 0.5 mg/kg atropine sulfate, and then, brain tissues were collected from parietal lobe, basal ganglia, hippocampus, cerebellum and brain stem were observed at 3, 6, 24 hours, 3 and 7 days after intoxication respectively under optic microscope and electron microscope and expressions of acetylcholinesterase (AChE), choline acetyltransferase (ChAT), glial fibrillary acidic protein (GFAP),glutamic acid (Glu) and γ-amino butyric acid after immunohistochemical staining.MAIN OUTCOME MEASURES: Results of MRI examinations; histological changes under optic microscope and electron

  7. 汞中毒92例临床分析%The clinical analysis of mercury poisoning in 92 cases

    刘晓玲; 王汉斌; 孙成文; 熊锡山; 陈芝; 李兆圣; 韩博; 杨钢

    2011-01-01

    Objective To summarize the clinical features of mercury poisoning diagnosed by blood and urine tests for improving the diagnosis and treatment of the disease.Methods Poisoning causes,clinical manifestations,diagnosis,treatment and prognosis were retrospectively reviewed in 92 in-patients with mercury poisoning in our hospital from January 2000 to April 2010.Results Of the 92 patients,37 were male and 55 were female with an average age of 33.1(2-65)years old.The mercury poisoning was caused by occupational exposure and non-occupational exposure,such as iatrogenic exposure,life exposure and wrong intake or suicidal intake of mercury-containing substances,mainly through respiratory tract,digestive tract and skin absorption.The most common clinical symptoms were as the followings:nervous system symptom,such as memory loss in 50 eases(54.3%),fatigue in 34(37.0%),numb limb in 25 (27.2%),dizziness and headache in 22(23.9%),cacesthesia in 20(21.7%),fine tremor(finger tip,tongue tip,eyelids)in 15(16.3%),insomnia and more dreams in 12(13.0%);gastrointestinal symptoms:nausea in 16 (17.4%),abdominal pain in 14(15.2%),stomatitis in 5(5.4%);joint and muscle symptoms:muscle pain in 16(17.4%),joint pain in 5(5.4%);cardiovaseular system:chest tightness,hean palpitations in 6(6.5%);urinary system:edema in 9(9.8%);other system:hidrosis in 20(21.7%).After the treatment with sodium dimercaptopropane sulfonate (DMPS),the symptoms were gradually alleviated.Their gastrointestinal,cardiovascular symptoms were alleviated within 2 weeks;neurological symptoms were alleviated within 3 months;kidney damage showed a slower recovery and could be completely'alleviated within 6 months.Conclusions Because of its diverse clinical symptoms,the mercury poisoning was easy to misdiagnosis and missed diagnosis:therefore the awareness of the disease should be further enhanced.Leaving from the poisoning environment timely and giving appropriate treatment with DMPS will lead to a satisfactory prognosis

  8. Brain temperature measured by 1H-magnetic resonance spectroscopy in acute and subacute carbon monoxide poisoning

    Brain temperature (BT) is associated with the balance between cerebral blood flow and metabolism according to the ''heat-removal'' theory. The present study investigated whether BT is abnormally altered in acute and subacute CO-poisoned patients by using 1H-magnetic resonance spectroscopy (MRS). Eight adult CO-poisoned patients underwent 3-T magnetic resonance imaging in the acute and subacute phases after CO exposure. MRS was performed on deep cerebral white matter in the centrum semiovale, and MRS-based BT was estimated by the chemical shift difference between water and the N-acetyl aspartate signal. We defined the mean BT + 1.96 standard deviations of the BT in 15 healthy controls as the cutoff value for abnormal BT increases (p < 0.05) in CO-poisoned patients. BT of CO-poisoned patients in both the acute and subacute phases was significantly higher than that of the healthy control group. However, BT in the subacute phase was significantly lower than in the acute phase. On the other hand, no significant difference in body temperature was observed between acute and subacute CO-poisoned patients. BT weakly correlated with body temperature, but this correlation was not statistically significant (rho = 0.304, p = 0.2909). The present results suggest that BT in CO-poisoned patients is abnormally high in the acute phase and remains abnormal in the subacute phase. BT alteration in these patients may be associated with brain perfusion and metabolism rather than other factors such as systemic inflammation and body temperature. (orig.)

  9. Brain temperature measured by {sup 1}H-magnetic resonance spectroscopy in acute and subacute carbon monoxide poisoning

    Fujiwara, Shunrou; Nishimoto, Hideaki; Murakami, Toshiyuki; Ogawa, Akira; Ogasawara, Kuniaki [Iwate Medical University, Department of Neurosurgery, Morioka, Iwate (Japan); Yoshioka, Yoshichika [Osaka University, Laboratory of Biofunctional Imaging, WPI Immunology Frontier Research Center, Osaka (Japan); Matsuda, Tsuyoshi [MR Applications and Workflow Asia Pacific, GE Healthcare Japan, Tokyo (Japan); Beppu, Takaaki [Iwate Medical University, Department of Neurosurgery, Morioka, Iwate (Japan); Iwate Medical University, Department of Hyperbaric Medicine, Iwate (Japan)

    2016-01-15

    Brain temperature (BT) is associated with the balance between cerebral blood flow and metabolism according to the ''heat-removal'' theory. The present study investigated whether BT is abnormally altered in acute and subacute CO-poisoned patients by using {sup 1}H-magnetic resonance spectroscopy (MRS). Eight adult CO-poisoned patients underwent 3-T magnetic resonance imaging in the acute and subacute phases after CO exposure. MRS was performed on deep cerebral white matter in the centrum semiovale, and MRS-based BT was estimated by the chemical shift difference between water and the N-acetyl aspartate signal. We defined the mean BT + 1.96 standard deviations of the BT in 15 healthy controls as the cutoff value for abnormal BT increases (p < 0.05) in CO-poisoned patients. BT of CO-poisoned patients in both the acute and subacute phases was significantly higher than that of the healthy control group. However, BT in the subacute phase was significantly lower than in the acute phase. On the other hand, no significant difference in body temperature was observed between acute and subacute CO-poisoned patients. BT weakly correlated with body temperature, but this correlation was not statistically significant (rho = 0.304, p = 0.2909). The present results suggest that BT in CO-poisoned patients is abnormally high in the acute phase and remains abnormal in the subacute phase. BT alteration in these patients may be associated with brain perfusion and metabolism rather than other factors such as systemic inflammation and body temperature. (orig.)

  10. Membranous glomerulonephropathy and nephrotic syndrome associated with iatrogenic metallic mercury poisoning in a cat.

    Shull, R M; Stowe, C M; Osborne, C A; O'Leary, T P; Vernier, R L; Hammer, R F

    1981-02-01

    The nephrotic syndrome, characterized by nonselective proteinuria, hypoproteinemia, hypoalbuminemia, and ascites, was observed in a 10-month-old male cat. Profound glomerular changes and renal tubular changes appear to have been induced by iatrogenic chronic exposure to metallic mercury originally contained in a rectal thermometer. Large concentrations of mercury were present in the kidneys, liver, spleen, and urine. Evaluation of glomeruli by immunofluorescent microscopy revealed interrupted granular deposition of immuno-globulin G and the third component of complement in glomerular capillary walls and the mesangium. Electron microscopic evaluation of glomeruli revealed diffuse alterations in glomerular basement membranes and visceral epithelial cells. Small electron dense deposits were observed in capillary walls, but they were not characteristic of immune complexes. The mechanism(s) responsible for the mercury induced glomerulonephropathy in this patient could not be determined on the basis of available data. PMID:7257162

  11. Acute Renal Failure due to Copper Sulfate Poisoning; a Case Report

    Fakhrossadat Mortazavi

    2009-03-01

    Full Text Available Background:Copper sulfate is a blue and odorless salt with various industrial, chemical, agricultural and medicinal applications. Copper sulfate poisoning is rare in children. Case Presentation:A 23-month old boy accidentally ingested a solution of copper sulfate, used as a disinfectant agent in animal husbandry. He was referred to Children's Hospital of Tabriz because of frequent vomiting and lethargy. The major systemic complications were intravascular hemolysis, anemia and acute renal failure. The patient was successfully treated with multiple packed cell transfusions, dimercaprol, penicillamine and peritoneal dialysis. Plasma copper level 15 days after ingestion was 216 ?g/dl.Conclusion:Copper sulfate is a highly toxic agent that, when ingested, can cause local and systemic damage including coma, shock, severe intravascular hemolysis, hepatotoxicity and acute renal failure with high mortality.

  12. Neurotoxicity and reactive astrogliosis in the anterior cingulate cortex in acute ciguatera poisoning.

    Zhang, Xu; Cao, Bing; Wang, Jun; Liu, Jin; Tung, Vivian Oi Vian; Lam, Paul Kwan Sing; Chan, Leo Lai; Li, Ying

    2013-06-01

    Ciguatoxins (CTXs) cause long-term disturbance of cerebral functions. The primary mechanism of neurotoxicity is related to their interaction with voltage-gated sodium channels. However, until now, the neurological targets for CTXs in the brain of intact animals have not been described. In our study, 1 day following oral exposure to 0.26 ng/g of Pacific ciguatoxin 1 (P-CTX-1), we performed in vivo electrophysiological recordings in the rat anterior cingulate cortex (ACC) and identified the increase in spontaneous firings and enhanced responses to visceral noxious stimulation. Local field recordings characterized the P-CTX-1-induced synaptic potentiation and blockage of the induction of electrical stimulation-induced long-term potentiation in the medial thalamus (MT)-ACC pathway. Furthermore, intracerebroventricular administration of P-CTX-1 at doses of 1.0, 5.0, and 10 nM produced a dose-dependent increase in ACC neuronal firings and MT-ACC synaptic transmission. Further studies showed upregulated Na(+) channel expression in astrocytes under pathological conditions. We hypothesized that the astrocytes might have been activated in the ciguatera poisoning in vivo. Increases in glial fibrillary acid protein expression were detected in reactive astrocytes in the rat ACC. The activation of astroglia was further indicated by activation of the gap junction protein connexin 43 and upregulation of excitatory amino acid transporter 2 expression suggesting that glutamate was normally rapidly cleared from the synaptic cleft during acute ciguatera poisoning. However, neurotoxicity and reactive astrogliosis were not detected in the ACC after 7 days of P-CTX-1 exposure. The present results are the first characterization of P-CTX-1-invoked brain cortex neuronal excitotoxicity in vivo and supported the theme that neuron and astroglia signals might play roles in acute ciguatera poisoning. PMID:23494292

  13. Acute Pancreatitis Caused By Mushroom Poisoning: A Report of Two Cases.

    Karahan, Samet; Erden, Abdulsamet; Cetinkaya, Ali; Avci, Deniz; Ortakoyluoglu, Adile Irfan; Karagoz, Hatice; Bulut, Kadir; Basak, Mustafa

    2016-01-01

    Of the more than 5000 species of mushrooms known, 100 types are toxic and approximately 10% of these toxic types can cause fatal toxicity. A type of mushroom called Amanita phalloides is responsible for 95% of toxic mushroom poisonings. In this article, we report 2 cases of mushroom poisonings caused by Lactarius volemus, known as Tirmit by the local people. The patient and his wife were admitted to the emergency room with abdominal pain, nausea, and vomiting 20 hours after consuming Lactarius volemus, an edible type of mushroom. The patients reported that they had been collecting this mushroom from the mountains and eating them for several years but had never developed any clinicopathology to date. Further examination of the patients revealed a very rare case of acute pancreatitis due to mushroom intoxication. The male patient was admitted to the intensive care unit while his wife was followed in the internal medicine service, because of her relative mild clinical symptoms. Both patients recovered without sequelae and were discharged. In this article, we aimed to emphasize that gastrointestinal symptoms are often observed in mushroom intoxications and can be confused with acute pancreatitis, thus leading to misdiagnosis of patients. Early diagnosis and appropriate treatment can improve patients' prognosis and prevent the development of complications. PMID:26835473

  14. Improvement of oral chelation treatment of methyl mercury poisoning in rats

    Oral administration of sodium-2,3-dimercaptopropane-1-sulphonate leads to a substantially increased urinary excretion of intravenously injected methyl mercury in rat and proved to be clearly superior to equimolar doses of N-acetyl-D,L-homocysteinethiolactone and D-penicillamine. (author)

  15. Utility of the Measurement of Carboxyhemoglobin Level at the Site of Acute Carbon Monoxide Poisoning in Rural Areas.

    Onodera, Makoto; Fujino, Yasuhisa; Kikuchi, Satoshi; Sato, Masayuki; Mori, Kiyofumi; Beppu, Takaaki; Inoue, Yoshihiro

    2016-01-01

    Objective. This study examined the hypothesis that correlations exist between the carbon monoxide exposure time and the carboxyhemoglobin concentration at the site of carbon monoxide poisoning, using a pulse carbon monoxide oximeter in rural areas or the carboxyhemoglobin concentration measured at a given medical institution. Background. In previous studies, no definitive relationships between the arterial blood carboxyhemoglobin level and the severity of carbon monoxide poisoning have been observed. Method. The subjects included patients treated for acute carbon monoxide poisoning in whom a medical emergency team was able to measure the carboxyhemoglobin level at the site of poisoning. We examined the relationship between the carboxyhemoglobin level at the site of poisoning and carbon monoxide exposure time and the relationships between the arterial blood carboxyhemoglobin level and carbon monoxide exposure time. Results. A total of 10 patients met the above criteria. The carboxyhemoglobin levels at the site of poisoning were significantly and positively correlated with the exposure time (rs = 0.710, p = 0.021), but the arterial blood carboxyhemoglobin levels were not correlated with the exposure time. Conclusion. In rural areas, the carboxyhemoglobin level measured at the site of carbon monoxide poisoning correlated with the exposure time. PMID:27239377

  16. 慢性汞中毒致神经系统损害的临床观察%The neurological manifestations of chronic mercury poisoning

    丁岩; 宋冉; 李存江

    2011-01-01

    目的 分析慢性汞中毒对患者神经系统损害的表现,以提高对慢性汞中毒的临床认识.方法 总结分析2006--2010年首都医科大学宣武医院神经内科收治的8例慢性汞中毒患者的临床资料.结果 慢性汞中毒造成的神经系统损害包括周围神经病变以及感觉异常(6/8例)、思维缓慢及精神异常(3/8例)、肢体无力萎缩(3/8例)、震颤(4/8例)、睡眠障碍(3/8例)等.结论 慢性汞中毒可以有各种各样的神经系统损害的表现,在临床工作中要注意鉴别.尽早诊治会减少患者痛苦.%Objective To analyze the neurological manifestations of chronic mercury poisoning for the improvement of clinical understanding of this disease.Methods The clinical data of 8 cases diagnosed as chronic mercury poisoning admitted in the department of neurology of Xuanwu hospital during the past 5 years were collected and analysed.Results Neurological manifestations of chronic mercury poisoning involved psychological problems,sleep disorders,ataxia,extremities weakness and atrophy,tremor,peripheral neuropathy and paresthesia.Conclusions There are various kinds of neurological manifestations of chronic mercury poisoning.Identification of these manifestations in clinical practice and early diagnosis are beneficial for the relief of pains in the patients.

  17. Pesticide use and self-reported symptoms of acute pesticide poisoning among aquatic farmers in Phnom Penh, Cambodia

    Jensen, Hanne Klith; Konradsen, Flemming; Jørs, Erik;

    2011-01-01

    associated with the number of hours spent spraying with OPs/CMs (OR = 1.14, CI 95%: 1.02-1.28). The higher educated farmers reduced their risk of poisoning by 55% for each extra personal protective measure they adapted (OR = 0.45, CI 95%: 0.22-0.91). These findings suggest that improving safe pesticide......Organophosphates and carbamates (OPs/CMs) are known for their acetylcholinesterase inhibiting character. A cross-sectional study of pesticide handling practices and self-perceived symptoms of acute pesticide poisoning was conducted using questionnaire-based interviews with 89 pesticide sprayers in...... Boeung Cheung Ek (BCE) Lake, Phnom Penh, Cambodia. The study showed that 50% of the pesticides used belonged to WHO class I + II and personal protection among the farmers were inadequate. A majority of the farmers (88%) had experienced symptoms of acute pesticide poisoning, and this was significantly...

  18. The Role of Chelation in the Treatment of Arsenic and Mercury Poisoning

    Kosnett, Michael J

    2013-01-01

    Chelation for heavy metal intoxication began more than 70 years ago with the development of British anti-lewisite (BAL; dimercaprol) in wartime Britain as a potential antidote the arsenical warfare agent lewisite (dichloro[2-chlorovinyl]arsine). DMPS (unithiol) and DMSA (succimer), dithiol water-soluble analogs of BAL, were developed in the Soviet Union and China in the late 1950s. These three agents have remained the mainstay of chelation treatment of arsenic and mercury intoxication for mor...

  19. Evaluation of respiratory dysfunction in a pig model of severe acute dichlorvos poisoning

    HE Xin-hua; WU Jun-yuan; LI Chun-sheng; SU Zhi-yu; JI Xian-fei; HAN Yi; WANG Sheng-qi; ZHANG Jian

    2012-01-01

    Background Respiratory failure is the main cause of death in acute organophosphorus pesticide poisoning.In this study,a pulse-induced contour cardiac output monitor was used to evaluate the respiratory status in a pig model of acute dichlorvos poisoning.Methods Twenty female pigs were randomly allocated to dichlorvos (n=7),atropine (n=7),and control (n=6) groups.In the dichlorvos group,pigs were administered 80% emulsifiable dichlorvos (100 mg/kg) via a gastric tube.In the atropine group,pigs were similarly administered dichlorvos,and 0.5 hours later,atropine was injected to attain and maintain atropinization.The control group was administered saline solution.Arterial blood gas was measured at 0,0.5,1,2,4,and 6 hours post-injection.The extravascular lung water index and pulmonary vascular permeability index were recorded by the pulse-induced contour cardiac output monitor.At termination of the study,the animals were euthanized,the lung wet-to-dry weight ratio was determined,and histopathology was observed.Results In the dichlorvos group,the extravascular lung water index and pulmonary vascular permeability index were substantially increased from 0.5 hours and were particularly high within 1 hour.In the atropine group,these indices increased initially,but decreased from the 1-hour mark.The control group exhibited no obvious changes.In both the dichlorvos and atropine groups,the extravascular lung water index was negatively correlated with partial pressure of oxygen/fraction of inspiration oxygen (PO2/FiO2) and positively correlated with the pulmonary vascular permeability index.Compared with the control group,the lung wet-to-dry weight ratio markedly increased and the histopathological findings obviously changed in the dichlorvos group,but only mildly increased and changed,respectively,in the atropine group.Conclusion The extravascular lung water index is an appropriate and valuable parameter for assessment of respiratory function in acute dichlorvos poisoning.

  20. Comparative assessment of blood and urine analyses in patients with acute poisonings by medical, narcotic substances and alcohol in clinical toxicology.

    Ostapenko, Yury Nikolaevich; Lisovik, Zhanna Andreevna; Belova, Maria Vladimirovna; Luzhnikov, Evgeny Alekseevich; Livanov, Alexandr Sergeevich

    2005-01-01

    Acute poisonings by medical, narcotic substances and alcohol are actual in Russia in the recent years. Comparison of analytic facilities of modern analytical techniques: chromatographic (HPLC, GC, GC-MS) and immuno-chemical (FPIA) in clinical toxicology for urgent diagnostics, assessment of the severity of acute poisoning and the efficacy of the treatment in patients with acute poisonings by psychotropic drugs, narcotics and alcohol have been done. The object of the study were serum, blood, urine of 611 patients with acute poisonings by amitriptyline, clozapine, carbamazepine, opiates and also alcohol. Threshold concentrations (threshold, critical and lethal) of the toxicants and their active metabolites which corresponded to different degrees of poisoning severity have been determined. The most comfortable and informative screening method for express diagnostics and assessment of severity of acute poisonings by psychotropic drugs and narcotics showed the HPLC with using automatic analyzers. FPIA using the automatic analyzer could be applied for screening studies, if group identification is enough. GC-FID method is advisable in case of poisoning by medical substances and narcotics in view of repeated investigation for assessment of the efficacy of the therapy. GC-MS could be advisable for confirming the results of other methods. GC-TCD possess high sensitivity and specificity and is optimal for express differential diagnostics and quantitative assessment of acute poisoning by ethanol and other alcohols. PMID:16225131

  1. Oil-based paint poisoning

    Paint - oil based - poisoning ... Hydrocarbons are the primary poisonous ingredient in oil paints. Some oil paints have heavy metals such as lead, mercury, cobalt, and barium added as pigment. These heavy metals can cause additional ...

  2. Study on decorporating and detoxicating acute depleted uranium poison with some flavonoids

    In order to investigate decorporating and detoxicating acute depleted uranium poison of flavonoids, the decorporation effect of flavonoids with catechol group, chelating agent of catechols amino carboxylic acid type (8102) and dimethyl sulfoxide (DMSO) were studied under DU exposure and Wistar rats as animal model. In 3d later after injecting DU with dose of 20 mg/kg and then injecting flavonoids with dose of 10 mg/kg in abdomen, the mortality, uranium contents, kidney function and pathological observation of kidney were investigated. It has been found that nearly 20% mortality occurs both in the T2 and in T1 groups meanwhile 30% mortality occurs in the control group. But death has not been observed in 8102 group. The concentration of excreted urine uranium increases and the level of serum uranium decreases when T2 used. The retention of uranium in kidney with T2 group also increases. Large reducing of urea nitrogen and creatinine in serum has been observed in 8102 and F1 groups, and reducing of creatinine has also been observed in F2, T1 and T2 groups. The serious injury of kidney has not been observed in T2 group. The protection efficiency can be listed as T2> 8102>T1>F1>QU. It has been revealed that flavonoid T2 is the most effective protector from the damage and poison of DU. (authors)

  3. Paraquat poisoning: an experimental model of dose-dependent acute lung injury due to surfactant dysfunction

    M.F.R. Silva

    1998-03-01

    Full Text Available Since the most characteristic feature of paraquat poisoning is lung damage, a prospective controlled study was performed on excised rat lungs in order to estimate the intensity of lesion after different doses. Twenty-five male, 2-3-month-old non-SPF Wistar rats, divided into 5 groups, received paraquat dichloride in a single intraperitoneal injection (0, 1, 5, 25, or 50 mg/kg body weight 24 h before the experiment. Static pressure-volume (PV curves were performed in air- and saline-filled lungs; an estimator of surface tension and tissue works was computed by integrating the area of both curves and reported as work/ml of volume displacement. Paraquat induced a dose-dependent increase of inspiratory surface tension work that reached a significant two-fold order of magnitude for 25 and 50 mg/kg body weight (P<0.05, ANOVA, sparing lung tissue. This kind of lesion was probably due to functional abnormalities of the surfactant system, as was shown by the increase in the hysteresis of the paraquat groups at the highest doses. Hence, paraquat poisoning provides a suitable model of acute lung injury with alveolar instability that can be easily used in experimental protocols of mechanical ventilation

  4. Computed tomography of delayed encephalopathy of acute carbon monoxide poisoning - correlation with clinical findings -

    Cerebral computed tomography (CT) findings were described in twenty-six cases with the late sequelae of acute carbon monoxide poisoning and were computed with the neurological symptoms and signs. The CT findings include symmetrical periventricular white matter low density in five cases, globes pallidus low density in six cases, ventricular dilatation in seven cases, ventricular dilatation and sulci widening in three cases, and normal findings in ten cases. Only one case showed low densities in both periventricular white matter and globes pallidus. Late sequelae of the interval from of carbon monoxide poisoning were clinically categorized as cortical dysfunction, parkinsonian feature, and cerebella dysfunction. The severity of the clinical symptoms and signs of neurological sequelae is generally correlated with presence and multiplicity of abnormal brain CT findings. But of fourteen cases showing the parkinsonian feature, only five cases had low density of globes pallidus in brain CT. Another case showing small unilateral low density of globes pallidus had no parkinsonian feature but showed mild cortical dysfunction.

  5. Histological and cytological studies of ethyl mercury phosphate poisoning in corn seedlings

    Sass, J.E.

    1937-01-01

    An anatomical study was made of the hypertrophy produced in seedlings of corn by treatment with ethyl mercury phosphate. The leaf primordia become much thickened, and develop irregular crenations and lobes. In the leaf primordia and apical meristem of the plumule, cell division is inhibited; the existing cells undergo very great enlargement. Cells of the hypertrophied organs become multinucleate, containing nuclei that range in size from minute micronuclei to very large giant nuclei. The latter are polyploid. The multinucleate condition and the formation of micronuclei and gain nuclei are the result of abnormal, incomplete mitosis. 2 references, 2 figures.

  6. Intoxicación aguda por plaguicidas Acute poisoning from pesticides

    Jaime Jesús Durán-Nah

    2000-02-01

    Full Text Available OBJETIVO: Describir la epidemiología de la intoxicación aguda por plaguicidas (IAP en el Hospital General O'Horán de Mérida, Yucatán, México. MATERIAL Y MÉTODOS: Se revisaron los expedientes de 33 pacientes ³ 13 años, tratados en una unidad de cuidados intensivos (UCI, entre 1994 y 1998. Se recopilaron variables demográficas y clínicas relevantes, y se aplicó estadística descriptiva. RESULTADOS: En la población estudiada predominó el sexo masculino (82% del medio rural (70%, y la edad media fue de 34 ± 15.8 años. El intento de suicidio fue causa frecuente de IAP (79%, y en 33% de los casos la intoxicación se produjo por la utilización de organofosforados. La mortalidad fue de 12%. CONCLUSIONES: La IAP fue baja entre los sujetos del medio rural, por lo que los resultados de este estudio parecen no reflejar la realidad del problema. Es importante añadir que los plaguicidas son utilizados con relativa frecuencia para el intento de suicidio.OBJECTIVE: To describe the epidemiologic pattern of acute pesticide poisoning (APP in a general hospital in Merida, Yucatan, Mexico. MATERIAL AND METHODS: From 1994 to 1998, 33 patients 13 years of age or older with diagnosis of APP were studied. Descriptive statistics were used to analyze information. RESULTS: Males were frequently affected (82%, specially those coming from rural areas (60%. The mean age of the group was 34 ± 15.8 years. In 79% of the cases, pesticides were used to commit suicide and 33% of poisoning cases were due to organophospate pesticides. The mortality rate was 12%. CONCLUSIONS: In this small sample, acute poisoning from pesticides in the agricultural setting may be underestimated, since it was less frequent than in the general population. APP was more commonly used by indigent people to commit suicide.

  7. Mercury

    Mercury is an element that is found in air, water and soil. It has several forms. Metallic mercury is a shiny, silver-white, odorless liquid. If ... with other elements to form powders or crystals. Mercury is in many products. Metallic mercury is used ...

  8. Pesticide Use and Self-Reported Symptoms of Acute Pesticide Poisoning among Aquatic Farmers in Phnom Penh, Cambodia

    Hanne Klith Jensen

    2011-01-01

    Full Text Available Organophosphates and carbamates (OPs/CMs are known for their acetylcholinesterase inhibiting character. A cross-sectional study of pesticide handling practices and self-perceived symptoms of acute pesticide poisoning was conducted using questionnaire-based interviews with 89 pesticide sprayers in Boeung Cheung Ek (BCE Lake, Phnom Penh, Cambodia. The study showed that 50% of the pesticides used belonged to WHO class I + II and personal protection among the farmers were inadequate. A majority of the farmers (88% had experienced symptoms of acute pesticide poisoning, and this was significantly associated with the number of hours spent spraying with OPs/CMs (OR = 1.14, CI 95%: 1.02–1.28. The higher educated farmers reduced their risk of poisoning by 55% for each extra personal protective measure they adapted (OR = 0.45, CI 95%: 0.22–0.91. These findings suggest that improving safe pesticide management practices among the farmers and enforcing the effective banning of the most toxic pesticides will considerably reduce the number of acute pesticide poisoning episodes.

  9. The clinical and imaging characteristics of delayed encephalopathy after acute carbon monoxide poisoning

    Objective: To discuss the clinical and imaging characteristics of delayed encephalopathy after acute carbon monoxide poisoning (DEACMP). Methods: The clinical data of 14 patients with DEACMP were respectively analyzed. Results: Initial symptom included mentally falling (MMSE rate < 20 points) in 14 patients (100%), incontinence of urine in 11 patients (78%). Relatively significant increase of hematoma (HCT) (average level 0.503±0.027) was found in 6 patients. Three kinds of brain magnetic resonance imaging (MRI) appearance including diffuse white matter lesion, cortical lesion and basal nuclei lesion often existed in association. Therapy for improving circulation was given in 14 patients, and therapy with hormone was given in 9 patients; with 85% improvement rate. 5 patients without hormone therapy but with improving circulation therapy also received improvement. Conclusion: High level of HCT might be one of the causes of DECACMP due to acute disturbance of brain micro-circulation.. Close monitoring the change of HCT levels should be adopted for at least 3-6 months during therapy. Therapy for improving circulation and for anti-agglutination of platelets should be performed besides the routine high-tension oxygen therapy. Low FA value on DTI indicates the occurrence of a demyelization change in the brain long tract fibers, which indicated therapeutic effect of hormone treatment. And, therefore it would be better to perform DTI scan before therapy for individualized therapy. (authors)

  10. The spectrum of intermediate syndrome following acute organophosphate poisoning: a prospective cohort study from Sri Lanka.

    Pradeepa Jayawardane

    2008-07-01

    Full Text Available BACKGROUND: Intermediate syndrome (IMS is a major cause of death from respiratory failure following acute organophosphate poisoning. The objective of this study was to determine repetitive nerve stimulation (RNS predictors of IMS that would assist in patient management and clinical research. METHODS AND FINDINGS: Seventy-eight consenting symptomatic patients with organophosphate poisoning were assessed prospectively with daily physical examination and RNS. RNS was done on the right and left median and ulnar nerves at 1, 3, 10, 15, 20, and 30 Hz. The study was conducted as a prospective observational cohort study in the Central Province, Sri Lanka. IMS was diagnosed in ten out of 78 patients using a priori clinical diagnostic criteria, and five of them developed respiratory failure. All ten patients showed progressive RNS changes correlating with the severity of IMS. A decrement-increment was observed at intermediate and high frequencies preceding the onset of clinical signs of IMS. As the patient developed clinical signs of IMS, decrement-increment was progressively noted at low and intermediate frequencies and a combination of decrement-increment and repetitive fade or severe decrement was noted at high frequencies. Severe decrement preceded respiratory failure in four patients. Thirty patients developed forme fruste IMS with less severe weakness not progressing to respiratory failure whose RNS was characterized by decrement-increment or a combination of decrement-increment and repetitive fade but never severe decrements. CONCLUSIONS: Characteristic changes in RNS, preceding the development of IMS, help to identify a subgroup of patients at high risk of developing respiratory failure. The forme fruste IMS with the characteristic early changes on RNS indicates that IMS is a spectrum disorder. RNS changes are objective and precede the diagnosis and complications of IMS. Thus they may be useful in clinical management and research.

  11. THE SPECTRUM OF INTERMEDIATE SYNDROME FOLLOWING ACUTE ORGANOPHOSPHORUS POISONING: A RETROSPECTIVE COHORT STUDY FROM A TEACHING HOSPITAL OF CHHATTISGARH

    Murthy

    2014-05-01

    Full Text Available Intermediate syndrome is a common complication found in patients with organo-phosphorus poisoning. The aim of this study was to find its incidence in this tribal dominated area of Chhattisgarh state. This is a retrospective study carried out at the ICU of a teaching Medical College hospital. In a period of one year, 720 cases of acute poisoning were admitted in the medical ICU ward, out of which, 682 cases (94.7% were of organo-phosphorus poisoning. 64 cases (9.3% had signs & symptoms of intermediate syndrome, which included inability to flex the neck, respiratory difficulty, convulsions and other features. All the 64 cases of intermediate syndrome required ventilatory support. Male: female ratio was 8:10. The commonest compound implicated in poisoning was Fenthion. Mortality was 18%. Patients with respiratory muscle weakness & proximal muscle paresis were the definitive predictors for the development of intermediate syndrome. Early recognition & prompt treatment has often proved successful, but, in mixed poisoning, recovery is variable and unpredictable.

  12. A retrospective study of paradigm and outcome of acute poisoning cases in a tertiary care teaching hospital in Southern India

    Arulmurugan C.

    2015-10-01

    Results: Incidence was high among males (60.36% compared to females (39.64%. Most of the cases of acute poisoning were in the age group 10 to 30 years (60.95% followed by 30 to 50 years age group (30.77%. A majority of poisoning cases (27.2% were due to organophosphorus (OPC insecticide. Total mortality was found to be 5.32%. Mortality rate due to Paraquat, Abrus Pretorius seeds was significantly high compared with OPC because there is no specific antidote. Time lapse had a very significant role in the mortality in cases of poisoning. Conclusions: Poisoning is common with young males. The mortality is high, in cases of self-poisoning with parquet and abrus seeds. Despite the highest consumption rate, no mortality was observed with organophosphorus because of early medical intervention and specific antidote. Early medical care in a tertiary care hospital will help to reduce significant mortality in India. [Int J Res Med Sci 2015; 3(10.000: 2654-2657

  13. Speciation analysis of arsenic compounds in the serum and urine of a patient with acute arsine poisoning

    Yamanaka K.; Yamano Y.; Yoshimura Y.; Shimoda Y.; Endo Y; Endo G.

    2013-01-01

    Arsine is one of the most potent hemolytic agents. It is important to clarify arsine metabolism as well as its chemical interactions with biological components. The aim of the present study was to clarify arsine metabolism by arsenic speciation analysis in serum and urine from an acute poisoning patient with hematuria, anemia, and renal and liver dysfunction. Speciation analysis of arsenics in serum and urine was performed using HPLC-ICP-MS. The total arsenic (T-As) concentration in serum was...

  14. Gastric Lavage in Acute Organophosphorus Pesticide poisoning (GLAOP – a randomised controlled trial of multiple vs. single gastric lavage in unselected acute organophosphorus pesticide poisoning

    Cao YuPing

    2006-10-01

    Full Text Available Abstract Background Organophosphorus (OP pesticide poisoning is the most common form of pesticide poisoning in many Asian countries. Guidelines in western countries for management of poisoning indicate that gastric lavage should be performed only if two criteria are met: within one hour of poison ingestion and substantial ingested amount. But the evidence on which these guidelines are based is from medicine overdoses in developed countries and may be irrelevant to OP poisoning in Asia. Chinese clinical experience suggests that OP remains in the stomach for several hours or even days after ingestion. Thus, there may be reasons for doing single or multiple gastric lavages for OP poisoning. There have been no randomised controlled trials (RCTs to assess this practice of multiple lavages. Since it is currently standard therapy in China, we cannot perform a RCT of no lavage vs. a single lavage vs. multiple lavages. We will compare a single gastric lavage with three gastric lavages as the first stage to assess the role of gastric lavage in OP poisoning. Methods/Design We have designed an RCT assessing the effectiveness of multiple gastric lavages in adult OP self-poisoning patients admitted to three Chinese hospitals within 12 hrs of ingestion. Patients will be randomised to standard treatment plus either a single gastric lavage on admission or three gastric lavages at four hour intervals. The primary outcome is in-hospital mortality. Analysis will be on an intention-to-treat basis. On the basis of the historical incidence of OP at the study sites, we expect to enroll 908 patients over three years. This projected sample size provides sufficient power to evaluate the death rate; and a variety of other exposure and outcome variables, including particular OPs and ingestion time. Changes of OP level will be analyzed in order to provide some toxic kinetic data. Discussion the GLAOP study is a novel, prospective cohort study that will explore to the toxic

  15. New recognition on control concept of mercury hazards and diagnostic criteria of mercury poisoning%对汞危害防治理念与汞中毒诊断标准的新认知

    郝克文; 郭友东; 黄蓉; 余素娥; 金环荣

    2012-01-01

    Mercury is a heavy metal toxic substance of occupation hazard factor, which has irritation, immune pathogenicity, renal toxicity, neurotoxicity and oral toxicity, it may cause serious harm to health and safety of workers, and the serious should induce poisoning. The control and prevention of mercury hazards has always been the major task of occupational health and occupational medicine in China, and mercury hazards is one of occupational diseases that government make a law to ensure the health and safety of workers. Based on the national conditions, there are only prevention regulations and diagnostic criteria according to occupational mercury hazards in the foretime, and is lack of prevention and diagnosis of non-occupational mercury hazards. Therefore, the authors review the new recognition of non-occupational hazards of mercury and diagnosis of non-occupational mercury poisoning by literature review and working practice.%汞作为职业病危害因素的一种重金属高毒物质,因其具有刺激性、免疫致病性、肾脏毒性、神经毒性、口腔毒性等,对劳动者的健康与安全危害较强,严重者可致中毒.对于汞危害的防治,历来是国家职业卫生与职业医学的主要任务,也是党和政府为保护广大劳动者健康与安全,立法开展的职业病防治工作之一.立于国情,先前只从职业性汞危害的角度制定了防治法规和诊断标准,对非职业性汞危害防治、诊断的问题有所疏漏.为此,作者从非职业性汞危害与非职业性汞中毒诊断的层面,通过文献复习及工作实践获得的一些新认知做一综述.

  16. Determination of as by instrumental neutron activation analysis in sectional hair samples for forensic purposes. Chronic or acute poisoning?

    Complete text of publication follows. Autopsy of 29-year old woman suspicious of having committed suicide by ingestion of As2O3 yielded contradictory findings. All pathological findings as well as clinical symptoms suggested acute poisoning, while a highly elevated. As level of 26.4 μg g-1 in her hair collected at the autopsy (measured with ICP-MS) indicated chronic poisoning. To elucidate this discrepancy, INAA with proven accuracy of sectional hair samples obtained from a hair-brush from the left estate of the deceased person was performed. Levels of As found in this work in the range of 0.06-0.26 μg g-1 excluded chronic poisoning, because the person died after approximately 14 hours after the As2O3 ingestion. Two reasons for the discordant As results are considered: (1) accidental, non-removed contamination of hair on the As2O3 ingestion; (2) erroneous performance of ICP-MS. A brief review is also presented of As determination in hair for forensic purposes, including supposed, and until now frequently discussed, poisoning of Napoleon Bonaparte.

  17. A one-year observational study of all hospitalized acute poisonings in Oslo: complications, treatment and sequelae

    Lund Cathrine

    2012-07-01

    Full Text Available Abstract Objectives Changes in poisoning trends may affect both complications and outcomes in patients with acute poisoning. This study reports the treatments given and the frequency of complications, also related to treatment, mortality and sequelae related to various toxic agents. Methods All acute poisonings in adults (≥16 years admitted to the five hospitals in Oslo were included consecutively during one year (2008 to 2009 in an observational cross-sectional multicenter study. A standardized form was completed by the treating physician, which covered the study aims. Results There were 1065 admissions in 912 patients. The median length of hospital stay was one day, and 49% were observed in an intensive care unit (ICU. Active treatment was given to 83%, and consisted of supportive therapy (70%, antidote(s (38%, activated charcoal (16% and gastric lavage (9%. The most commonly used antidotes were flumazenil (19%, naloxone (17% and N-acetylcysteine (11%. The rate of treatment-related complications was 2.4% (21/884. Neither flumazenil, naloxone, nor the combination, was associated with convulsions or other complications. Among those receiving N-acetylcysteine, 5% (6/120 developed allergic reactions, one of which mandated discontinuation of treatment. Nineteen percent presented in a coma. Complications developed in 30%, compared with 18% in a 2003 study, mainly respiratory depression (12%, prolonged QTc interval (6% and hypotension (5%. Eight patients died (0.8% and five (0.5% survived with permanent sequelae, mainly anoxic brain damage. Discussion Few patients stayed more than two days. The use of the ICU was liberal, considering that only one out of five presented in a coma. Antidotes were frequently given diagnostically. Although N-acetylcysteine induced allergic reactions, most were mild and treatment discontinuation was only necessary once. The frequency of complications had almost doubled in five years, although the poisoning pattern was

  18. PREDICTING OUTCOME AND SEVERITY IN ACUTE ORGANOPHOSPHOROUS POISONING WITH CLINICAL SCORING AND SERUM CHOLINESTERASE LEVELS

    Basavaraj R

    2014-11-01

    Full Text Available BACKGROUND AND OBJECTIVES: Organophosphorus compound poisoning is the most common medico toxic emergency in India the increase in pesticide use in agriculture has paralleled the increase in the use of these products for deliberate self-warm. Respiratory failure is the most common complication of OP poisoning leading to death. Early recognition and prompt ventilator support may improve survival. Owing to limited availability of resources, all OP poisoning patients are not managed in ICUs in Indian setup. It is therefore important that clinical features and criteria to predict the need for ventilator support be identified at initial examination. Hence this study was undertaken to assess the severity of organophosphorus compound poisoning both clinically by using Peradeniya scoring and by estimating serum choline esterase levels. METHODS: Cross sectional study was done at basaveswar teaching and general hospital attached to MR Medical College. Cases with history of exposure to organophosphorus compound within previous 24 hours were chosen after applying inclusion and exclusion criteria. Patients were evaluated for Peradeniya OP poisoning scale and serum cholinesterase levels for assessment of severity of poisoning. Serum cholinesterase levels and Peradeniya OP poisoning scale were studied to predict the need for ventilator support. The results were analyzed using Chi-square test. STATISTICAL ANALYSIS: It was done using pearson’s chi square test. RESULTS: In this study requirement of ventilator support was seen in 36% of patients. Mortality in our study was 18%. Only 15.6% of patients with mild grade of poisoning according to Peradeniya OP poisoning scale required ventilator support, whereas 84.4% did not require ventilator support. Most of patients with moderate (70.6% and severe poisoning (100% according to Peradeniya OP poisoning scale required ventilator support. 93.7% of patients with serum cholinesterase levels more than 50% did not require

  19. Acute Human Self-Poisoning with Imidacloprid Compound: A Neonicotinoid Insecticide

    Fahim Mohamed; Indika Gawarammana; Robertson, Thomas A.; Roberts, Michael S; Chathura Palangasinghe; Shukry Zawahir; Shaluka Jayamanne; Jaganathan Kandasamy; Michael Eddleston; Buckley, Nick A.; Dawson, Andrew H.; Roberts, Darren M.

    2009-01-01

    BACKGROUND: Deliberate self-poisoning with older pesticides such as organophosphorus compounds are commonly fatal and a serious public health problem in the developing world. The clinical consequences of self-poisoning with newer pesticides are not well described. Such information may help to improve clinical management and inform pesticide regulators of their relative toxicity. This study reports the clinical outcomes and toxicokinetics of the neonicotinoid insecticide imidacloprid following...

  20. Determination of As by instrumental neutron activation analysis in sectioned hair samples for forensic purposes: chronic or acute poisoning?

    Autopsy of 29-year old woman suspicious of committing suicide by the ingestion of As2O3 yielded contradictory findings. All pathological findings as well as clinical symptoms suggested acute poisoning, while a highly elevated As level of 26.4 μg g-1 in her hair collected at the autopsy, which was determined with inductively coupled plasma mass spectrometry indicated chronic poisoning. To elucidate this discrepancy, instrumental neutron activation analysis (INAA) with proven accuracy was performed of another set of sectioned hair samples. Levels of As found by INAA in the range of 0.16-0.26 μg g-1 excluded chronic poisoning, because the person died after approximately 14 h after the As2O3 ingestion. Two reasons for the discordant As results obtained by ICP-MS and INAA are considered: (1) accidental, non-removed contamination of hair on the As2O3 ingestion; (2) erroneous performance of ICP-MS. (author)

  1. The Antidotal Effects of High-dosage γ-Aminobutyric Acid on Acute Tetramine Poisoning as Compared with Sodium Dimercaptopropane Sulfonate

    SUN Peng; HAN Jiyuan; WENG Yuying

    2007-01-01

    To investigate the therapeutic effect of high-dosage γ-aminobutyric acid (GABA) on acute tetramine (TET) poisoning, 50 Kunming mice were divided into 5 groups at random and the antidotal effects of GABA or sodium dimercaptopropane sulfonate (Na-DMPS) on poisoned mice in different groups were observed in order to compare the therapeutic effects of high-dosage GABA with those of Na-DMPS. Slices of brain tissue of the poisoned mice were made to examine pathological changes of cells. The survival analysis was employed. Our results showed that both high-dosage GABA and Na-DMPS could obviously prolong the survival time, delay onset of convulsion and muscular twitch, and ameliorate the symptoms after acute tetramine poisoning in the mice.Better effects could be achieved with earlier use of high dosage GABA or Na-DMPS. There was no significant difference in prolonging the survival time between high-dose GABA and Na-DMPS used immediately after poisioning. It is concluded that high-dosage GABA can effectively antagonize acute toxicity of teramine in mice. And it is suggested that high-dosage GABA may be used as an excellent antidote for acute TET poisoning in clinical practice. The indications and correct dosage for clinical use awaits to be further studied.

  2. Relationship between Acute Organophosphorus Pesticide Poisoning and Damages Induced by Free Radicals

    2002-01-01

    Objective To study the relationship between abnormal reactions of free radicals in bodies of patients with acute organophosphorus pesticide poisoning (AOPP) and damages induced by free radicals. Methods 58 AOPP patients and 58 healthy adult volunteers (HAV) were enrolled in an independent samples control design, in which spectrophotometric methods were used to determine the concentrations of nitric oxide (NO) and lipoperoxides (LPO) in plasma, and LPO in erythrocytes, vitamin C (VC), vitamin E (VE) and b-carotene (b-CAR) in plasma as well as activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GSH-Px) and acetylcholinesterase (AChE) in erythrocytes. Results Compared with the average values of every biochemical parameter in the HAV group, the average values of LPO in plasma and in erythrocytes, and NO in plasma in the AOPP group were significantly increased (P=0.000001), while the average values of VC, VE, a-CAR in plasma as well as SOD, CAT, GSH-Px and AChE in erythrocytes in the AOPP group were significantly decreased (P=0.000001). The findings of Pearson product-moment correlation analysis between the value of AChE in erythrocytes and the values of above biochemical parameters for 58 AOPP patients showed that there was a significant linear negative correlation between AChE in erythrocytes and LPO, NO in plasma, and LPO in erythrocytes (P=0.000001~0.001319), while there was a significant linear positive correlation between AChE in erythrocytes and VC, VE, a-CAR in plasma as well as SOD, CAT, GSH-Px in erythrocytes (P=0.000013~0.000824). The results of discriminant analysis of above chemical parameters for 58 AOPP patients and 58 HAV suggested that the correct rates of discriminant analysis were increased to 100 % when the values of AChE and LPO in plasma and in erythrocytes, or AChE and others, were jointly used for the discriminant analysis. Conclusion The findings of the present study suggest that a series of free radical

  3. The poisoning effect of mercury complexes with an anionic exchange membrane used in an electrodialysis process: a Raman study; Etude par spectrometrie Raman de l`empoisonnement d`une membrane echangeuse d`anions, par des complexes mercuriques, au cours d`un procede d`electrodialyse

    Chaouki, M.; Huguet, P.; Persin, F.; Bribes, J.L. [Montpellier-2 Univ., 34 (France). Laboratoire des Materiaux et des Pocedes Membrnaires, CNRS UMR 5635

    1998-03-01

    Electrodialysis is a powerful technique for the treatment of many waste acids. However, some important problems can be encountered if poisoning of the ionic exchange membrane occurs. This is the case in the purification and concentration process of hydrochloric acid solutions containing zinc, cadmium or mercury chlorides, because metallic complexes formation gives rise to an important poisoning effect of the membranes used. In this work, the poisoning of an anion exchange membrane, used in an electrodialysis process to purify and reconcentrate an hydrochloric acid solution containing mercury chloride, has been investigated. Raman spectroscopic analysis of the contaminated material, combined with electrodialysis results, are presented and discussed. The stoichiometry of the poisoning mercury complex and its action as a counter ion inside the membrane are determined. Moreover, a strong interaction between the membrane fixed sites and the mercury complex is pointed out. (authors) 11 refs.

  4. Mercury

    Mahoney, T J

    2014-01-01

    This gazetteer and atlas on Mercury lists, defines and illustrates every named (as opposed to merely catalogued) object and term as related to Mercury within a single reference work. It contains a glossary of terminology used, an index of all the headwords in the gazetteer, an atlas comprising maps and images with coordinate grids and labels identifying features listed in the gazetteer, and appendix material on the IAU nomenclature system and the transcription systems used for non-roman alphabets. This book is useful for the general reader, writers and editors dealing with astronomical themes, and those astronomers concerned with any aspect of astronomical nomenclature.

  5. Mercury

    Balogh, André; Steiger, Rudolf

    2008-01-01

    Mercury, the planet closest to the Sun, is different in several respects from the other three terrestrial planets. In appearance, it resembles the heavily cratered surface of the Moon, but its density is high, it has a magnetic field and magnetosphere, but no atmosphere or ionosphere. This book reviews the progress made in Mercury studies since the flybys by Mariner 10 in 1974-75, based on the continued research using the Mariner 10 archive, on observations from Earth, and on increasingly realistic models of its interior evolution.

  6. Is prevention of acute pesticide poisoning effective and efficient, with Locally Adapted Personal Protective Equipment?

    Varma, Anshu; Neupane, Dinesh; Ellekilde Bonde, Jens Peter;

    2016-01-01

    BACKGROUND: Farmers' risk of pesticide poisoning can be reduced with personal protective equipment but in low-income countries farmers' use of such equipment is limited. OBJECTIVE: To examine the effectiveness and efficiency of Locally Adapted Personal Protective Equipment to reduce organophospha...

  7. Evidence of the direct adsorption of mercury in human hair during occupational exposure to mercury vapour.

    Queipo Abad, Silvia; Rodríguez-González, Pablo; García Alonso, J Ignacio

    2016-07-01

    We have found clear evidence of direct adsorption of mercury in human hair after the occupational exposure to mercury vapour. We have performed both longitudinal analysis of human hair by laser ablation ICP-MS and speciation analysis by gas chromatography ICP-MS in single hair strands of 5 individuals which were occupationally exposed to high levels of mercury vapour and showed acute mercury poisoning symptoms. Hair samples, between 3.5 and 11cm long depending on the individual, were taken ca. three months after exposure. Single point laser ablation samples of 50μm diameter were taken at 1mm intervals starting from the root of the hairs. Sulfur-34 was used as internal standard. The ratio (202)Hg/(34)S showed a distinct pattern of mercury concentration with much lower levels of mercury near the root of the hair and high levels of mercury near the end of the hair. In all cases a big jump in the concentration of mercury in hair occurred at a given distance from the root, between 32 and 42mm depending on the individual, with a high and almost constant concentration of mercury for longer distances to the root. When we took into account the rate of hair growth in humans, 9-15mm/month, the jump in mercury concentration agreed approximately with the dates when the contamination occurred with the new growing hair showing much lower mercury concentration. In some cases the concentration of mercury at the tip of the hair was ca. 1000 times higher than that near the root. Additionally, speciation studies confirmed that mercury in all hair samples was present as inorganic mercury. The only explanation for these results was the direct adsorption of mercury vapour in hair at the time of exposure. PMID:27259347

  8. Four-Year Study on Acute Poisoning Cases Admitted to a Tertiary Hospital in Bangladesh: Emerging Trend of Poisoning in Commuters

    Mohammad Shafiqul Bari

    2014-12-01

    Conclusion:Commuter or travel-related poisoning is an emerging public health threat in this part of Bangladesh. Public awareness should be raised and school-based educational programs should be emphasized regarding the commuter poisoning and the consequence of accepting and eating food from strangers.

  9. Mercury

    ... mercury pollution from artisanal and small-scale gold mining. Contact Us to ask a question, provide feedback, ... 简体版 Tiếng Việt 한국어 EPA Home Privacy and Security Notice Accessibility Last updated on October 22, 2015 ...

  10. Analysis on structural characteristics of poison system in acute poisoning of Guangxi%广西急性中毒毒物体系构成特点分析

    蒋东方; 张振明; 刘清华

    2013-01-01

    A total of 6004 cases of acute poisoning with 532 kinds of related poisons from 63hospitals were analyzed.According to the classification of pharmaceutical,pesticide,chemical,animal,plant and other poisons,the numbers of poison categories were 217,148,61,34,36 and 36 kinds accounting for 40.8%,27.8%,11.5%,6.4%,6.8%,6.7% of total number of poisons respectively.According to the case count,they were divided into three groups of low,medium and high morbidity and their poison numbers were 462,59 and 11 kinds accounting for 86.8%,11.1%,2.1% of total number of poisons respectively.According to the types of poisons,they were divided into five groups of poisoning 1,2,3,4,5 years and their poison numbers were 320,91,34,33 and 54 kinds accounting for 60.2%,17.1%,6.4%,6.2%,10.1% of total number of poisons respectively.According to the time of poisoning,they were divided into three groups of 1-year,discontinuous and perennial poisoning and their poison numbers were 320,158 and 54 kinds accounting for 60.2%,29.7%,10.1% of total number of poisons respectively.%分析63家医院收治的6004例急性中毒病例的相关毒物,共有532种,按医药、农药、化学、动物、植物、其他分为6类,各类毒物数为217、148、61、34、36、36种,分别占总毒物数的40.8%、27.8%、11.5%、6.4%、6.8%、6.7%.将各类毒物按中毒病例数分为低、中、高发病3组,各组毒物数分别为462(86.8%)、59(11.1%)、11(2.1%)种.各类毒物按中毒发生年数分为5个组,各类毒物合计数分别为320(60.2%)、91(17.1%)、34(6.4%)、33(6.2%)、54(10.1%)种.各类毒物按发生中毒的时间分为1年、间断、常年中毒3个组,各类毒物合计数分别为320(60.2%)、158 (29.7%)、54(10.1%)种.

  11. Pralidoxime in acute organophosphorus insecticide poisoning--a randomised controlled trial.

    Michael Eddleston

    2009-06-01

    Full Text Available BACKGROUND: Poisoning with organophosphorus (OP insecticides is a major global public health problem, causing an estimated 200,000 deaths each year. Although the World Health Organization recommends use of pralidoxime, this antidote's effectiveness remains unclear. We aimed to determine whether the addition of pralidoxime chloride to atropine and supportive care offers benefit. METHODS AND FINDINGS: We performed a double-blind randomised placebo-controlled trial of pralidoxime chloride (2 g loading dose over 20 min, followed by a constant infusion of 0.5 g/h for up to 7 d versus saline in patients with organophosphorus insecticide self-poisoning. Mortality was the primary outcome; secondary outcomes included intubation, duration of intubation, and time to death. We measured baseline markers of exposure and pharmacodynamic markers of response to aid interpretation of clinical outcomes. Two hundred thirty-five patients were randomised to receive pralidoxime (121 or saline placebo (114. Pralidoxime produced substantial and moderate red cell acetylcholinesterase reactivation in patients poisoned by diethyl and dimethyl compounds, respectively. Mortality was nonsignificantly higher in patients receiving pralidoxime: 30/121 (24.8% receiving pralidoxime died, compared with 18/114 (15.8% receiving placebo (adjusted hazard ratio [HR] 1.69, 95% confidence interval [CI] 0.88-3.26, p = 0.12. Incorporating the baseline amount of acetylcholinesterase already aged and plasma OP concentration into the analysis increased the HR for patients receiving pralidoxime compared to placebo, further decreasing the likelihood that pralidoxime is beneficial. The need for intubation was similar in both groups (pralidoxime 26/121 [21.5%], placebo 24/114 [21.1%], adjusted HR 1.27 [95% CI 0.71-2.29]. To reduce confounding due to ingestion of different insecticides, we further analysed patients with confirmed chlorpyrifos or dimethoate poisoning alone, finding no evidence of

  12. Analysis of serum anion gap and osmolal gap in diagnosis and prognosis of acute methanol poisoning: clinical study in 86 patients

    Zakharov, S.; Navrátil, Tomáš; Pelclová, D.

    2015-01-01

    Roč. 146, č. 5 (2015), s. 787-794. ISSN 0026-9247 R&D Projects: GA ČR(CZ) GAP208/12/1645 Institutional support: RVO:61388955 Keywords : serum anion gap * osmolal gap * acute methanol poisoning Subject RIV: CG - Electrochemistry Impact factor: 1.222, year: 2014

  13. Correlations among copeptin, ischemia-modified albumin, and the extent of myocardial injury in patients with acute carbon monoxide poisoning.

    Li, J; Wang, J S; Xie, Z X; Wang, W Z; Wang, L; Ma, G Y; Li, Y Q; Wang, P

    2015-01-01

    This study evaluated the relationships among copeptin, ischemia-modified albumin (IMA), and extent of myocardial injury in patients with acute carbon monoxide poisoning (ACOP). A total of 110 patients with different degrees of ACOP were selected as the poisoning group, and 30 healthy individuals as the control group. The levels of troponin I (cTnI), IMA, and copeptin were detected. Based on the presence of complications, the patients were assigned to the complication (26 patients) or non-complication (84 patients) group. Levels of cTnI, IMA, and copeptin were compared among the control, complication, and non-complication groups. Compared with the control group, in the 2 h after admission, the IMA levels decreased and copeptin levels increased in the poisoning group; these changes were more significant in patients with severe ACOP than in those with mild ACOP, and the difference was statistically significant (P < 0.05). There were no differences in the IMA and copeptin levels between the groups 7 days after admission; the cTnI levels increased more significantly in patients with severe ACOP than in patients with mild and moderate ACOP, and the differences were statistically significant (P < 0.05). In the complication group, at 7 days after admission, the IMA levels decreased whereas the copeptin and cTnI levels were significantly higher than in the non-complication group, with a statistically significant difference (P < 0.05). IMA was negatively correlated with copeptin. IMA and copeptin detection is clinically useful in the early diagnosis and prognosis of ACOP-related myocardial injury and in guiding early clinical drug application. PMID:26345979

  14. Notes from the Field: Acute Sulfuryl Fluoride Poisoning in a Family - Florida, August 2015.

    Mulay, Prakash R; Clark, Grethel; Jackson, William L; Calvert, Geoffrey M

    2016-01-01

    On August 19, 2015, the Florida Department of Health (FDOH) was notified by the Florida Poison Information Center Network and a local hospital of possible sulfuryl fluoride poisonings affecting a family in Martin County, in southeastern Florida. Sulfuryl fluoride is a highly toxic (toxicity category I) gas fumigant used for termite control of homes and buildings.* FDOH personnel in Martin County commenced an investigation and identified a family of five (a grandmother, mother, father, son, and daughter) exposed to sulfuryl fluoride after their house was fumigated. The Florida Department of Agriculture and Consumer Services (FDACS), and the U.S. Environmental Protection Agency (EPA) Criminal Investigation Division also conducted an investigation after being notified by FDOH. Medical records were reviewed, and the father was interviewed by FDOH. PMID:27414166

  15. Acute glyphosate-surfactant poisoning with neurological sequels and fatal outcome

    Potrebić Olivera; Jović-Stošić Jasmina; Vučinić Slavica; Tadić Jelena; Radulac Mišel

    2009-01-01

    Introduction. Clinical picture of severe glyphosatesurfactant poisoning is manifested by gastroenteritis, respiratory disturbances, altered mental status, hypotension refractory to the treatment, renal failure, shock. Single case report indicated possible neurotoxic sequels of glyphosatesurfactant exposure with white matter lesions and development of Parkinsonism. We described a patient with massive white matter damage which led to vigil coma and lethal outcome. Case report. A 56-year old wom...

  16. Pralidoxime in Acute Organophosphorus Insecticide Poisoning-A Randomised Controlled Trial

    Eddleston, M; Eyer, P; Worek, F.; Juszczak, E; Alder, N; F. Mohamed; Senarathna, L.; Hittarage, A; Azher, S; Jeganathan, K; Jayamanne, S; Von Meyer, L.; Dawson, AH; Sheriff, MH; Buckley, NA

    2009-01-01

    Editors' Summary Background Each year, about 200,000 people worldwide die from poisoning with organophosphorous insecticides, toxic chemicals that are widely used in agriculture, particularly in developing countries. Organophosphates disrupt communication between the brain and the body in both insects and people. The brain controls the body by sending electrical impulses along nerve cells (neurons) to the body's muscle cells. At the end of the neurons, these impulses are converted into chemic...

  17. Phosphorus poisoning in waterfowl

    Coburn, D.R.; DeWitt, J.B.; Derby, J.V., Jr.; Ediger, E.

    1950-01-01

    Black ducks and mallards were found to be highly susceptible to phosphorus poisoning. 3 mg. of white phosphorus per kg. of body weight given in a single dose resulted in death of a black duck in 6 hours. Pathologic changes in both acute and chronic poisoning were studied. Data are presented showing that diagnosis can be made accurately by chemical analysis of stored tissues in cases of phosphorus poisoning.

  18. Effect of a brief outreach educational intervention on the translation of acute poisoning treatment guidelines to practice in rural Sri Lankan hospitals: a cluster randomized controlled trial.

    Lalith Senarathna

    Full Text Available BACKGROUND: In developing countries, including Sri Lanka, a high proportion of acute poisoning and other medical emergencies are initially treated in rural peripheral hospitals. Patients are then usually transferred to referral hospitals for further treatment. Guidelines are often used to promote better patient care in these emergencies. We conducted a cluster randomized controlled trial (ISRCTN73983810 which aimed to assess the effect of a brief educational outreach ('academic detailing' intervention to promote the utilization of treatment guidelines for acute poisoning. METHODS AND FINDINGS: This cluster RCT was conducted in the North Central Province of Sri Lanka. All peripheral hospitals in the province were randomized to either intervention or control. All hospitals received a copy of the guidelines. The intervention hospitals received a brief out-reach academic detailing workshop which explained poisoning treatment guidelines and guideline promotional items designed to be used in daily care. Data were collected on all patients admitted due to poisoning for 12 months post-intervention in all study hospitals. Information collected included type of poison exposure, initial investigations, treatments and hospital outcome. Patients transferred from peripheral hospitals to referral hospitals had their clinical outcomes recorded. There were 23 intervention and 23 control hospitals. There were no significant differences in the patient characteristics, such as age, gender and the poisons ingested. The intervention hospitals showed a significant improvement in administration of activated charcoal [OR 2.95 (95% CI 1.28-6.80]. There was no difference between hospitals in use of other decontamination methods. CONCLUSION: This study shows that an educational intervention consisting of brief out-reach academic detailing was effective in changing treatment behavior in rural Sri Lankan hospitals. The intervention was only effective for treatments with

  19. One case of acute Alocasia macrorrhiza poisoning and management%急性海芋中毒救治1例

    谢立璟; 王英伟; 龙鑫; 孙承业

    2011-01-01

    A 44-year-old man took the tuber of Alocasia macronhiza by mistake. Several minutes after ingestion of the tuber, he presented with numbness of lip, sore throat, nausea, vomiting, salivation, dyspnea, and dysphonia. Twenty minutes after poisoning, he was hospitalized and diagnosed as having acute laryngeal edema. He received diphenhydramine 20 mg and dexamethasone 5 mg via IV push, followed by an IV infusion of dexaroethasone 10 mg. Meanwhile oxygen inhalation, liver protective treatment, and other symptomatic treatment were given. Five hours after poisoning, his symptoms gradually resolved and, 50 days later, he recovered. Alocasia macronhiza is a poisonous plant of Alocasia Sckott in the family Araceae, and it contains sapotoxin and calcium oxalate which can induce neurological and gastrointestinal disorder after ingestion of the plant. The latent period from exposure to onset of symptoms is 10 to 30 minutes and death might occur in patients with severe poisoning. Skin contact or eye contact with Alocasia macronhiza juice can cause pruritus, conjunctivitis, and even blindness. Inhalation of Alocasia macronhiza powder can lead to severe mucosal irritation in the eye, nasal cavity, and throat. Poisoning could be diagnosed by the history of contact with the plant and clinical manifestations. There is no specific antidote for Alocasia macronhiza poisoning and main management is symptomatic treatment.%1例44岁男性误食海芋块根,数分钟后出现口唇麻木、咽喉疼痛、恶心、呕吐、流涎、呼吸困难、发音困难等症状,中毒后20 min入院,诊断为急性喉头水肿.给予静脉推注苯海拉明20 mg、地塞米松5mg和静脉滴注地塞米松10 ng等处理,并行吸氧、保肝等对症治疗.中毒5h后症状逐渐好转,50 d后痊愈.海芋是天南星科海芋属有毒植物,含有皂素毒苷及草酸钙等.口服后可致神经和胃肠系统症状,潜伏期一般为10~30 min,严重者可致死亡;皮肤或者眼接触海芋汁

  20. Lead poisoning

    ... help if this information is not immediately available. Poison Control If someone has severe symptoms from possible ... be caused by lead poisoning, call your local poison control center. Your local poison center can be ...

  1. Food Poisoning

    ... Got Homework? Here's Help White House Lunch Recipes Food Poisoning KidsHealth > For Kids > Food Poisoning Print A ... find out how to avoid it. What Is Food Poisoning? Food poisoning comes from eating foods that ...

  2. Paraquat poisoning: an experimental model of dose-dependent acute lung injury due to surfactant dysfunction

    M.F.R. Silva; P.H.N. Saldiva

    1998-01-01

    Since the most characteristic feature of paraquat poisoning is lung damage, a prospective controlled study was performed on excised rat lungs in order to estimate the intensity of lesion after different doses. Twenty-five male, 2-3-month-old non-SPF Wistar rats, divided into 5 groups, received paraquat dichloride in a single intraperitoneal injection (0, 1, 5, 25, or 50 mg/kg body weight) 24 h before the experiment. Static pressure-volume (PV) curves were performed in air- and saline-filled l...

  3. Intoxicaciones medicamentosas (I: Psicofármacos y antiarrítmicos Acute pharmacologic poisoning (I: Psychotropic and antiarrhythmic drugs

    I. Osés

    2003-01-01

    Full Text Available En la valoración de la Intoxicación Medicamentosa Aguda (IMA en pacientes graves con dosis potencialmente no tóxicas del teórico fármaco responsable es importante insistir en la anamnesis en la coingesta de otros fármacos o tóxicos. Inicialmente se prestará atención a las medidas de soporte vital, oxigenando, protegiendo la vía aérea y expandiendo la volemia. El ECG es una herramienta diagnóstica de primer orden en las IMA, sobre todo por antidepresivos tricíclicos (ADT y medicación cardiovascular. Su monitorización continua durante las primeras 12-24 horas suele ser necesaria en la mayoría de los casos. Las benzodiacepinas no suelen producir intoxicaciones graves. El uso del flumazenilo se reservará a los casos de depresión respiratoria, coma profundo o de causa no filiada. Pueden dar lugar a convulsiones, sobre todo en caso de intoxicación mixta con antidepresivos, y síndrome de abstinencia. Los ADT poseen una potencial gravedad enorme, pudiendo originar arritmias mortales. El rango terapéutico del litio es muy estrecho, pudiendo producirse signos de toxicidad fundamentalmente digestiva y neurológica. En caso de intoxicación por digoxina, se considerará el uso de anticuerpos antidigital en caso de bradiarritmias graves, bloqueos AV o PCR. El glucagón es el antídoto para la intoxicación grave por ß-bloqueantes y para la hipotensión refractaria en caso de calcioantagonistas.In the evaluation of Acute Drug Poisoning (ADP in patients seriously ill with a potentially non-toxic dose of the drug that is theoretically responsible, it is important to insist on anamnesis in the coingestion of other drugs or toxics. Initially attention is given to life support measures, oxygenation, protection of the airway and expanding the volemia. The ECG is a diagnostic tool of the first order in ADPs, above all for tricyclic antidepressants (TAD and cardio-vascular drugs. In the majority of cases continuous monitoring is usually

  4. ACUTE TOXICITY OF MERCURY TO EMBRYOS OF Helisoma trivolvis (SAY, 1817 (MOLLUSCA: PLANORBIDAE

    Passuni, G.

    2008-01-01

    Full Text Available Mercury is a metal very employed at industry and mining in Peru. The aim of current research was to determine embryotoxic lethal acute toxicity of Hg2+, in form of chloride of mercury (HgCl on 2 Helisoma trivolvis (Say, 1817 at 24 h exposure. Concentrations assayed were 514, 51.4, 5.14 and 0.51 ug Hg2+ L-1, since salt on base of HgCl using dechlorined water as diluents. Snail embryos 2 were considered dead when none rotation movement during since 30 seconds. Percentage of mortality of embryonic stages of H. trivolvis increased with each of concentrations crescents of Hg2+ at 24 h exposure. At a concentration of 514.4 ug Hg2+ L-1 was observed significantly differences in relation to control. Moreover, concentration of 514.4 ug Hg2+ L-1 showed differences with relation to other three treatments. LC was 2.49 ug Hg2+ L-1. Embryos of H. trivolvis were 50 higher sensible to Hg2+ in comparison to other freshwater snail species was concluded.

  5. Low dose mercury toxicity and human health.

    Zahir, Farhana; Rizwi, Shamim J; Haq, Soghra K; Khan, Rizwan H

    2005-09-01

    Post Minamata incident there has been awareness about mercury toxicity even among the general public. Previous researches contributed a vast amount of data regarding acute mercury exposure, but gradually information about the low dose [Ninomiya, T., Ohmori, H., Hashimoto, K., Tsuruta, K., Ekino, S., 1995. Expansion of methylmercury poisoning outside minamata: an epidemiological study on chronic methylmercury poisoninig outside of Minamata. Environ. Res. 70 (1) 47-50; Lebel, J., Mergler, D., Lucotte, M., Amorim, M., Dolbec, J., Miranda, D., Arantes, G., Rheault, I., Pichet, P., 1996. Evidence of early nervous system dysfunction in Amazonian populations exposed to low-levels of methylmercury. Neurotoxicology 17 (1) 157-167] of mercury toxicity has been trickling in. With mercury contaminating rain-, ground- and sea-water no one is safe. Polluted water leads to mercury laced fish, meat and vegetable. In aquatic environments, inorganic mercury is microbiologically transformed into lipophilic organic compound 'methylmercury'. This transformation makes mercury more prone to biomagnification in food chains. Consequently, populations with traditionally high dietary intake of food originating from fresh or marine environment have highest dietary exposure to mercury. Extensive research done on locals across the globe have already established this, persons who routinely consume fish or a particular species of fish are at an increased risk of methylmercury poisoning. The easy access of the toxicant to man through multiple pathways air, water, food, cosmetic products and even vaccines increase the exposure. Foetus and children are more susceptible towards mercury toxicity. Mothers consuming diet containing mercury pass the toxicant to foetus and to infants through breast milk. Decreased performance in areas of motor function and memory has been reported among children exposed to presumably safe mercury levels. Similarly, disruption of attention, fine motor function and verbal

  6. A Randomized Controlled Trial of Puncturing and Bloodletting at Twelve Hand Jing Points to Treat Acute Carbon Monoxide Poisoning as Adjunct to First Aid Treatment: A Study Protocol

    Yue, Ying; Pan, Xingfang; Zhang, Sai; Jin, Jun; Wang, Wei; Wang, Dongqiang; Han, Dexin; Wang, Guirong; Hu, Qunliang; Kang, Jingqing; Ding, Shasha; Yang, Yi; Bu, Huaien; Guo, Yi

    2015-01-01

    Background. Acute carbon monoxide poisoning (ACOP) is a significant cause of morbidity and mortality in many countries. Twelve Hand Jing Points (THJP) have been believed to be effective to treat all kinds of emergency calls in traditional Chinese medicine (TCM) for more than 3000 years. This randomized controlled trial (RCT) is designed to evaluate the effectiveness of THJP in curing acute carbon monoxide poisoning in first aid treatment. This paper reports the protocol of the trial. Methods/Design. This RCT is a multicenter, randomized, controlled study undergoing in China. The compliant patients are divided into the bloodletting group and standard of care group. With first aid treatments given to both of the groups, the bloodletting group is bleeding at THJP upon being hospitalized. Primary outcomes and secondary outcomes will be measured and compared between these two groups. Before treatment, immediately after treatment, and 30 minutes, 1 hour, and 4 hours after treatment, patients' basic vital signs and state of consciousness were observed. Before treatment and 1 and 4 hours after treatment, carboxyhemoglobin concentration in venous blood samples was detected. Discussion. The objective of this study is to provide convincing evidence to clarify the efficacy and safety of THJP for early treatment of acute carbon monoxide poisoning. PMID:26339271

  7. A Randomized Controlled Trial of Puncturing and Bloodletting at Twelve Hand Jing Points to Treat Acute Carbon Monoxide Poisoning as Adjunct to First Aid Treatment: A Study Protocol

    Ying Yue

    2015-01-01

    Full Text Available Background. Acute carbon monoxide poisoning (ACOP is a significant cause of morbidity and mortality in many countries. Twelve Hand Jing Points (THJP have been believed to be effective to treat all kinds of emergency calls in traditional Chinese medicine (TCM for more than 3000 years. This randomized controlled trial (RCT is designed to evaluate the effectiveness of THJP in curing acute carbon monoxide poisoning in first aid treatment. This paper reports the protocol of the trial. Methods/Design. This RCT is a multicenter, randomized, controlled study undergoing in China. The compliant patients are divided into the bloodletting group and standard of care group. With first aid treatments given to both of the groups, the bloodletting group is bleeding at THJP upon being hospitalized. Primary outcomes and secondary outcomes will be measured and compared between these two groups. Before treatment, immediately after treatment, and 30 minutes, 1 hour, and 4 hours after treatment, patients’ basic vital signs and state of consciousness were observed. Before treatment and 1 and 4 hours after treatment, carboxyhemoglobin concentration in venous blood samples was detected. Discussion. The objective of this study is to provide convincing evidence to clarify the efficacy and safety of THJP for early treatment of acute carbon monoxide poisoning.

  8. Ischemic colitis associated with acute carbon monoxide poisoning--a case report.

    Weaver, Lindell K; Deru, Kayla

    2016-01-01

    Carbon monoxide (CO) poisoning is common, but it has rarely been reported to cause ischemic colitis. In this case, a 34-year-old female with depression presented to an emergency department after a period of unconsciousness, with urinary and bowel incontinence, following exposure to car exhaust. Her carboxyhemoglobin level was 23%. She had metabolic acidosis. She was transferred to our facility for hyperbaric oxygen treatment, where she had intractable nausea/vomiting with abdominal pain and bright-red bleeding per rectum. She exhibited lower abdominal tenderness and hypoactive bowel sounds. Vital signs were: temperature 36.8 degrees C; blood pressure 137/ 86 mmHg; heart rate 114 beats/minute; respiratory rate 28 breaths/minute. The patient's electrocardiogram showed sinus tachycardia with T-wave inversions in leads I, aVL and V3-V6. The troponin I level peaked at 3.7 ng/ml. Echocardiogram showed a reduced ejection fraction of 30%-35%, with akinesis in the posterior lateral and distal anterior distributions. Computed tomography of the abdomen revealed diffuse colonic mural thickening, supporting mesenteric ischemia. Sigmoidoscopy showed edematous friable pale mucosa from rectum to distal sigmoid colon. Hyperbaric oxygen was deferred based on the patient's status. Over three days, the initial hematochezia progressed to melena and then resolved. Adenosine cardiac stress MRI was normal. She was transferred to the psychiatry service and discharged four days later. Four years later, she has no gastrointestinal, cardiac or cognitive problems. PMID:27265995

  9. Confirmation of acute nitrate poisoning differentiating from anthrax in three Indian indigenous cattle

    Kumaresan Nagarajan

    2015-03-01

    Full Text Available This article reports cases of nitrate poisoning in Indian indigenous cattle breeds comprising two Gir cows aging 4 years each, and one Barugur cow at 1.5 years of age. The cattle with case history of sudden death and oozing of partially clotted blood from the anal opening were brought to the Central University Laboratory (CUL, Center for Animal Health Studies (CAHS, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS for diagnostic investigation with a suspicion of anthrax. According to anamnesis, all the animals were clinically normal and did not reveal any abnormality on the previous day. The animals were fed with recently harvested sorghum leaves and stalks. Smears examined for anthrax were found negative. Biological test (mice inoculation for anthrax was also negative. Gross lesions on necropsy examination of the carcases were suggestive of nitrate intoxication. Finally, nitrate intoxication of these cattle was confirmed by chemical and toxicological analysis of fodder, rumen content, aqueous humor, liver, kidney and urine.

  10. Glasgow coma scale in acute poisonings before and after use of antidote in patients with history of use of psychotropic agents

    Poplas-Sušić Tonka

    2010-01-01

    Full Text Available Introduction. Data on emergency interventions in poisonings are scarce. Objective. To determine the effectiveness of antidote therapy in acute poisoning-related emergency medical services (EMS interventions. Methods. A prospective observational study included all poisoning-related intervention cases over 3 years (1999-2001 in the Celje region, Slovenia, covering 125,000 inhabitants. Data were recorded on an EMS form. Results. Psychoactive agents were present in 56.5% out of 244 poisoning-related EMS interventions. Prescription drugs were a cause of intoxication in 93 (39.2% cases alone or in combination with alcohol or illegal drugs. More than one fifth of poisonings were due to the use of illegal drugs in 52 (21.9% cases, 43 (18.1% out of them heroin related. At the time of EMS arrival, more patients who ingested illegal drugs were in coma or comatose than the rest. 24 (45.3% vs. 32 (17.3% of poisoned patients were in coma (p<0.001. Glasgow Coma Scale (GCS at the first contact was lower in patients who ingested illegal drugs than in the remaining patients (9.0 vs. 11.6, p=0.001. In 23.2% of the cases, an antidote was administered. In 29 (12.2% naloxone and in 16 (6.7% flumazenil was administered. Mean GCS after intervention was higher in all cases but significantly higher in illegal drug cases, 13.4 vs. 12.2 (p=0.001, with a mean positive change in GCS of 4.5 vs. 0.6 (p<0.001. In illegal drug users, mean change after antidote administration was 8.2 vs. 0.5 without antidote administration (p<0.001. Conclusion. High rate of successful antidote use during the intervention indicated the importance of good EMS protocols and the presence of a skilled doctor in the EMS team.

  11. Acute thiopurine overdose: analysis of reports to a national poison centre 1995-2013

    Gregoriano, Claudia; Ceschi, Alessandro; Rauber-Lüthy, Christine; Kupferschmidt, Hugo; Banner, Nicholas R.; Krähenbühl, Stephan; Taegtmeyer, Anne B

    2014-01-01

    Literature regarding acute human toxicity of thiopurines is limited to a handful of case reports. Our objectives were to describe all cases of overdose with thiopurines reported to the Swiss Toxicological Information Centre between 1995-2013. A retrospective analysis was performed to determine circumstances, magnitude, management and outcome of overdose with these substances. A total of 40 cases (14 paediatric) were reported (azathioprine, n = 35; 6-mercaptopurine, n = 5). Of these, 25 were w...

  12. Oleander poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  13. Detergent poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  14. Philodendron poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  15. Ammonia poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  16. Foxglove poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  17. Yew poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  18. Kerosene poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  19. Zinc poisoning

    ... help if this information is not immediately available. Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  20. Mistletoe poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  1. Poison Ivy

    ... Health Gynecology Medical Conditions Nutrition & Fitness Emotional Health Poison Ivy Posted under Health Guides . Updated 2 June ... everyone is sensitive to these plants. What is poison ivy? Poison ivy is a plant that can ...

  2. Diazinon poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  3. Iodine poisoning

    ... help if this information is not immediately available. Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  4. Jimsonweed poisoning

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  5. Deodorant poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  6. Mushroom Poisoning

    ... poisoning, call your doctor or the Poison Control Center. Call 911 immediately if the person is unconscious, not breathing or convulsing. The phone number for the Poison Control Center is 1-800-222-1222. This number is ...

  7. Hydroxyethyl Starch Could Save a Patient With Acute Aluminum Phosphide Poisoning.

    Marashi, Sayed Mahdi; Nasri Nasrabadi, Zeynab; Jafarzadeh, Mostafa; Mohammadi, Sogand

    2016-07-01

    A 40-year-old male patient with suicidal ingestion of one tablet of aluminium phosphide was referred to the department of toxicology emergency of Baharloo Hospital, Tehran, Iran. The garlic odor was smelled from the patient and abdominal pain and continuous vomiting as well as agitation and heartburn were the first signs and symptoms. Systolic and diastolic blood pressures at the arrival time were 95 and 67 mmHg, respectively. Gastric lavage with potassium permanganate (1:10,000), and 2 vials of sodium bicarbonate through a nasogastric tube was started for the patient and the management was continued with free intravenous infusion of 1 liter of NaCl 0.9% serum plus NaHCO3, hydrocortisone acetate (200 mg), calcium gluconate (1 g) and magnesium sulfate (1 g). Regarding the large intravenous fluid therapy and vasoconstrictor administering (norepinephrine started by 5 µg/min and continued till 15 µg/min), there were no signs of response and the systolic blood pressure was 49 mmHg. At this time, hydroxyethyl starch (HES) (6% hetastarch 600/0.75 in 0.9% sodium chloride) with a dose of 600 cc in 6 hours was started for the patient. At the end of therapy with HES, the patient was stable with systolic and diastolic blood pressure of 110 and 77 mmHg, respectively. He was discharged on the 6th day after the psychological consultation, with normal clinical and paraclinical examinations. This is the first report of using HES in the management of AlP poisoning and its benefit to survive the patient. PMID:27424021

  8. DNA pooling base genome-wide association study identifies variants at NRXN3 associated with delayed encephalopathy after acute carbon monoxide poisoning.

    Wenqiang Li

    Full Text Available Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP is more characteristic of anoxic encephalopathy than of other types of anoxia. Those who have the same poisoning degree and are of similar age and gender have a greater risk of getting DEACMP. This has made it clear that there are obvious personal differences. Genetic factors may play a very important role. The authors performed a genome-wide association study involving pooling of DNA obtained from 175 patients and 244 matched acute carbon monoxide poisoning without delayed encephalopathy controls. The Illumina HumanHap 660 Chip array was used for DNA pools. Allele frequencies of all SNPs were compared between delayed encephalopathy after acute carbon monoxide poisoning and control groups and ranked. A total of 123 SNPs gave an OR >1.4. Of these, 46 mapped in or close to known genes. Forty-eight SNPs located in 19 genes were associated with DEACMP after correction for 5% FDR in the genome-wide association of pooled DNA. Two SNPs (rs11845632 and rs2196447 locate in the Neurexin 3 gene were selected for individual genotyping in all samples and another cohort consisted of 234 and 271 controls. There were significant differences in the genotype and allele frequencies of rs11845632 and rs2196447 between the DEACMP group and controls group (all P-values <0.05. This study describes a positive association between Neurexin 3 and controls in the Han Chinese population, and provides genetic evidence to support the susceptibility of DEACMP, which may be the resulting interaction of environmental and genetic factors.

  9. Organophosphorus pesticide poisoning : cases and developments

    Aardema, H.; Ligtenberg, J. J. M.; Peters-Polman, O. M.; Tulleken, J. E.; Zijlstra, J. G.; Meertens, John H. J. M.

    2008-01-01

    Self-poisoning with organophosphate pesticides is a major health problem world-wide. Through the inhibition of acetylcholinesterase, organophosphorus poisoning is characterised by the clinical picture of acute cholinergic crisis. Other manifestations are the intermediate neurotoxic syndrome and dela

  10. THE ROLE OF EARLY HAEMOPERFUSION/HAEMODIALYSIS WITH STEROIDS, CYCLOPHOSPHAMIDE, N ACETYL CYSTEINE AND EVEROLIMUS IN ACUTE PARAQUAT POISONING: IS THERE STILL HOPE?

    Rajesh

    2016-01-01

    Full Text Available BACKGROUND Acute Paraquat poisoning is associated with very high mortality rate. There are no standardized treatment protocols and no effective antidote. AIMS In the absence of an effective antidote, early removal of paraquat by haemoperfusion/haemodialysis and addition of immunosuppressive agents, anti-oxidants and anti-fibrotic agents to counter the effect of paraquat may be beneficial. We present our experience of using Haemoperfusion/Haemodialysis in combination with pulse steroids, intravenous cyclophosphamide N Acetylcysteine infusion and Everolimus in such patients. MAIN METHODS AND RESULTS This study is conducted in two phases, during the first phase, the patients with paraquat poisoning are treated by the physicians as done in usual practice. In the second phase, standardized protocols were followed and patients received either early Haemoperfusion or Haemodialysis along with steroids, cyclophosphamide, N acetyl cysteine and Everolimus. We noted that with the use of standardized treatment protocol, the survival rate of severe paraquat poisoning has increased from 8% to 45.8%. CONCLUSION Early Haemoperfusion/haemodialysis when used in combination with steroids, Cyclophosphamide, N acetyl infusion and Everolimus may be an effective treatment strategy in patients with severe paraquat poisoning.

  11. Acute thiopurine overdose: analysis of reports to a National Poison Centre 1995-2013.

    Claudia Gregoriano

    Full Text Available Literature regarding acute human toxicity of thiopurines is limited to a handful of case reports. Our objectives were to describe all cases of overdose with thiopurines reported to the Swiss Toxicological Information Centre between 1995-2013. A retrospective analysis was performed to determine circumstances, magnitude, management and outcome of overdose with these substances. A total of 40 cases (14 paediatric were reported (azathioprine, n = 35; 6-mercaptopurine, n = 5. Of these, 25 were with suicidal intent, 12 were accidental and 3 were iatrogenic errors. The magnitude of overdose ranged from 1.5 to 43 (median 8 times the usual dose in adults. Twelve cases (30% had attributable symptoms. The majority of these were minor and included gastrointestinal complaints and liver function test and blood count abnormalities. Symptoms were experienced by patients who took at least 1.5-times their usual daily thiopurine dose. Overdoses over two or more consecutive days, even if of modest size, were less well tolerated. One case of azathioprine and allopurinol co-ingestion over consecutive days led to agranulocytosis. Decontamination measures were undertaken in 11 cases (10 activated charcoal, 1 gastric lavage and these developed fewer symptoms than untreated patients. This study shows that acute overdoses with thiopurines have a favourable outcome in the majority of cases and provides preliminary evidence that gastrointestinal decontamination with activated charcoal may reduce symptom development after overdose of these substances if patients present to medical services soon after ingestion.

  12. Acute thiopurine overdose: analysis of reports to a National Poison Centre 1995-2013.

    Gregoriano, Claudia; Ceschi, Alessandro; Rauber-Lüthy, Christine; Kupferschmidt, Hugo; Banner, Nicholas R; Krähenbühl, Stephan; Taegtmeyer, Anne B

    2014-01-01

    Literature regarding acute human toxicity of thiopurines is limited to a handful of case reports. Our objectives were to describe all cases of overdose with thiopurines reported to the Swiss Toxicological Information Centre between 1995-2013. A retrospective analysis was performed to determine circumstances, magnitude, management and outcome of overdose with these substances. A total of 40 cases (14 paediatric) were reported (azathioprine, n = 35; 6-mercaptopurine, n = 5). Of these, 25 were with suicidal intent, 12 were accidental and 3 were iatrogenic errors. The magnitude of overdose ranged from 1.5 to 43 (median 8) times the usual dose in adults. Twelve cases (30%) had attributable symptoms. The majority of these were minor and included gastrointestinal complaints and liver function test and blood count abnormalities. Symptoms were experienced by patients who took at least 1.5-times their usual daily thiopurine dose. Overdoses over two or more consecutive days, even if of modest size, were less well tolerated. One case of azathioprine and allopurinol co-ingestion over consecutive days led to agranulocytosis. Decontamination measures were undertaken in 11 cases (10 activated charcoal, 1 gastric lavage) and these developed fewer symptoms than untreated patients. This study shows that acute overdoses with thiopurines have a favourable outcome in the majority of cases and provides preliminary evidence that gastrointestinal decontamination with activated charcoal may reduce symptom development after overdose of these substances if patients present to medical services soon after ingestion. PMID:24489721

  13. [Acute accidental poisoning in children at the pediatrics service of the Gabriel Touré hospital].

    Sylla, M; Coulibaly, Y; Dicko, F T; Kourouma, N; Togo, B; Keita, M M

    2006-01-01

    The accidental intoxications constitute more and more a serious problem among young children in the developing countries because of their frequency and difficulties for taking care of those victims. The objective of our work was to study acute intoxications among children in order to determine the frequency, to identify the products in question and to determine the impact of those accidents in the future life of the victims. The study was carried out in the Paediatric Service of the CHU Gabriel Touré from January 2001 to June 2002. We enrolled 89 children from 0 to 15 years of age. Information on our patients was recorded on investigational questionnaire and completed with data from their entry and hospitalization records. Among 8237 children hospitalized during the study period, 89 of them had acute intoxication i.e. 1.08%. Children less than five years of age were more frequent with 85.4% with a male prevalence of 61.8%. Antimalarial drugs and petroleum were the most accused products. Administration of milk and provoked vomiting were the attitudes and practices of the entourage of the victims when intoxication occurs. The evolution was favourable in 67.2% of the cases with a hospital lethality of 13.7%. PMID:19617084

  14. Hemlock (Conium Maculatum) Poisoning In A Child

    Çapan Konca; Zelal Kahramaner; Mehmet Boşnak; Halil Kocamaz

    2014-01-01

    Poison hemlock (Conium maculatum) is a poisonous plant for humans and animals. Accidental ingestion of the plant may result in central nervous system depression, respiratory failure, acute rhabdomyolysis, acute renal failure and even death. The main treatment of its poisoning is supportive care. A 6-year-old girl who admitted to the emergency department with complaints of burning sensation in mouth, hypersalivation, tremor in hands and ataxia after ingestion of poison hemlock was presented wi...

  15. 急性有机磷农药中毒患者的急救护理%Emergency nursing care of patients with acute organophosphorus pesticide poisoning

    马鑫

    2014-01-01

    目的:探讨急性有机磷农药中毒患者的急救和护理措施。方法:我院收治35例有机磷农药中毒患者,采取急救措施和护理措施,实施治疗。结果:35例患者在经过精心的救护后,治愈34例,死亡1例。结论:对急性有机磷农药中毒患者,采取一定的急救措施,并给予相应的护理干预,具有较好治疗效果,值得推广。%Objective:To investigate the first aid and nursing measuresof acute organophosphorus pesticide poisoning patients. Methods Patients in our hospital 35 cases of organophosphorus pesticide poisoning, take emergency measures and nursing measures, the implementation of treatment. Results:35 patients after carefultreatment, 34 cases were cured, 1 cases died. Conclusion:Patients with acute organophosphorus pesticide poisoning, take someemergency measures, and give the corresponding nursing intervention, has better curative effect, is worth promoting.

  16. Carbon monoxide poisoning

    Dolan, Michael C.

    1985-01-01

    Carbon monoxide poisoning is a significant cause of illness and death. Its protean symptoms probably lead to a gross underestimation of its true incidence. Low levels of carbon monoxide aggravate chronic cardiopulmonary problems, and high levels are associated with cardiac arrhythmias and cerebral edema. Patients who survive acute poisoning are at risk of delayed neurologic sequelae. The measurement of carboxyhemoglobin levels does not reveal the tissue levels of carbon monoxide but is useful...

  17. Speciation analysis of arsenic compounds in the serum and urine of a patient with acute arsine poisoning

    Yamanaka K.

    2013-04-01

    Full Text Available Arsine is one of the most potent hemolytic agents. It is important to clarify arsine metabolism as well as its chemical interactions with biological components. The aim of the present study was to clarify arsine metabolism by arsenic speciation analysis in serum and urine from an acute poisoning patient with hematuria, anemia, and renal and liver dysfunction. Speciation analysis of arsenics in serum and urine was performed using HPLC-ICP-MS. The total arsenic (T-As concentration in serum was 244.8 μg/l at admission and 97.1 μg/l at discharge. In the speciation analysis, four kinds of As compounds derived from arsine metabolism were detected in serum and urine. The concentration of arsenite (AsIII, arsenate (AsV, monomethylarsonic acid (MMA, and dimethylarsinic acid (DMA in serum at admission were 45.8, 5.2, 17.9 and 9.3 μg/l, respectively. The concentrations of AsIII, AsV, and MMA decreased with biological half time (BHT of 30.1, 43.0, and 96.3 h, respectively. Only DMA was increased at discharge. The urinary AsIII, AsV, MMA and DMA concentrations were 223.0, 12.1, 317.5 and 1053.5 μg/l at discharge, and decreased with BHT of 15.1, 20.8, 14.7, and 16.0 d, respectively. The results indicate that arsine was quickly metabolized to AsIII and subsequently up to DMA, with the result that the toxic effects of inorganic arsenic were added to those of arsine toxicity.

  18. EFFECTS OF ORGANOPHOSPHATES ON ACUTE POISONING AND ACETYL CHOLINESTERASE INHIBITION IN ZEBRA FISH

    TH Sukirtha* MV Usharani

    2013-03-01

    Full Text Available Organophosphates (Ops. are the most widely used insecticides available today. These are a group of insecticides used in chemical sprays to kill bugs, and insects in orchards, vineyards, vegetables and cereal crops. The present study examined effects of the pesticide Methyl parathion, Dichlorvos and Chlorpyrifos on adult zebra fish were exposed to various concentrations (5, 10 & 25mg/L for 24 and 48hrs acute toxic study. Chlorpyrifos showed mortality in all concentrations and Methyl parathion and Dichlorvos showed the same in 25 mg/L. LC 50 value for Methyl parathion and Dichlorvos was 5 & 10 mg/L respectively. The total protein, LPO content was increased except SOD, Catalase in the brain tissue of the treated fishes.  There was no significant decrease in the GPX activity at 5ppm test groups. The GPX activity decreased significantly in test group treated with 10ppm and a significant difference was found between 5ppm and 10ppm test groups. The histopathological studies of brain tissue showed that neuronal degeneration and tissue damages in the brain of treated fishes when compared with the control. Ops. produce toxicity by inhibiting the cholinesterase enzymes in the nervous system. Monitoring of acetyl cholinesterase (AChE inhibition has been widely used in terrestrial and freshwater aquatic systems as an indicator of OP exposure and effects.

  19. Dangers from mercury in dental office

    E. Yasini

    1996-01-01

    Mercury has been used in amalgam restorations for more than a century though it is poisonous and mercury vapor can endanger the health of patients and dental office staff. Therefore, they should be aware of its hazards and observe guidelines to prevent injury to nervous system, heart, kidneys, alimentary and respiratory systems. The source of mercury poisoning in dental offices can be of stored mercury, evaporation while mixing, inserting, condensing, carving, burnishing or ...

  20. Detection of neutrophil-lymphocyte ratio as a serum marker associated with inlfammations by acute carbon monoxide poisoning

    Mustafa Karabacak; Kenan Ahmet Turkdogan; Abuzer Coskun; Orhan Akpinar; Ali Duman; Mcahit Kapci; Sevki Hakan Eren; Pnar Karabacak

    2015-01-01

    Objective: To investigate neutrophil–lymphocyte ratio (NLR), which is an indicator of systemic inflammation, in patients with carbon monoxide (CO) poisoning. Methods: We included 528 patients (275 women) who presented with a diagnosis of CO poisoning between June 2009 and March 2014. Control group was composed of 54 patients (24 women). Platelet count and mean platelet volume level were significantly higher in the CO poisoning group. Results: White blood cell level (9.8 ± 3.3vs 8.6 ± 2.9× 103/mL, respectively;P= 0.01), neutrophil count (6.00 ± 2.29vs 4.43 ± 2.04×103/mL, respectively;P Conclusions: The increase ofNLR may indicate the progression of fatal complications due to CO poisoning.

  1. Fomepizole in the treatment of acute methanol poisonings: experience from the Czech mass methanol outbreak 2012-2013

    Zakharov, S.; Navrátil, Tomáš; Pelclová, D.

    2014-01-01

    Roč. 158, č. 4 (2014), s. 641-649. ISSN 1213-8118 Institutional support: RVO:61388955 Keywords : methanol poisoning * fomepizole * treatment outcome Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 1.200, year: 2014

  2. Fluctuations in serum ethanol concentration in the treatment of acute methanol poisoning: a prospective study of 21 patients

    Zakharov, S.; Navrátil, Tomáš; Salek, T.; Kurcová, I.; Pelclová, D.

    2015-01-01

    Roč. 159, č. 4 (2015), s. 666-676. ISSN 1213-8118 Institutional support: RVO:61388955 Keywords : methanol poisoning * ethanol * antidote Subject RIV: CG - Electrochemistry Impact factor: 1.200, year: 2014

  3. STUDY ON 52 PATIENTS WITH ACUTE SEVERE ORGANOPHOSPHORUS PESTICIDE POISONING%急性重度有机磷中毒52例临床研究

    孟瑞; 卢敏

    2011-01-01

    Objective To evaluate the clinical application of hemoperfusion combined with hemodialysis and continuous micropump infusion of atropine in the treatment of acute severe organophosphorus pesticide poisoning( ASOPP ). Methods A total of 104 patients with ASOPP were retrospectively analysed, all patients were treated with gastric lavage and so on, the treated group adopted hemoperfusion combined with hemodialysis and continuous micropump infusion of atropine in addition to basic therapy. The clinical data was compared. Results The treated group was superior to the control group in time from coma to consciousness, total amount of atropine and recovery time of cholinesterase etc. The recovery rate was 84.6%. Conclusion It is effective to apply hemoperfusion combined with hemodialysis and continuous micropump iffusion of atropine in rescuing the acute severe organophosphorus pesticide poisoning.%目的 评价血液灌流联合血液透析、阿托品微量泵持续泵入治疗急性重度有机磷中毒(acute severe organophosphorus pesticide poisoning,ASOPP)的临床应用价值.方法 对104例ASOPP患者进行回顾性分析,所有患者均给予洗胃等治疗,治疗组在对照组基础上加用血液灌流联合血液透析、阿托品微量泵治疗,比较2组各项临床资料.结果 治疗组昏迷至清醒时间、阿托品总量、胆碱酯酶恢复时间等明显优于对照组,治愈率为84.6%.结论 应用血液灌流联合血液透析、阿托品微量泵治疗ASOPP效果较好.

  4. Utility of the Measurement of Carboxyhemoglobin Level at the Site of Acute Carbon Monoxide Poisoning in Rural Areas

    Onodera, Makoto; Fujino, Yasuhisa; Kikuchi, Satoshi; Sato, Masayuki; Mori, Kiyofumi; Beppu, Takaaki; Inoue, Yoshihiro

    2016-01-01

    Objective. This study examined the hypothesis that correlations exist between the carbon monoxide exposure time and the carboxyhemoglobin concentration at the site of carbon monoxide poisoning, using a pulse carbon monoxide oximeter in rural areas or the carboxyhemoglobin concentration measured at a given medical institution. Background. In previous studies, no definitive relationships between the arterial blood carboxyhemoglobin level and the severity of carbon monoxide poisoning have been o...

  5. Distribution and Economic Loss Analysis for 38 Hospitalized Children with Acute Poisoning%38例急性中毒住院儿童病例分布及经济损失分析

    宋瑞娟; 宋瑞华; 牛彦青; 王莉

    2014-01-01

    Objective:To understand the distribution features and economic losses of the hospitalized children with acute poisoning, scientific basis was provided to prevent and control the acute poisoning in children.Methods:A retrospective analysis of 38 cases of acute poisoning in children admitted to the pediatric in Heji Hospital affiliated to Changzhi Medical College from 2007 to 2012.Results:In the children with poisoning,25 cases were male,while 13 caseswere female.Children were divided into four groups according to the age:<1,1~4,5~9,and 10~14,whose distribution were respectively 6 cases,20 cases,4 cases,8 cases.Rural and urban poisoning proportion was 1.38:1.The peak was in September and the indoor poisoning accounted for 86.84%.34.21% poisoning was caused by the drug in acute poisoning,while the same with the chemical poisoning.The economic losses of acute poisoning caused by pesticide was(5 171.03 ±4 843.46)RMB on average,which was the highest.The economic losses caused by plant was (2 062.63±715.78)RMB on average, which was the second highest.Conclusion:The number of male children with acute poisoning in the hospital were larger than the female, and mainly concentrated in 1~4 years old,who lived in rural rather than the city.In addition,drug poisoning was the main type of acute poisoning.Pesticide poisoning made the largest economic loss.Measures should be taken to prevent and control the acute poisoning according to its epidemiological characteristics.%目的:了解急性中毒住院患儿的分布特征和经济损失,为儿童急性中毒的预防、控制提供科学依据。方法:回顾性分析38例儿童急性中毒病例。结果:38例中毒患儿中,男25例,女13例;<1岁、1~4岁、5~9岁、10~14岁年龄组分别为6、20、4、8例;农村、城市中毒比例1.38∶1;9月份为发病高峰期;发生在户内占86.84%。急性中毒中药物中毒和化学性中毒各占34.21%。急性中毒的经济损失

  6. The diagnostic value of apparent diffusion coefficient value on the delayed encephalopathy after acute carbon monoxide poisoning

    Objective: To investigate the diagnostic value of ADC on delayed encephalopathy after acute carbon monoxide poisoning (DEACMP). Methods: Forty healthy subjects with normal head MRI appearance and 32 cases with DEACMP were recruited and scanned using MRI. ADC values in bilateral globus pallidus, cerebral white matter (peri-ventricle, centrum semioval) and cortex were measured respectively. According to conventional MRI, 32 DEACMP patients were divided into abnormal and normal signal intensity groups, and followed up more than one year. Thirteen cases without evident symptoms and 3 cases with little headache and dizziness were good prognosis group. Fifteen cases with disturbance of intelligence and mental anomaly and one case with manifested unresponsive, inability in life self-care, urinary and fecal incontinence were poor prognosis group. Independent samples t-test was used to compared all parts of brain ADC values between DEACMP group and normal control, abnormal and normal signal intensity groups, normal signal intensity group and normal control, good and poor prognosis groups. Results: According to MRI findings, DEACMP were classified into three types: type 1: showing white matter involvement; type 2: showing neural nuclei involvement and type 3: showing brain cortex involvement. The ADC values [peri-ventricle white matter (0.62±0.06) x 10-3 mm2/s, the globus pallidus (0.67± 0.05) x 10-3 mm2/s, centrum semioval(0.57±0.07) x 10-3 mm2/s] in DEACMP group were statistically different with those [(0.74±0.03) x 10-3, (0.74±0.04) x 10-3, (0.73±0.05) x 10-3 mm2/s] in normal people (t=2.82,2.89,2.98, P-3 mm2/s, centrum semioval(0.52±0.09) x 10-3 mm2/s] in 20 cases with abnormal signal on routine MRI were statistically different with the ADC values [(0.66±0.05) x 10-3, (0.62±0.06) x 10-3 mm2/s] in 12 cases without abnormal signal (t=4.45,3.98, P-3 mm2/s, centrum semioval (0.58±0.05) x 10-3 mm2/s] in good prognosis group, the ADC value of 16 cases [(0.56±0.02) x

  7. Poison control services in China

    The following aspects are discussed: the public health problems of acute poisoning in China in recent years; the characteristics of acute poisoning; the negative effects of poison cases on the society and economy. The four stages of development of a poison control system in China are: (1) clinical hospital as the only facility used for detoxification; (2) institutes and hospitals of occupational medicine got involved in the program; (3) the traditional model of poison control changed to the modern National Poison Control Center (NPCC), and its network got established and it began to play a key role; (4) establishment of a multi-disciplinary network for dealing with emergencies in which chemical poison control is an important component. Introduction of the operations of the NPCC: the functions of the center are a 24 h hotline service, clinical consultants service, poison identification and diagnosis, laboratory analysis, education for public, training for physicians, coordination of anti-dotes, and the development of a network of poison control centers for dealing with chemical emergencies. The work practice and achievement of NPCC and its network in the field of poison control during the last 3 years is discussed. Lessons from SARS infection: to extend the network, to strengthen multi-disciplinary cooperation, enhance communication between centers, to pay attention to capacity building, to improve reporting systems, and to share resources

  8. Compartment Syndrome Resulting from Carbon Monoxide Poisoning.

    Serbest, Sancar; Belhan, Oktay; Gürger, Murat; Tosun, Haci Bayram

    2015-12-01

    Every year, especially in the cooler Fall and Winter months, hundreds of people die because of carbon monoxide poisoning. This occurs usually as an accident. It is a significant cause of poisoning worldwide. We present a case of compartment syndrome in both lower extremities with accompanying acute renal failure and systemic capillary leakage syndrome because of carbon monoxide poisoning. PMID:26588033

  9. Poison Ivy

    ... leaves of the plants. Look Out for Poison Plants These plants can be anywhere — from the woods ... pill or liquid form. Preventing Rashes From Poison Plants The best approach is to avoid getting the ...

  10. Ethanol poisoning

    ... this page: //medlineplus.gov/ency/article/002644.htm Ethanol poisoning To use the sharing features on this page, please enable JavaScript. Ethanol poisoning is caused by drinking too much alcohol. ...

  11. Starch poisoning

    Cooking starch poisoning; Laundry starch poisoning ... Cooking and laundry starch are both made from vegetable products, most commonly: Corn Potatoes Rice Wheat Both are usually considered nonpoisonous (nontoxic), but ...

  12. Poisonous Plants

    ... Publications and Products Programs Contact NIOSH NIOSH POISONOUS PLANTS Recommend on Facebook Tweet Share Compartir Photo courtesy ... U.S. Department of Agriculture Many native and exotic plants are poisonous to humans when ingested or if ...

  13. Insecticide poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 76. Borron SW. Pyrethins, repellants, ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 77. Cannon RD, Ruha A- ...

  14. Cologne poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 100. Jacobsen D, Hovda KE. ... Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 32. Mycyk MB. Toxic alcohols. ...

  15. Copper poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 75. Holland MG. Pulmonary toxicology. ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 9. Jones AL, Dargan PI. ...

  16. Merbromin poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 71. Linakis JG, Skarbek-Borowska S. ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 18. Rusyniak DE, Arroyo A, ...

  17. Treatment experience of acute organophosphorus pesticide poisoning%急性有机磷农药中毒的救治体会

    胡相东

    2014-01-01

    目的:探讨急性有机磷农药中毒的救治体会。方法:2010年3月-2013年10月收治急性有机磷农药中毒患者78例,作为研究对象,回顾性分析所有患者的临床资料。结果:78例患者中,75例患者在经过洗胃、服用阿托品、输血治疗、其他症状治疗等系列治疗后均痊愈出院,有效率96.1%;有3例患者因口服有机磷农药中毒且治疗不及时,抢救无效死亡,死亡率3.9%。结论:及时给予患者彻底的洗胃、正确使用阿托品是及时抢救急性有机磷农药中毒的关键,同时有针对性治疗患者的其他症状可以显著提高治疗效果。%Objective:To explore the treatment experience of acute organophosphorus pesticide poisoning.Methods:78 cases with acute organophosphorus pesticide poisoning were selected from March 2010 to October 2013.They were as the study objects.The clinical data of all patients were retrospectively analyzed.Results:In 78 cases,75 cases were recovered discharge after a series of treatment method,such as gastric lavage,taking atropine,blood transfusion treatment and other symptoms treatment.The effective rate was 96.1%.3 cases with oral excessive pesticide poisoning and delayed treatment were rescue invalid death.The mortality was 3.9%.Conclusion:The timely and thorough gastric lavage for patients and the correct use of atropine are the key to timely rescue acute organophosphorus pesticide poisoning.And targeted therapy in patients with other symptoms can significantly improve the treatment effect.

  18. 急性有机磷农药中毒50例治疗分析%Clinical Analysis of 50 Cases of Acute Organophosphorus Pesticide Poisoning

    高喜生

    2014-01-01

    Objective To analyze the clinical characteristics of patients with acute organophosphorus pesticide poisoning,and to give timely and effective treatment measures.Methods In our hospital in 2006~2008 in two years of 50 patients treated in patients with organophosphorus pesticide for analysis.Results To take timely and ef ective after checking measures,50 cases were completely cured,no excessive toxic reaction of atropine and rebound phenomenon of organophosphorus pesticide poisoning.Conclusion Acute organophosphorus pesticide poisoning is the clinical common emergency medicine,early and timely give just the right amount of drug detoxification treatment,treatment is the key to success.%目的探析急性有机磷农药中毒患者的临床表现特点,并给予及时有效的救治措施。方法对我院2006年~2008年2年来收治的50例服入有机磷农药的患者进行分析。结果采取及时有效求治措施后,50例患者均完全治愈,无1例出现阿托品过量的中毒反应及有机磷农药中毒反跳现象。结论急性有机磷农药中毒是临床内科常见的急诊,进行早期及时、给予适量的解毒药物治疗措施,是治疗成功的关键。

  19. Poison Prevention

    ... Prevention Listen Español Text Size Email Print Share Poison Prevention Page Content Article Body Post the Poison Help number 1-800-222-1222 on the ... or empty container of a toxic substance, call Poison Help immediately. More than a million American children ...

  20. Ischemia-modified albumin levels in the prediction of acute critical neurological findings in carbon monoxide poisoning.

    Daş, Murat; Çevik, Yunsur; Erel, Özcan; Çorbacioğlu, Şeref Kerem

    2016-04-01

    The aim of the study was to determine whether serum ischemia-modified albumin (IMA) levels in patients with carbon monoxide (CO) poisoning were higher compared with a control group of healthy volunteers. In addition, the study sought to determine if there was a correlation between serum IMA levels and carboxyhemoglobin (COHB) levels and other critical neurological findings (CNFs). In this prospective study, the IMA levels of 100 patients with CO poisoning and 50 control individuals were compared. In addition, the IMA and COHB levels were analyzed according to absence or presence CNFs in patients with CO poisoning. The levels of IMA (mg/dL) on admittance, and during the 1(st) hour and 3(rd) hour, in patients with CO poisoning (49.90 ± 35.43, 30.21 ± 14.81, and 21.87 ± 6.03) were significantly higher, compared with the control individuals (17.30 ± 2.88). The levels of IMA in the 6(th) hour were not higher compared with control individuals. The levels of IMA on admittance, and during the 1(st) hour, 3(rd) hour, and 6(th) hour, and COHB (%) levels in patients who had CNFs were higher compared with IMA levels and COHB levels in patients who had no CNFs (p < 0.001). However, when the multivariate model was created, it was observed that IMA level on admittance was a poor indicator for prediction of CNFs (odds ratio = 1.05; 95% confidence interval, 1.01-1.08). We therefore concluded that serum IMA levels could be helpful in the diagnosis of CO poisoning. However, we believe that IMA levels cannot be used to predict which patients will develop CNFs due to CO poisoning. PMID:27185603

  1. Study protocol: a randomised controlled trial of multiple and single dose activated charcoal for acute self-poisoning

    Mohammed Fahim

    2007-05-01

    Full Text Available Abstract Background The case fatality for intentional self-poisoning in rural Asia is 10–30 times higher than in the West, mostly due to the use of highly toxic poisons. Activated charcoal is a widely available intervention that may – if given early – bind to poisons in the stomach and prevent their absorption. Current guidelines recommend giving a single dose of charcoal (SDAC if patients arrive within an hour of ingestion. Multiple doses (MDAC may increase poison elimination at a later time by interrupting any enterohepatic or enterovascular circulations. The effectiveness of SDAC or MDAC is unknown. Since most patients present to hospital after one hour, we considered MDAC to have a higher likelihood of clinical benefit and set up a study to compare MDAC with no charcoal. A third arm of SDAC was added to help determine whether any benefit noted from MDAC resulted from the first dose or all doses. Methods/design We set up a randomised controlled trial assessing the effectiveness of superactivated charcoal in unselected adult self-poisoning patients admitted to the adult medical wards of three Sri Lankan secondary hospitals. Patients were randomised to standard treatment or standard treatment plus either a single 50 g dose of superactivated charcoal dissolved in 300 ml of water or six doses every four hours. All patients with a history of poison ingestion were approached concerning the study and written informed consent taken from each patient, or their relative (for unconscious patients or those 72 hrs post-ingestion, and previous recruitment. The primary outcome was in-hospital mortality; secondary outcomes included the occurrence of serious complications (need for intubation, time requiring assisted ventilation, fits, cardiac dysrhythmias. Analysis will be on an intention-to-treat basis; the effects of reported time to treatment after poisoning and status on admission will also be assessed. Discussion This trial will provide important

  2. Carbon monoxide poisoning

    A case of acute carbon monoxide poisoning with 1-year computed tomographic follow-up is presented. The typical initial bilateral symmetrical low-density areas in the basal ganglia were found to have decreased markedly in size in the latter scan. These appearances coincided with the initial early oedematous phase of infarction ending in the late permanent necrotic stage

  3. Clinical study on pancreatic damage in patients with acute dichlorvos poisoning combined with alcohol poisoning%急性敌敌畏中毒合并急性乙醇中毒患者胰腺损害的临床研究

    张冰; 瞿海龙; 周英莲; 梁璐; 彭广军

    2012-01-01

    [Objective]To investigate the incidence rate of severe pancreatic damage in patients with acute dichlorvos poisoning combined with alcohol poisoning, in order to guide the clinical early diagnosis and rational treatment. [Methods] 140 acute dichlorvos poisoning cases in Emergency Department of Affiliated Hospital of Hebei University were divided into dichlorvos poisoning group (80 cases) and dichlorvos poisoning combined with alcohol poisoning group (60 cases). The acute pancreatitis was diagnosed through blood and urine amylase detection, and pancreatic CT within 24 hours after admission. The pancreatitis incidence and prognosis of two groups were compared. [Results] There was 20 severe acute pancreatitis cases in dichlorvos poisoning combined with alcohol poisoning group and 14 cases in dichlorvos poisoning group, and the difference between two groups was significant (x2 =4. 67,P<0.05). The incidence rate of complications, operation rate, mortality rate and hospitalization time in dichlorvos poisoning combined with alcohol poisoning group were higher than those in dichlorvos poisoning group [P<0.05). [ Conclusion] Compared with single dichlorvos poisoning group, there is a higher incidence rate of severe pancreatitis in dichlorvos poisoning combined with alcohol poisoning group, and it has high mortality rate and poor prognosis.%目的 探讨急性敌敌畏中毒合并急性乙醇中毒患者重症胰腺炎发生情况,以指导临床早期诊断和合理治疗.方法 将就诊于河北大学附属医院急诊科的140例急性重度敌敌畏中毒患者分为单纯敌敌畏中毒组(80例)、敌敌畏中毒合并乙醇中毒组(60例);于入院后24h内通过血尿中淀粉酶、胰腺CT检查明确胰腺炎诊断;对2组患者胰腺炎发生率及其预后进行比较.结果 急性敌敌畏中毒合并急性乙醇中毒患者20例发生重症胰腺炎,单纯敌敌畏中毒组14例发生重症胰腺炎,两组差异有统计学意义(x2=4.67,P<0.05);

  4. Determination of As by instrumental neutron activation analysis in sectioned hair samples for forensic purposes: chronic or acute poisoning?

    Kučera, Jan; Kofronova, K.

    2011-01-01

    Roč. 287, č. 3 (2011), s. 769-772. ISSN 0236-5731 Institutional research plan: CEZ:AV0Z10480505 Keywords : Instrumental neutron activation analysis * Hair * Arsenic poisoning Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders Impact factor: 1.520, year: 2011

  5. Environmental and health aspects of lighting: Mercury

    Clear, R.; Berman, S.

    1993-07-01

    Most discharge lamps, including fluorescent lamps, metal halide lamps, and high pressure sodium lamps, contain Mercury, a toxic chemical. Lighting professionals need to be able to respond to questions about the direct hazards of Mercury from accidentally breaking lamps, and the potential environmental hazards of lamp operation and disposal. We calculated the exposures that could occur from an accidental breakage of lamps. Acute poisoning appears almost impossible. Under some circumstances a sealed environment, such as a space station, could be contaminated enough to make it unhealthy for long-term occupation. Mercury becomes a potential environmental hazard after it becomes methylated. Mercury is methylated in aquatic environments, where it may accumulate in fish, eventually rendering them toxic to people and other animals. Lighting causes Mercury to enter the environment directly from lamp disposal, and indirectly from power plant emissions. The environmental tradeoffs between incandescent and discharge lamps depend upon the amounts released by these two sources, their local concentrations, and their probabilities of being methylated. Indirect environmental effects of lighting also include the release of other heavy metals (Cadmium, Lead and Arsenic), and other air pollutants and carbon dioxide that are emitted by fossil fuel power plants. For a given light output, the level of power plant emissions depends upon the efficacy of the light source, and is thus much larger for incandescent lamps than for fluorescent or discharge lamps. As disposal and control technologies change the relative direct and indirect emissions from discharge and incandescent lamps will change.

  6. 急性铊中毒14例临床分析%Clinical analysis of acute thallium poisoning in fourteen patients

    张晓然; 邱泽武; 崔文华; 彭晓波

    2013-01-01

    目的 分析总结急性铊中毒的临床表现及治疗方法. 方法 收集2009至2011年军事医学科学院附属医院收治的所有急性铊中毒患者病历资料进行回顾性分析. 结果 2009至2011年共收治急性铊中毒患者14例,男性8例,女性6例,年龄9 ~ 68岁,平均42岁.1例自诉被他人投毒;1例疑似误服;2例与铊中毒者有共同生活史;10例中毒原因不明.铊中毒早期临床表现主要为恶心、呕吐、腹痛等胃肠道症状(5例)和四肢麻木、酸胀疼痛、记忆力减退等神经系统症状(13例),10例出现肝功能异常,8例出现毛发脱落,1例指甲出现Mees纹.治疗前患者血铊浓度为3764.0 ~ 19.7 μg/L,尿铊浓度为29 100.0~0.2μg/L,给予单纯支持(1例)、口服普鲁士蓝(4例)和口服普鲁士蓝联合血液灌流(9例)等治疗后,血铊浓度降至68.0~2.4 μg/L,尿铊浓度降至542.0~11.3 μg/L.13例出现神经系统症状者在住院期间症状明显缓解,但出院时仍有轻度四肢麻木、疼痛等症状.5例出现胃肠道症状者在1周内症状缓解或消失.10例出现肝功能异常者的肝酶水平在2~4周内恢复正常.8例毛发脱落者中5例在住院期间好转,3例未见明显变化.出现Mees纹者体征无变化. 结论 患者出现不明原因胃肠道症状且同时伴有神经系统症状时,应考虑重金属中毒的可能.普鲁士蓝联合血液灌流治疗铊中毒安全有效.%Objective To analyze and summarize the clinical manifestations and treatments of acute thallium poisoning.Methods The clinical data of patients with acute thallium poisoning,who were hospitalized in Affiliated Hospital of Academy of Military Medical Science from 2009 to 2011 were collected and analyzed retrospectively.Results Fourteen patients with acute thallium poisoning comprised 8 males and 6 females with an average age of 42 years (rang 9 to 68) were hospitalized from 2009 to 2011.Of them,1 case complained poisoning by others; 1 case

  7. HAIR DYE POISONING: A CASE REPORT

    Shankar; Raghunadh Babu; Ramakrishna; Kathyayini; Surekha

    2015-01-01

    S uper Vasmol is one of the commonly used, cheap, freely available hair dye poisoning is emerging a major cause of suicidal poisoning in India, and the hair dyes mainly contain paraphenylene diamine (PPD) and resorcinol. Acute poisoning by PPD causes charact eristic sever angio - neurotic oedema of upper air way associated with a swollen, dry, hard and protruding tongue, systemic intoxication results in multisystem involvement and can cause rhabdomyolysis, acute ...

  8. Hemlock (Conium Maculatum) Poisoning In A Child

    KONCA, Capan; Kahramaner, Zelal; Bosnak, Mehmet; Kocamaz, Halil

    2016-01-01

    SUMMARY Poison hemlock (Conium maculatum) is a plant that is poisonous for humans and animals. Accidental ingestion of the plant may result in central nervous system depression, respiratory failure, acute rhabdomyolysis, acute renal failure and even death. The main treatment of hemlock poisoning is supportive care. The case of a 6-year-old girl who was admitted to the emergency department with complaints of burning sensation in mouth, hypersalivation, tremor in hands and ataxia after ingestio...

  9. An analysis on clinical characteristics of patients died of acute CO poisoning%急性CO中毒死亡患者临床特征分析

    柏志强; 邓文彬; 韩超

    2011-01-01

    目的 了解东莞地区急性一氧化碳(CO)中毒死亡患者的临床特征,探讨急性CO中毒的防治策略.方法 对1998年1月-2010年12月期间急诊科接诊和收治的急性CO中毒死亡患者进行系统的回顾性分析研究.结果 13年间共接诊和收治急性CO中毒死亡患者47例,男女比例为1∶1.94;平均年龄(26.76±10.41)岁,高发年龄段是11~30岁,占57.45%;外省来莞打工人员是急性CO中毒死亡的高发人群,占72.34%;室内洗澡燃汽热水器意外是本地区急性CO中毒死亡的主要原因,占85.11%; 13年间急性CO中毒死亡人数略呈上升趋势,平均每年递增约8.02%;冬春季是本地区急性CO中毒死亡的高发季节,占91.49%;院前死亡患者数居首位,占74.47%,其次是急诊科抢救无效死亡,占14.89%,入院后死亡占10.64%.结论 东莞地区急性CO中毒死亡患者具有明显的中毒源、职业、季节、年龄和性别等特征,值得引起重视,对公众开展针对性的宣传教育并进行急救知识和技能的培训,尽快建立和完善急救医疗服务系统是遏制急性CO中毒死亡的重要手段.%Objective To explore the clinical characteristics of patients died of acute carbon monoxide ( CO ) poisoning in Dongguan area,and to provide preventive and treatment measures for acute CO poisoning.Methods The data on the patients died of acute CO poisoning during the period of January 1998 to December 2010 were retrospectively analyzed.Results 47 patients had been hospitalized and treated over the past 13 years.The ratio of male to female was 1 to 1.94,the average age of was ( 26.76 +10.41 ),and 57.54% of the patients were at the age of 21 to 40.The high-risk population wasinigrant workers,accounting for 72.34%.The major cause of death was gas water heater accident during a bath,accounting for 85.11%.Over the past 13 years,the number of death showed an increasing tendency with an annual increase of 8.02%.91.49% of the

  10. Diagnosis and treatment experience of 58 cases of acute organophosphorus pesticide poisoning%急性有机磷农药中毒58例诊治体会

    林国群

    2016-01-01

    目的:研究探讨急性有机磷农药中毒。方法:收治急性有机磷农药中毒58例,对其进行检查、急性中毒程度分级和诊疗。结果:58例中痊愈52例,迟发性多发性神经病4例,死亡2例,中间综合征5例均痊愈。结论:急性有机磷农药中毒确诊后,应立即予以积极救治,加强护理。%Objective:To study acute organophosphorus pesticide poisoning.Method:58 patients with acute organophosphorus pesticide poisoning were checked,classiifed of acute poisoning,diagnosed and treated.Result:In 58 cases,52 cases were cured;4 cases became delayed polyneuropathy;2 cases died.5 cases of intermediate syndrome were all recovered.Conclusion:After conifrming the diagnosis as acute organophosphorus pesticide poisoning,it should be actively treated and strengthened nursing.

  11. Cost to government health-care services of treating acute self-poisonings in a rural district in Sri Lanka

    Wickramasinghe, Kanchana; Steele, Paul; Dawson, Andrew;

    2009-01-01

    less toxic pesticides and possibly by improving case management in primary care hospitals. Additional research is needed to assess if increasing infrastructure and staff at peripheral hospitals could reduce the overall cost to the government, optimize case management and reduce pressure on secondary......OBJECTIVE: To estimate the direct financial costs to the Sri Lanka Ministry of Health of treating patients after self-poisoning, particularly from pesticides, in a single district. METHODS: Data on staff, drug, laboratory and other inputs for each patient admitted for self-poisoning were...... prospectively collected over a one-month period from one general hospital (2005) and five peripheral hospitals (2006) in the Anuradhapura district. Data on transfers to secondary- and tertiary-level facilities were obtained for a 6-month period from 30 peripheral hospitals. The cost of the inputs in United...

  12. Early Biomarkers in 1H Nuclear Magnetic Resonance Spectroscopy of Striatal Pathological Mechanisms after Acute Carbon Monoxide Poisoning in Rats

    GUAN Li; LI Zong Yang; ZHANG Yan Lin; CONG Cui Cui; ZHAO Jin Yuan

    2015-01-01

    Objective In vivo Proton Magnetic Resonance Spectroscopy (1H-MRS) can be used to evaluate the levels of specific neurochemical biomarkers of pathological mechanisms in the brain. Methods We conducted T2-Weighted Magnetic Resonance Imaging (MRI) and 1H-MRS with a 3.0-Tesla animal MRI system to investigate the early microstructural and metabolic profiles in vivo in the striatum of rats following carbon monoxide (CO) poisoning. Results Compared to baseline, we found significant cortical surface deformation, cerebral edema changes, which were indicated by the unclear gray/white matter border, and lateral ventricular volume changes in the brain. A significant reduction in the metabolite to total creatine (Cr) ratios of N-acetylaspartate (NAA) was observed as early as 1 h after the last CO administration, while the lactate (Lac) levels increased marginally. Both the Lac/Cr and NAA/Cr ratios leveled off at 6 h and showed no subsequent significant changes. In addition, compared to the control, the choline (Cho)/Cr ratio was slightly reduced in the early stages and significantly increased after 6 h. In addition, a pathological examination revealed mild cerebral edema on cessation of the insult and more severe cerebral injury after additional CO poisoning. Conclusion The present study demonstrated that 1H-MRS of the brain identified early metabolic changes after CO poisoning. Notably, the relationship between the increased Cho/Cr ratio in the striatum and delayed neuropsychologic sequelae requires further research.

  13. Investigation of Acute Poisoning Accident Caused by Hydrogen Sulfide%一起急性硫化氢中毒事故的调查

    周小涛; 熊田甜

    2013-01-01

      目的介绍一起因硫氢化钠与外环境酸性污水反应导致的硫化氢中毒死亡事件的调查处理情况。方法2006年11月29日, J 市 G 区发生一起以双眼及上呼吸道刺激为主要症状,伴有胸闷、憋气、头晕、恶心干呕等全身症状的中毒事故,造成1人死亡,一人昏迷,一人头晕。对患者进行临床诊断,对外环境相关有毒物质进行检测,模拟有毒气体的化学反应。结果三名患者临床表现符合硫化氢中毒后症状;事发后2h,现场空气硫化氢浓度为0.87mg/m3,现场含酸污水与原料硫化钠模拟试验可以检测到反应产物硫化氢气体。结论中毒主要原因是硫氢化钠被外环境酸性污水浸泡,分解后释放出硫化氢,加上作业工人防护不到位,导致吸入高浓度硫化氢中毒。%  Objective: To introduce an Accident Caused by Hydrogen Sulfide.   Methods: In some factory happened a poisoning accident,which resulted in death and casualty,the folowing measures such as Medical treatment, field investigation, laboratory detection were carried out immediately.   Results: Three victims were diagnosed as hydrogen sulfide poisoning; 2 hours after the accident, the concentration of hydrogen sulfide in spot was 0.87mg/m3, and hydrogen sulfide was detected positive in Simulation test.   Conclusion: The acute poisoning accident was caused by Hydrogen sulfide, which was released when sodium hydrosulfide mixed with hydrochloric acid. When the victims were lack of enough safeguard, high concentrations of Hydrogen sulfide were inhaled and resulted poisoning.

  14. Outsmarting Poison Ivy and Other Poisonous Plants

    ... Consumer Updates Outsmarting Poison Ivy and Other Poisonous Plants Share Tweet Linkedin Pin it More sharing options ... hang in loose clusters. back to top Poison Plant Rashes Aren’t Contagious Poison ivy and other ...

  15. 百草枯中毒的治疗进展%Treatment Progress in Acute Paraquat Poisoning

    陈桂喜

    2013-01-01

    Paraquat is a highly toxic herbicide,which has strong toxicity to humans and animalsThe herbicide effect of paraquat was found at the end of 1950s. Since its introduction in the market in 1962, there were many people died of paraquat poisoning every year. Paraquat has very strong toxicity on various organs of the body with different clinical manifestations, and ultimately the patients died of organ dysfunction syndrome ( multiple organ dysfunction syndrome, MODS ), and hypoxemia caused by pulmonary fibrosis. The domestic and foreign scholars have not discovered the effective drugs for paraquat poisoning, and here is to make a review of the research on the treatment progress of paraquat poisoning in recent years.%百草枯属剧毒除草剂,对人畜有较强的毒性.20世纪50年代末,百草枯的除草作用被发现,1962年首次在市场上销售,每年均有很多人死于百草枯中毒.百草枯对全身各个器官均有极强的毒性,病程进展快,病死率很高,临床表现各异,最终患者多因器官功能障碍综合征以及肺纤维化所致的低氧血症死亡.国内外学者至今仍未发现百草枯的特效解毒药物,该文就近年来百草枯中毒治疗的进展予以综述.

  16. Some factors influencing susceptibility of rainbow trout to the acute toxicity of an ethyl mercury phosphate formulation (Timsan)

    Amend, Donald F.; Yasutake, William T.; Morgan, Reginald

    1969-01-01

    This study determined the influence of water temperature (55–68° F), dissolved oxygen (4–12 ppm), water hardness as CaCO3 (20–256 ppm), and chloride ions (to 2 mM) on the susceptibility of rainbow trout (Salmo gairdneri) to the acute toxicity of ethyl mercury phosphate (EMP). The fish were exposed for one hour to 0.125 ppm EMP, the active ingredient of Timsan, a commercial EMP formulation. The death rate because of the exposure to EMP increased with an increase in water temperature, a decrease in dissolved oxygen, and an increase in chloride ions; calcium appeared to have no effect. The effect of water temperature and dissolved oxygen was ascribed to changes in the respiration rate of the fish, and a chemical explanation is presented for the effect of chloride ions.

  17. Use of sodium polystyrene sulfonate in an acute-on-chronic lithium poisoned patient:A case report

    Chakroun-Walha Olfa; Ksibi Hichem; Rejeb Imen; Boujelben Mariem; Chaari Adel; Chtara Kamilia; Bouaziz Mounir; Rekik Noureddine

    2016-01-01

    A 35-year-old woman with an acute-on-chronic lithium overdose received multiple oral doses of sodium polystyrene sulfonate totaling 120 g over a 24-h period. During the 72 h after the institution of therapy, the serum lithium level decreased from 3.80 to 0.42 mEq/L. Multiple doses of sodium polystyrene sulfonate may be useful in lowering the serum lithium level in severely ill patients with acute renal failure, and can substitute hemodialysis.

  18. Effect of acute lead poisoning on pathological damage in mice testis%急性铅中毒对小鼠睾丸病理损伤研究

    孙相和; 孔令芸; 李冲; 陈玲丽; 宁红梅; 葛亚明

    2014-01-01

    为了研究急性铅中毒对小鼠睾丸病理变化的影响,通过对小鼠饲喂含有醋酸铅的去离子水建立铅负荷小鼠模型.处理10 d后取材,分析体质量、睾丸指数和睾丸病理剖检变化.结果显示:与对照组相比,铅中毒组小鼠体质量无明显变化,睾丸指数降低,且差异显著(P<0.05);小鼠睾丸中支持细胞、生精细胞和间质细胞数量减少.铅对小鼠睾丸具有显著损害作用,从而影响小鼠的生殖健康.%To investigate the effect of acute lead poisoning on pathological changes in mice testis,mice were orally administered with lead acetate for 10 days to establish a lead poisoning mice model.After 10 days,some indexes,such as body weight,testis index,necropsy and histopathology,were analyzed.The results showed that the body weight change of mice was not relevant significantly to the dosage of lead acetate.Compared with the control group,the difference of testis relative index in dosage group was significant (P<0.05).The amount of sertoli cells,germ cells and Leydig’s cells in mice tesis was decreased.The results suggested that lead could damage mice testis significantly and then affect the reproductive health of mice.

  19. Present situation of treatment of occupational acute hydrogen sulfide poisoning%职业性急性硫化氢中毒救治现状

    梁启荣

    2013-01-01

    Hydrogen sulfide is a main occupational hazard factor that threatens life and health of workers in China.The acute hydrogen sulfide poisoning has high incidence rate,develops rapidly,and its treatment is difficult,which the fatality rate is very high.The on-site treatment measures and comprehensive therapy is very important on rehabilitation of hydrogen sulfide poisoning.The comprehensive therapy,including the cardio-pulmonary resuscitation,application of special antidote (DMAP),early administration of large dose of glucocorticoid,ultrasonic atomizing inhalation,application of hyoscyamine drugs and naloxone,hyperbaric oxygen therapy,maintaining the important organs'function,redressing acid-base imbalances and electrolyte disorfer,is the effective treatment measure for improving the rescue success rate,reducing mortality and sequela.%硫化氢是我国威胁劳动者生命及健康的重要职业病危害因素,急性硫化氢中毒发病率高,病情发展迅猛,救治比较困难,病死率极高.现场救治措施及综合治疗对硫化氢中毒的康复至关重要.心肺复苏、特效解毒药物DMAP的使用,早期大剂量糖皮质激素的使用、超声雾化吸入、莨菪碱类药物、纳洛酮的使用、高压氧治疗、维持重要脏器功能、纠正酸碱失衡及电解质紊乱等综合治疗,是提高抢救成功率、降低死亡率、减少后遗症发生的有效治疗措施.

  20. Lanolin poisoning

    Lanolin is an oily substance taken from sheep's wool. Lanolin poisoning occurs when someone swallows a product that contains lanolin. This article is for information only. Do NOT use it to treat or ...

  1. Malathion poisoning

    ... is used in agriculture to kill and control insects on crops and in gardens. The government also ... Mercaptothion poisoning References Cannon RD, Ruha A-M. Insecticides, herbicides, and rodenticides. In: Adams JG. Emergency Medicine . ...

  2. Bee poison

    Bee poisoning is caused by a sting from a bee, wasp , or yellow jacket. This article is for ... Bee, wasp, and yellow jacket stings contain a substance called venom. Africanized bee colonies are very sensitive ...

  3. Gasoline poisoning

    ... this page: //medlineplus.gov/ency/article/002806.htm Gasoline poisoning To use the sharing features on this ... This article discusses the harmful effects from swallowing gasoline or breathing in its fumes. This article is ...

  4. Depilatory poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 100. Pfau PR, Hancock SM. ... Gastrointestinal and Liver Disease . 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 27. Wax PM, Young A. ...

  5. Aftershave poisoning

    ... Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Mosby; 2014:chap 185. Jacobsen D, Hovda KE. ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 32. White SR. Toxic alcohols. ...

  6. Philodendron poisoning

    The poisonous ingredient is: Calcium oxalate ... with a cold, wet cloth. Wash off any plant sap from the skin and eyes. ... weight, and condition Name and part of the plant swallowed, if known Time it was swallowed Amount ...

  7. Analysis of the characteristics of toxins in 6005 cases of acute poisoning in Guangxi%广西6005例急性中毒病例的毒物特点分析

    蒋东方; 张振明; 胡德宏; 刘清华

    2013-01-01

    Objective To investigate the toxin characteristics of toxins in patients of acute poisoning in the Guangxi area.Methods A retrospective study was conducted.The data of acute poisoning cases and the causative toxins collected from 63 hospitals of Guangxi,including 36 city hospitals,12 county hospitals,and 15 township health centers from January 2005 to December 2009 were collected.The data were descriptively analyzed and classified by year.Results A total of 6005 cases with acute poisoning induced by 532 kinds of poisons were enrolled.The 532 kinds of toxin were classified by high-occurrence (producing poisoning for 5 continuous years),low-occurrence (leading to poisoning for 2-4 continuous years) and newly occurred categories (leading to poisoning only in 1 year).The numbers of poisons of these 3 categories accounted for 10.15% (54 kinds),29.70% (158 kinds),60.15% (320 kinds) of total number of poisons,respectively.There were 4688 (78.07%),780 (12.99%),and 537 (8.94%) cases for each category respectively.And the poisoning cases of each toxin involved from 8 to 837,2 to 25,and 1 to 69 cases respectively.77.78% (42/54) of high-occurrence poisons affect more than 20 cases,and 89.87% (142/158),98.75%(316/320) of low-occurrence and new-occurrence poisons involved less than 10 cases.In the dynamic analyses for 5 years,frequency of toxin caused by high-occurrence,low-occurrence and newly occurred poisons in 5 years were 5 times,2.6 times,and 1 time,respectively.The number of poisons caused by the high-occurrence toxin each year were same,but the average-annual growth rates of poison numbers caused by the low-occurrence and new-occurrence poisons each year were 17.61% and 20.10%.The average-annual growth rates of poisoning cases caused by the 3 categories of poisons were 14.08%,16.53%,31.96%,and the average-annual growth rates of poisoning cases caused by each categories were 10.28%,1.13%,11.45%,respectively.Conclusions In the high

  8. Intoxicação experimental aguda por samambaia (Pteridium aquilinum em bovinos Experimental acute poisoning by bracken fern (Pteridium aquilinum in cattle

    Bruno L. Anjos

    2009-09-01

    conflitantes, não permitindo concluir se a coagulação intravascular disseminada tem participação na patogênese das hemorragias nessa intoxicação. A citopatologia e histopatologia da medula óssea dos quatro bovinos intoxicados revelaram acentuada diminuição no número de células hematopoéticas das três linhagens medulares, caracterizando insuficiência medular por aplasia; conclui-se que apenas eventos da hemostasia primária devidos a trombocitopenia são responsáveis pelas hemorragias. Na hemocultura de três dos bovinos intoxicados houve crescimento de Klebsiella oxytoca, Staphylococcus hyicus e Staphylococcus aureus, indicando que a septicemia, facilitada pela neutropenia, pode ter participação na causa da morte de bovinos na intoxicação aguda pela ingestão de P. aquilinum. Aspectos adicionais de interesse na reprodução da intoxicação aguda por samambaia em bovinos deste relato incluem o desenvolvimento de hematúria na doença aguda e a apresentação da chamada forma laríngea da doença.This experiment was design to address the following points in relation to the acute poisoning by bracken fern (Pteridium aquilinum in cattle: 1 the severity of the thrombocytopenia in different stages of the intoxication and its relationship to possible deficits in the secondary hemostasis, 2 the relationship between neutropenia and the morphological signs of septicemia occasionally found at necropsy, and 3 the mechanism of anemia and its relationship with blood loss, medium life of erythrocytes and the progress of the disease. The fresh green upper parts of P. aquilinum were fed to four mixed breed calves with average age of 18 months and weights ranging from 190 to 215 kg. A calf of similar age and weight was kept together with the other four under the same conditions, except for the ingestion of P. aquilinum. The four fern-fed calves died with typical features of acute bracken fern poisoning after being fed with the plant for 53-58 days daily doses of 8.0, 8

  9. 低场强MRI对急性CO中毒脑损伤的诊断价值%Diagnostic value of low-field MRI for acute poisoning brain injury

    党连荣; 何勤义

    2012-01-01

    Objective To investigate the value of low-field MIR in diagnosis of acute CO poisoning brain injury.Methods The brain MIR and clinical data of 110 patients with acute CO poisoning brain injury confirmed by clinical examination were retrospectively analyzed.Results Long T1 and T2 signal intensity was showed on MRI in cerebral hemispheres and globus pallidus symmetrically.There were three basic types of MIR manifestations,white matter of brain type,globus pallidus type and brain mixed type.Conclusions MRI could be used for confirming the degree and range of acute CO poisoning brain injury.It has important clinical value in the diagnosis,staging and prognosis of patients with acute CO poisoning brain injury.%目的 探讨低场强MRI在急性CO中毒脑损伤诊断中的价值.方法 回顾性分析29例经临床确诊的急性CO中毒脑损伤患者的颅脑MRI和临床资料.结果 CO中毒脑损伤的MRI表现主要为双侧大脑半球白质及苍白球出现长T1、长T2信号灶,两侧对称.MRI表现可分3型,即脑白质型、苍白球型及脑混合型.结论 MRI检查可确定急性CO中毒脑损伤的程度及范围,对急性CO中毒脑损伤的治疗和判断预后有重要的临床指导价值.

  10. Intravascular Neutrophil Activation Due to Carbon Monoxide Poisoning

    Thom, Stephen R.; Bhopale, Veena M.; Han, Shih-Tsung; Clark, James M.; HARDY, KEVIN R.

    2006-01-01

    Rationale: We hypothesized that platelet–neutrophil interactions occur as a result of acute carbon monoxide (CO) poisoning, and subsequent neutrophil activation triggers events that cause neurologic sequelae.

  11. 急性有机磷中毒患者66例的急救护理%Emergency nursing care of 66 cases of patients with acute organophosphorus poisoning

    陈昌敏

    2016-01-01

    Objective:To explore the nursing measures and effect of acute organic phosphorus poisoning.Methods:66 patients with acute organophosphorus poisoning were selected.The clinical data were retrospectively analyzed.Results:The average time of the patients with atropinization was (3.31±1.43) hours.62 cases had successful treatment;4 cases died;the success rate was 96.8%. Conclusion:Timely and effective treatment and nursing for patients with acute organophosphorus poisoning can improve the cure rate and promote the rehabilitation of patients.%目的:探讨急性有机磷中毒的护理措施及效果。方法:收治急性有机磷中毒患者66例,回顾性分析其临床资料。结果:患者达阿托品化时间平均(3.31±1.43)h。成功救治62例,死亡4例,抢救成功率96.8%。结论:对急性有机磷中毒实施患者实施及时、有效的治疗和护理可以提高治愈率,促进患者康复。

  12. Poisoning - fish and shellfish

    Fish poisoning; Dinoflagellate poisoning; Seafood contamination; Paralytic shellfish poisoning; Ciguatera poisoning ... algae and algae-like organisms called dinoflagellates. Small fish that eat the algae become contaminated. If larger ...

  13. 急性有机磷农药中毒合并呼吸衰竭69例临床分析%Analysis of Acute Organic Phosphorus Pesticide Poisoning Complicated with Respiratory Failure of 69 Cases

    毛崇涛

    2012-01-01

      目的探讨并分析急性有机磷农药中毒合并呼吸衰竭的原因,为临床抢救急性有机磷农药中毒提供帮助。方法回顾分析69例重度有机磷农药中毒合并呼吸衰竭病例。结果抢救有机磷农药中毒的首要措施是恢复有效通气,改善缺氧,必要时行气管插管,这样才能提高抢救的成功率。结论正确分析呼吸衰竭,及时的机械通气支持可以有效提高有机磷农药中毒抢救成功率。%  Objective To study and analysis the acute organophosphorus pesticide poisoning combination of respiratory failure reasons, for clinical rescuing patients with acute organophosphorus pesticide poisoning offer help. Methods Retrospective analysis of 69 cases of severe organophosphorus pesticide poisoning combination of respiratory failure cases. Results The rescue organophosphorus pesticide poisoning first step was to restore effective ventilation, improve the lack of oxygen,make necessary endotracheal intubation,in order to improve the success rate of rescue. Conclusion Correct analysis of respiratory failure, timely mechanical ventilation support can effectively improve the organophosphorus pesticide poisoning rescue success rate.

  14. Hyperbaric programs in the United States: Locations and capabilities of treating decompression sickness, arterial gas embolisms, and acute carbon monoxide poisoning: survey results.

    Chin, Walter; Jacoby, Laura; Simon, Olivia; Talati, Nisha; Wegrzyn, Gracelene; Jacoby, Rachelle; Proano, Jacob; Sprau, Susan E; Markovitz, Gerald; Hsu, Rita; Joo, Ellie

    2016-01-01

    Hyperbaric oxygen therapy is the primary treatment for arterial gas embolism, decompression sickness and acute carbon monoxide poisoning. Though there has been a proliferation of hyperbaric centers throughout the United States, a scarcity of centers equipped to treat emergency indications makes transport of patients necessary. To locate and characterize hyperbaric chambers capable of treating emergency cases, a survey of centers throughout the entire United States was conducted. Using Google, Yahoo, HyperbaricLink and the UHMS directory, a database for United States chambers was created. Four researchers called clinicians from the database to administer the survey. All centers were contacted for response until four calls went unreturned or a center declined to be included. The survey assessed chamber readiness to respond to high-acuity patients, including staff availability, use of medical equipment such as ventilators and intravenous infusion devices, and responding yes to treating hyperbaric emergencies within a 12-month period. Only 43 (11.9%, N = 361) centers had equipment, intravenous infusion pumps and ventilators, and staff necessary to treat high-acuity patients. Considering that a primary purpose of hyperbaric oxygen therapy is the treatment of arterial gas embolism and decompression sickness, more hyperbaric centers nationwide should be able to accommodate these emergency cases quickly and safely. PMID:27000011

  15. Lithium Poisoning

    Baird-Gunning, Jonathan; Lea-Henry, Tom; Hoegberg, Lotte C G;

    2016-01-01

    function caused by volume depletion from lithium-induced nephrogenic diabetes insipidus or intercurrent illnesses and is also drug-induced. Lithium poisoning can affect multiple organs; however, the primary site of toxicity is the central nervous system and clinical manifestations vary from asymptomatic...... supratherapeutic drug concentrations to clinical toxicity such as confusion, ataxia, or seizures. Lithium poisoning has a low mortality rate; however, chronic lithium poisoning can require a prolonged hospital length of stay from impaired mobility and cognition and associated nosocomial complications. Persistent...... or the duration of toxicity in high-risk exposures. There is disagreement in the literature regarding factors that define patients most likely to benefit from treatments that enhance lithium elimination, including specific plasma lithium concentration thresholds. In the case of extracorporeal treatments...

  16. 江苏南部农民急性生产性农药中毒现况调查%Work-related acute pesticide poisoning among farmers in southern Jiangsu province: a cross-sectional study

    丁道正; 涂志斌; 钱娟; 张徐军; 王峻涛; 朱骏; 杨亚明

    2013-01-01

    目的 了解江苏南部农民急性生产性农药中毒情况和影响因素.方法 采用分层整群随机抽样方法,在江苏南部抽取3个村庄共1 380名农民进行现场问卷调查,采用SPSS 16.0软件进行多因素非条件logistic回归分析.结果 3个村庄农民的急性生产性农药中毒率为8.6%;性别、年龄、喷洒农药前不阅读标签、药械滴漏、用手擦汗、打药时身体受污染以及身体感到不适仍继续打药是急性生产性农药中毒的影响因素(P<0.05);使用农药中的危险行为得分与急性生产性农药中毒之间存在剂量-反应关系(R2=0.9840).结论 江苏南部农民急性生产性农药中毒发生率较高,使用农药中危险行为较多.%Objective To explore characteristics and the risk factors of work-related acute pesticide poisoning among farmers in southern part of Jiangsu province.Methods Stratified cluster sampling was used to investigate 1 380 famers from three rural areas in southern Jiangsu province with a questionnaire survey.The database was set up with Epi Data,and SPSS 16.0 software was used for multivariate unconditional logistic regression analyses.Results The rate of workrelated acute pesticide poisoning among the farmers was 8.6%.The factors of work-related acute pesticide poisoning included gender,age,without reading labels before pesticide use,using leaking knapsack during application,wiping the sweat by hand during application,body contact with the pesticide during application,and continuing pesticide application while in ill health stares (P < 0.05 for all).A dose-response relationship between the score of risk behaviors and workrelated acute pesticide poisoning was observed.Conclusion The rate of work-related acute pesticide poisoning is high and relates to risk behaviors among farmers in southern Jiangsu province.

  17. Aplastic anemia and membranous nephropathy induced by intravenous mercury

    Priya, N.; Nagaprabhu, V. N.; Kurian, G.; Seethalakshmi, N.; Rao, G. G.; Unni, V. N.

    2012-01-01

    Self-injection of mercury can be life-threatening. We report a case of attempted suicide by self-intravenous injection of elemental mercury. The patient suffered from two side effects : membranous nephropathy and aplastic anemia. She was treated and the systemic effects of mercury were reversed after 4 years. The toxicology of mercury, mechanisms of renal and systemic toxicities, and the various therapeutic measures for mercury poisoning are discussed.

  18. [Poisoning by bee sting].

    de Roodt, Adolfo R; Salomón, Oscar D; Orduna, Tomás A; Robles Ortiz, Luis E; Paniagua Solís, Jorge F; Alagón Cano, Alejandro

    2005-01-01

    Among the human pathologies produced by venomous animals, bee stings constitute the largest number of accidents in several countries, exceeding the mortality rate caused by other venomous animals such as snakes, spiders or scorpions. The clinical picture after the bee sting may include anaphylaxis or poisoning. The latter is produced by massive attacks and is a serious problem that may put the patient's life at risk. People that are poisoned display hemolysis, rhabdomiolysis and acute renal failure that together with other systemic failures can bring about death. The knowledge of the physiopathological mechanisms involved in the massive attack of bees is crucial for health care professionals as to date we do not have antivenoms with proven clinical efficacy. In this review we include the bee's biological aspects, venom composition and its relation with the occurrence and severity of accidents as well as epidemiological data that can be useful for this type of accidents. PMID:16025987

  19. Benzodiazepine poisoning in elderly

    Perković-Vukčević Nataša

    2016-01-01

    Full Text Available Background/Aim. Benzodiazepines are among the most frequently ingested drugs in self-poisonings. Elderly may be at greater risk compared with younger individuals due to impaired metabolism and increased sensitivity to benzodiazepines. The aim of this study was to assess toxicity of benzodiazepines in elderly attempted suicide. Methods. A retrospective study of consecutive presentations to hospital after self-poisoning with benzodiazepines was done. Collected data consisted of patient's characteristics (age, gender, benzodiazepine ingested with its blood concentrations at admission, clinical findings including vital signs and Glasgow coma score, routine blood chemistry, complications of poisoning, details of management, length of hospital stay and outcome. According the age, patients are classified as young (15-40-year old, middle aged (41-65-year old and elderly (older than 65. Results. During a 2-year observational period 387 patients were admitted because of pure benzodiazepine poisoning. The most frequently ingested drug was bromazepam, the second was diazepam. The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly. Respiratory failure and aspiration pneumonia occurred more frequently in old age. Also, flumazenil was more frequently required in the group of elderly patients. Conclusion. Massive benzodiazepines overdose in elderly may be associated with a significant morbidity, including deep coma with aspiration pneumonia, respiratory failure, and even death. Flumazenil is indicated more often to reduce CNS depression and prevent complications of prolonged unconsciousness, but supportive treatment and proper airway management of comatose patients is the mainstay of the treatment of acute benzodiazepine poisoning.

  20. Acetone poisoning

    ... JavaScript. Acetone is a chemical used in many household products. This article discusses poisoning from swallowing acetone-based ... A.M. Editorial team. Related MedlinePlus Health Topics Household Products Browse the Encyclopedia A.D.A.M., Inc. ...

  1. Lead Poisoning

    ... Environment Kids Health Kids Environment Kids Health Topics Environment & Health Healthy Living Pollution Reduce, Reuse, Recycle Science – How ... poisoning is still one of the most important health issues in the United States ... in housing built before 1946 have elevated blood lead levels. These ...

  2. Acute Poisonings from Synthetic Cannabinoids - 50 U.S. Toxicology Investigators Consortium Registry Sites, 2010-2015.

    Riederer, Anne M; Campleman, Sharan L; Carlson, Robert G; Boyer, Edward W; Manini, Alex F; Wax, Paul M; Brent, Jeffrey A

    2016-01-01

    Recent reports suggest that acute intoxications by synthetic cannabinoids are increasing in the United States (1,2). Synthetic cannabinoids, which were research compounds in the 1980s, are now produced overseas; the first shipment recognized to contain synthetic cannabinoids was seized at a U.S. border in 2008 (3). Fifteen synthetic cannabinoids are Schedule I controlled substances (3), but enforcement is hampered by the continual introduction of new chemical compounds (1,3). Studies of synthetic cannabinoids indicate higher cannabinoid receptor binding affinities, effects two to 100 times more potent than Δ(9)-tetrahydrocannabinol (the principal psychoactive constituent of cannabis), noncannabinoid receptor binding, and genotoxicity (4,5). Acute synthetic cannabinoid exposure reportedly causes a range of mild to severe neuropsychiatric, cardiovascular, renal, and other effects (4,6,7); chronic use might lead to psychosis (6,8). During 2010-2015, physicians in the Toxicology Investigators Consortium (ToxIC) treated 456 patients for synthetic cannabinoid intoxications; 277 of the 456 patients reported synthetic cannabinoids as the sole toxicologic agent. Among these 277 patients, the most common clinical signs of intoxication were neurologic (agitation, central nervous system depression/coma, and delirium/toxic psychosis). Relative to all cases logged by 50 different sites in the ToxIC Case Registry, there was a statistically significant association between reporting year and the annual proportion of synthetic cannabinoid cases. In 2015, reported cases of synthetic cannabinoid intoxication increased at several ToxIC sites, corroborating reported upward trends in the numbers of such cases (1,2) and underscoring the need for prevention. PMID:27413997

  3. A single center, prospective study on the epidemiology of acute childhood poisoning%儿童急性中毒流行病学单中心前瞻性研究

    曹雪笛; 高恒妙; 廖琨; 王新伟; 王龙; 赵光远; 霍枫; 钱素云

    2015-01-01

    目的 分析儿童急性中毒的流行病学特征,探讨预防儿童急性中毒的方法.方法 应用儿童中毒病例信息收集表前瞻性收集2013年1月1日至12月31日就诊于北京儿童医院中毒患儿的流行病学资料,分析儿童急性中毒的年龄、原因、途径、种类和后果.结果 共收集中毒病例353例.<1岁28例(8.0%),~4岁255例(72.2%),~9岁35例(9.9%),≥9岁35例(9.9%).中毒发生在家庭305例(86.4%),家庭以外48例(13.6%).经消化道中毒348例(98.5%),吸入5例(1.5%).患儿自己误服281例(79.4%),家长喂错药或超量喂药48例(13.6%),医源性7例(2.1%),试图自杀12例(3.4%).药物中毒206例(58.4%),化学制剂55例(15.6%),鼠药26例(7.3%),农药45例(12.7%),有毒植物16例(4.5%).353例中,急诊留观治疗297例(84.1%),因病情危重住PICU 56例(15.9%),死亡4例(1.1%).结论 中毒好发年龄为1~4岁,主要原因为误服,毒物种类第一位是药物,导致死亡或严重中毒的种类包括精神类药物、农药、鼠药.预防工作重点为防止幼儿家中误服,主要措施有加强儿童监管、妥善保管家中药物及有毒物品、鼓励使用药品安全包装.%Objective To analyze the epidemiological characteristics of acute childhood poisoning and to explore the methods of prevention.Methods The epidemiological information of each poisoning child presented to Emergency Department, Beijing Children's Hospital, Capital Medical University from Jan 1 st to Dec 31st 2013 were collected with an information collection table.The children's age, causes of poisoning, poison types, ways of poisoning and the consequences of poisoning were analyzed.Results A total of 353 poisoning children presented to our emergency department in 2013.Twenty-eight patients (8.0%) were < 1 year-old.Two hundred and fifty-five patients(72.2%) were between 1 to < 4 year-old.Thirty-five patients (9.9%) were between 4 to <9 year

  4. Glyphosate poisoning.

    Bradberry, Sally M; Proudfoot, Alex T; Vale, J Allister

    2004-01-01

    Glyphosate is used extensively as a non-selective herbicide by both professional applicators and consumers and its use is likely to increase further as it is one of the first herbicides against which crops have been genetically modified to increase their tolerance. Commercial glyphosate-based formulations most commonly range from concentrates containing 41% or more glyphosate to 1% glyphosate formulations marketed for domestic use. They generally consist of an aqueous mixture of the isopropylamine (IPA) salt of glyphosate, a surfactant, and various minor components including anti-foaming and colour agents, biocides and inorganic ions to produce pH adjustment. The mechanisms of toxicity of glyphosate formulations are complicated. Not only is glyphosate used as five different salts but commercial formulations of it contain surfactants, which vary in nature and concentration. As a result, human poisoning with this herbicide is not with the active ingredient alone but with complex and variable mixtures. Therefore, It is difficult to separate the toxicity of glyphosate from that of the formulation as a whole or to determine the contribution of surfactants to overall toxicity. Experimental studies suggest that the toxicity of the surfactant, polyoxyethyleneamine (POEA), is greater than the toxicity of glyphosate alone and commercial formulations alone. There is insufficient evidence to conclude that glyphosate preparations containing POEA are more toxic than those containing alternative surfactants. Although surfactants probably contribute to the acute toxicity of glyphosate formulations, the weight of evidence is against surfactants potentiating the toxicity of glyphosate. Accidental ingestion of glyphosate formulations is generally associated with only mild, transient, gastrointestinal features. Most reported cases have followed the deliberate ingestion of the concentrated formulation of Roundup (The use of trade names is for product identification purposes only and

  5. An abrupt extinction in the Middle Permian (Capitanian) of the Boreal Realm with a causal link to anoxia, acidification and mercury poisoning

    Bond, David; Wignall, Paul; Joachimski, Michael; Sun, Yadong; Savov, Ivan; Grasby, Stephen; Beauchamp, Benoit; Blomeier, Dierk

    2016-04-01

    The controversial Capitanian (Middle Permian, 262 Ma) extinction event is mostly known from equatorial latitudes and consequently its global extent is poorly resolved. We demonstrate that there were two, severe extinctions amongst brachiopods in northern Boreal latitudes (Spitsbergen), in the Middle to Late Permian, separated by a recovery phase. New age dating of the Kapp Starostin Formation of Spitsbergen using strontium and carbon isotopic trends suggests that the first crisis occurred in the Capitanian. This age assignment indicates that this Middle Permian extinction is manifest at higher latitudes. Redox proxies (pyrite framboids and trace metals) show that the Boreal crisis coincided with an intensification of oxygen depletion, implicating anoxia in the extinction scenario. The highly toxic metal mercury becomes enriched in strata at the Middle Permian extinction level implicating death-by-toxicity (and a possible link to volcanism). Finally, the near-total loss of carbonates across the Boreal Realm in the Middle to Late Permian also suggests a role for acidification. New in prep. data from Ellesmere Island, Arctic Canada (samples collected July 2015) tentatively suggests that this potent "three strikes and you're out" extinction mechanism was a Boreal-wide phenomenon. The Late Permian recovery interval saw the appearance of new brachiopod and bivalve taxa alongside survivors, and an increased mollusk dominance, resulting in an assemblage reminiscent of younger Mesozoic assemblages. The subsequent end-Permian mass extinction terminated this Late Permian radiation.

  6. Clinical Observation of Penehyclidine Hydrochloride in Treatment of Acute Severe Organophosphorus Pesticide Poisoning%长托宁治疗重度急性有机磷农药中毒的临床观察

    田昭涛

    2014-01-01

    目的::观察重度急性有机磷农药中毒(Severe acute organophosphorus pesticide poisoning,SAOPP)患者的急性症状以及分析其治疗措施。方法:采用血液灌流联合长托宁治疗观察组的患者,运用阿托品治疗对照组的患者,当全血CHE值大于65%时,即可停药。结果:两组的治愈时间、治愈率以及呼吸衰竭例数均存在显著性差异,P<0.05,观察组的治疗效果优于对照组。结论:SAOPP患者病情危急,应根据病情进展采用适当的方法进行治疗。%Objective: Observed severe acute organophosphorus pesticide poisoning (Severe acute organophosphorus pesticide poisoning, SAOPP) in patients with acute symptoms and analyze their treatment.Methods:Patients with hemoperfusion therapy combined Changtuoning observation group, the use of atropine treatment of patients in the control group, when whole blood CHE values greater than 65%, can be discontinued.Results:Two sets of cure time, the cure rate and the number of cases of respiratory failure, there were significant differences, P<0.05, treatment observation group than the control group.Conclusion:TSAOPP patients in critical condition, treatment should be based on appropriate methods of disease progression.

  7. The reasonable application of atropine in the treatment of acute organic phosphorus poisoning%阿托品在治疗急性有机磷中毒中的合理应用

    彭育旋

    2015-01-01

    Objective:To explore the reasonable application of atropine in the treatment of acute organic phosphorus poisoning. Methods:37 patients with acute organic phosphorus poisoning were selected.After emetic,gastric lavage and other routine therapy, they were given atropine treatment.We analyzed the recovery of the patients.Results:In 37 patients,the recovery of 36 cases(97.3%) was good after the use of atropine treatment.1 case(2.7%) died because of atropine poisoning.Conclusion:In the treatment process of patients with organic phosphorus poisoning,the reasonable application of atropine was the important factor for affecting the therapeutic effects.%目的:探讨阿托品在抢救急性有机磷农药中毒患者时的合理应用。方法:收治急性有机磷中毒患者37例,通过催吐、洗胃等常规治疗,再使用阿托品治疗,分析患者恢复情况。结果:37例患者中,使用阿托品治疗后恢复情况良好36例(97.3%),死于阿托品中毒1例(2.7%)。结论:在有机磷中毒患者救治过程中,合理应用阿托品是救治成功的重要因素。

  8. Comparison of two pre-exposure treatment regimens in acute organophosphate (paraoxon) poisoning in rats: Tiapride vs. pyridostigmine

    Recently, the FDA approved the medical use of oral pyridostigmine as prophylactic treatment of possible nerve agent exposure: the concept is to block the cholinesterase transitorily using the carbamate (pyridostigmine) in order to deny access to the active site of the enzyme to the irreversible inhibitor (nerve agent) on subsequent exposure. We have shown previously that tiapride is in vitro a weak inhibitor of acetylcholinesterase and that in rats administration of tiapride before the organophosphate paraoxon significantly decreases mortality. The purpose of the present study was to compare tiapride- and pyridostigmine-based pretreatment strategies, either alone or in combination with pralidoxime reactivation, by using a prospective, non-blinded study in a rat model of acute high-dose paraoxon exposure. Groups 1-6 received 1 μMol paraoxon (∼ LD75) groups 2-6 received in addition: G2 50 μMol tiapride 30 min before paraoxon; G3 50 μMol tiapride 30 min before paraoxon and 50 μMol pralidoxime 1 min after paraoxon; G4 1 μMol pyridostigmine 30 min before paraoxon; G5 1 μMol pyridostigmine 30 min before paraoxon and 50 μMol pralidoxime 1 min after paraoxon; G6 50 μMol pralidoxime 1 min after paraoxon; Mortality data were compared using Kaplan-Meier plots and logrank tests. Mortality is statistically significantly influenced by all treatment strategies. Tiapride pretreatment followed by pralidoxime treatment (G3) is aux par with pyridostigmine pretreatment followed by pralidoxime treatment (G5). Tiapride pretreatment only (G2) is inferior to pyridostigmine pretreatment only (G4). The best results are achieved with pyridostigmine pretreatment only or pralidoxime treatment only (G4 and G6)

  9. Mercury: how much are we eating

    Montague, P.; Montague, K.

    1971-02-06

    Toxicity of both metallic mercury and methylmercury is examined by using numerous examples of Hg poisoning in humans and in agriculture. Metallic mercury and inorganic mercury compounds inflict reversible damage to the alimentary tract and kidneys. Irreversible damage on the brain and central nervous system is caused by organic mercury compounds, the most deadly of which is methylmercury. A maximum allowable concentration of mercury in food intended for human consumption was adopted by the FDA at 0.5 ppm in a daily diet.

  10. Analysis on the Epidemiology of Pre-hospital Emergency for Acute Poisoning in Urumqi from 2011 to 2012%乌鲁木齐市2011-2012年院前急救急性中毒流行病学分析

    杨建中; 李树林; 张亚楼; 帕尔哈提·拜合提; 王晓静; 马宏飞; 亚力坤·赛来; 肖开提·依布拉音; 贾志军

    2014-01-01

    目的:分析乌鲁木齐市2011—2012年院前急救急性中毒的流行病学特点。方法前瞻性调查2011—2012年乌鲁木齐市院前急救急性中毒患者的资料,登记患者年龄、性别、民族、中毒谱、中毒季节、中毒途径、中毒死亡病例并进行分析。结果2011—2012年9903例院前急救急性中毒患者年龄构成比较差异有统计学意义(χ2=7776,77,P <0,05),其中急性中毒患者以40~49岁最多见( P <0,05)。男7475例(75,48%),女2428例(24,52%),性别构成比较差异有统计学意义(χ2=1077,47,P <0,0001);男性酒精中毒发生率高于女性,气体中毒、药物中毒、农药中毒、毒品中毒发生率低于女性(P <0,05)。民族构成比较差异有统计学意义(χ2=586,63,P<0,0001),其中汉族最多(χ2=8,14,P =0,004)。中毒谱构成比较差异有统计学意义(χ2=26267,86,P <0,01),其中酒精中毒最多(χ2=1014,09,P <0,01)。季节构成比较差异有统计学意义(χ2=263,73,P <0,01),其中冬季最多(χ2=1401,15,P <0,01)。中毒途径构成比较差异有统计学意义(χ2=11,56,P =0,009),其中胃肠道中毒最多(χ2=3419,24,P <0,01)。死亡69例(0,70%),其中一氧化碳中毒45例(占65,22%)、毒品中毒11例(占15,79%)、酒精中毒9例(占13,20%)、农药中毒4例(占5,79%)。结论乌鲁木齐市院前急救急性中毒在年龄、性别、民族、中毒谱、季节、中毒途径和死亡原因方面尚有自身的特点和发病趋势,对本地区的医疗卫生工作有着重大的意义。%Objective To analyse the epidemiology of pre - hospital patients with acute poisoning in Urumqi from 2011 to 2012, Methods Using prospective study method,the data of pre - hospital patients with acute poisoning in Urumqi from 2011 to 2012,such as age,gender,nationality,cause of poisoning,poisoning seasons,poisoning routes,poisoning death cases

  11. Is the Measurement of Serum Formate Concentration Useful in the Diagnostics of Acute Methanol Poisoning? A Prospective Study of 38 Patients

    Zakharov, S.; Kurcová, I.; Navrátil, Tomáš; Salek, T.; Komarc, M.; Pelclová, D.

    2015-01-01

    Roč. 116, č. 5 (2015), s. 445-451. ISSN 1742-7835 Institutional support: RVO:61388955 Keywords : Methanol poisoning Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 2.377, year: 2014

  12. Bug spray poisoning

    ... was swallowed or inhaled Amount swallowed or inhaled Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  13. Hair tonic poisoning

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  14. Poisoning - fish and shellfish

    In Ciguatera poisoning, the poisonous ingredient is ciguatoxin. This is a poison made in small amounts by certain algae and algae-like organisms called dinoflagellates. Small fish that eat the algae ...

  15. Clinical analysis of acute organic phosphorus pesticide poisoning and intermediate syndrome%急性有机磷农药中毒与中间综合症临床分析

    迟少妍

    2015-01-01

    Objective:To explore the rescue method of acute organophosphorus pesticide poisoning and intermediate syndrome. Methods:38 patients with acute organophosphorus pesticide poisoning were treated from January 2007 to December 2005, including 5 patients with intermediate syndrome, and the treatment of all patients were summarized.Result:Through the timely rescue,31 cases were rescued successfully, 7 cases died.Conclusion: Intermediate syndrome (IMS) is one of the most serious complications of acute organophosphorus pesticide poisoning. For patients with acute organophosphorus pesticide poisoning,measures should be taken in time to rescue; if patients with intermediate syndrome, should establish an effective mechanical ventilation, and its combined treatment in time, in order to improve the success rate of rescue.%目的:探讨急性有机磷农药中毒及中间综合症的抢救方法。方法2005年1月至2007年12月收治的急性有机磷农药中毒患者共38例,其中发生中间综合征的患者共5例,总结对所有患者采用的抢救措施,评价效果。结果经及时的抢救,31例抢救成功,7例死亡。结论中间综合症(IMS)是急性有机磷农药中毒恢复期最严重的并发症之一。对于急性有机磷农药中毒患者,要及时采取措施加以抢救;如果患者出现中间综合症,要及时建立有效的机械通气,并对其辅以综合治疗,以提高抢救成功率。

  16. 职业性急性中毒患者的心理状况及相关因素研究%Study of mental status and related factors in patient with occupational acute poisoning

    金辉; 谢文媛; 张丽波; 孙曼丽; 宋莉; 李晓军

    2012-01-01

    Objective To investigate the mental health status of patients with occupational acute poisoning and potential social impact for its development. Methods 100 patients with occupational acute poisoning and 50 health controls were investigated. The mental health status and its related factors were evaluated with questionnaires SCL — 90 etc. Results SCL — 90 results showed that nine factors including somatization, force, interpersonal relationships, anxiety, depression, hostility, phobia, paranoid and sleep and eating disorders of the acute poisoning group were significantly higher than those of the control group(P0. 05). SSRS scores showed that subjective -support,objective support and support utilization of the poisoning group were significantly lower than those of the control group(P<0. 01). Conclusions The mental health status of patients might play an important role in the development and prognosis of occupational acute poisoning. Providing appropriate psychological interventions would be important in treatment of patients with occupational acute poisoning.%目的 探讨职业性急性中毒患者的心理健康状况及可能影响其发展的心理社会因素.方法 采用心理卫生自评量表(SCL-90)等心理量表按2∶1匹配对100例职业性急性中毒患者的心理状况及相关因素进行对照研究.结果 SCL- 90评定结果表明,急性中毒组在躯体化、强迫、人际关系、焦虑、抑郁、敌对、恐怖、偏执及睡眠、饮食障碍9个因子分均明显高于对照组(P<0.01),其中尤以躯体化、焦虑及睡眠、饮食障碍等症状为突出.抑郁自评量表(SDS)和焦虑自评量表(SAS)评定结果表明,急性中毒组的抑郁标准分(41.52±10.23)和焦虑标准分(43.37±10.40)明显高于对照组,其抑郁和焦虑发生率为56%和62%,均明显高于对照组(P<0.05).艾森克个性问卷(EPQ)评定结果表明,急性中毒组的神经质(N)的评分(62.45±16.37)明显高于对照组(47.44±15

  17. Mercury Exposure and Children’s Health

    Bose-O’Reilly, Stephan; McCarty, Kathleen M; Steckling, Nadine; Lettmeier, Beate

    2010-01-01

    Acute or chronic mercury exposure can cause adverse effects during any period of development. Mercury is a highly toxic element; there is no known safe level of exposure. Ideally, neither children nor adults should have any mercury in their bodies because it provides no physiological benefit. Prenatal and postnatal mercury exposures occur frequently in many different ways. Pediatricians, nurses, and other health care providers should understand the scope of mercury exposures and health proble...

  18. Protecting Yourself from Poisonous Plants

    ... NIOSH NIOSH Fast Facts: Protecting Yourself from Poisonous Plants Language: English Español (Spanish) Kreyol Haitien (Hatian Creole) ... outdoors is at risk of exposure to poisonous plants, such as poison ivy, poison oak, and poison ...

  19. Mortality Analysis of Patients with Paraquat Poisoning Treated at Two University Hospitals in Shiraz, Iran

    Fazel Goudarzi

    2014-12-01

    Conlcusion: PQ poisoning is associated with high mortality requiring an immediate assessment of patients and prediction of prognosis. Renal and hepatic failure in addition to respiratory distress can be the strongest risk factors for poor prognosis in acute PQ poisoning.

  20. SUPERVASMOL POISONING: AN EMERGING ENT EMERGENCY

    Mitta

    2016-05-01

    Full Text Available Poisoning is one of the commonest modes of suicide in India. Supervasmol poisoning is one of the commonest modes of suicidal attempt in our region. The common cause for consumption of hair dye is by suicidal intent or accidental oral ingestion. There is no specific antidote for Supervasmol poisoning. Management is only symptomatic and supportive with emergency tracheostomy in majority of cases. Hence, we conducted this study to emphasize the role of ENT surgeon in Supervasmol poisoning. STUDY DESIGN Prospective study. MATERIALS AND METHODS We present a total of 79 cases of Supervasmol poisoning who attended the Emergency Department of Narayana Medical College and General Hospital, Nellore. RESULTS All patients were between age group 15-35 yrs. Females are more than males. More patients were in second decade; 55 cases presented in acute phase, 51 patients underwent tracheostomy and four patients were brought dead. CONCLUSION Emergency tracheostomy is a life saving measure in severe stridor

  1. The study of etiological and demographic characteristics of acute household accidental poisoning in children - a consecutive case series study from Pakistan

    Manzar Nabeel

    2010-05-01

    Full Text Available Abstract Background To determine the agents of poisoning and demographic distribution of children brought to Civil Hospital Karachi (CHK with a history of accidental poison intake and to examine the factors associated with it. Methods This hospital based descriptive study of first 100 patients from both sexes who presented to Pediatric department, CHK from 1st January 2006 till 31st December 2008 with exposure to a known poisonous agent and fulfilling other inclusion criteria were included in the study. Data regarding their demographic profile and potential risk factors was collected on a well structured proforma, cases were followed until discharge or expiry. Data was analyzed using frequencies, proportions, group means, median and standard deviations. Results The male to female ratio in our study was 1.2:1, with kerosene (50% being the most common household agent followed by medicines (38%, insecticides (7% and bathroom cleaners (5%. Factors such as mother's education level, number of siblings and storage place of poison correlated significantly with the cases of accidental poisoning. Most of the children (70% presented within 3 hours of ingestion. Dyspnea was the most common symptom observed. The mortality rate in our study was 3%. Conclusions Children belonging to age group 2-3 years are the most susceptible both in terms of morbidity and mortality. Preventive strategies need to be adopted at a national level to spread awareness among parents.

  2. House of Poison: Poisons in the Home.

    Keller, Rosanne

    One of a series of instructional materials produced by the Literacy Council of Alaska, this booklet provides information about common household poisons. Using a simplified vocabulary and shorter sentences, it provides statistics concerning accidental poisonings; a list of the places poisons are usually found in the home; steps to make the home…

  3. The experience of emergency treatment on acute severe organophosphorus pesticide poisoning%急性重度口服有机磷农药中毒的急救与体会

    张海燕

    2014-01-01

    目的:总结急性重度口服有机磷农药中毒的急救经验。方法:2011年2月-2013年12月救治急性重度口服有机磷农药中毒患者30例,对其实施救治措施。结果:本组30例患者经过救治,意识转清醒时间(1.83±1.2)天,胆碱酯酶活性恢复时间(3.2±1.6)天,住院时间(7.3±2.6)天。临床疗效:治愈29例,治愈率96.7%,死亡1例,死亡率3.3%。结论:清洗被污染的皮肤,彻底洗胃,眼污染时用微温水、2%碳酸氢钠溶液清洗,导泻,阿托品的应用以及早期足量使用氯磷定等,是急救急性重度口服有机磷农药中毒的重要措施。%Objective:To summary the experience of emergency treatment on acute severe organophosphorus pesticide poisoning. Methods:30 cases with acute severe organophosphorus pesticide poisoning were selected from February 2011 to December 2013. They were treated with first aid measures.Results:After treatment,the average time of 30 cases from consciousness turned to clear was(1.83 ± 1.2)days.Cholinesterase recovery time was(3.2 ± 1.6)days.Hospitalization time was(7.3 ± 2.6)days.Clinical curative effect:29 cases were cured,and the cure rate was 96.7%.1 cases died,and the mortality was 3.3%.Conclusion: There are important measures for emergency treatment on acute severe organophosphorus pesticide poisoning,including:washing the contaminated skin,complete gastric lavage,If eye pollution cleaning its with lukewarm water and 2% sodium bicarbonate solution,catharsis, atropine application,early and adequate use of pralidoxime chloride poisoning.

  4. 21例急性有机磷农药中毒患者皮肤灼伤处理%21 cases of acute organophosphate pesticide poisoning patients with skin burns

    丁娴; 张文军; 周彬

    2011-01-01

    目的探讨急性有机磷农药中毒患者皮肤灼伤处理.方法回顾性分析我院的21例急性有机磷农药中毒患者皮肤灼伤的临床资料.结果创面浅Ⅱ度6-10天治愈,创面深Ⅱ度10-18天治愈.讨论反复进行灼伤创面清洗以及保持灼伤创面的干燥及涂抹典类制剂是灼伤创面扩大和后期感粢的重要措施.%objective to explore the acute organophosphate pesticide poisoning patients with skin burns. Methods retrospective analysis of 21 cases of acute organophosphate pesticide poisoning were burned skin clinical data. Results the wound H degrees 6-shallow 10 days. II deep wounds heal degrees 10-18 days cured. Discuss the repeated bum wounds and keep the wound clean burns dry and daub Canon agents is wound infection and later expanded burns the important measures.

  5. Understanding lactic acidosis in paracetamol (acetaminophen) poisoning

    Shah, Anoop D; Wood, David M; Dargan, Paul I

    2011-01-01

    Paracetamol (acetaminophen) is one of the most commonly taken drugs in overdose in many areas of the world, and the most common cause of acute liver failure in both the UK and USA. Paracetamol poisoning can result in lactic acidosis in two different scenarios. First, early in the course of poisoning and before the onset of hepatotoxicity in patients with massive ingestion; a lactic acidosis is usually associated with coma. Experimental evidence from studies in whole animals, perfused liver sl...

  6. Hair dye poisoning and the developing world

    Sampathkumar Krishnaswamy; Yesudas Sooraj

    2009-01-01

    Hair dye poisoning has been emerging as one of the important causes of intentional self harm in the developing world. Hair dyes contain paraphenylene-diamine and a host of other chemicals that can cause rhabdomyolysis, laryngeal edema, severe metabolic acidosis and acute renal failure. Intervention at the right time has been shown to improve the outcome. In this article, we review the various manifestations, clinical features and treatment modalities for hair dye poisoning.

  7. Hair dye poisoning and the developing world

    Sampathkumar Krishnaswamy

    2009-01-01

    Full Text Available Hair dye poisoning has been emerging as one of the important causes of intentional self harm in the developing world. Hair dyes contain paraphenylene-diamine and a host of other chemicals that can cause rhabdomyolysis, laryngeal edema, severe metabolic acidosis and acute renal failure. Intervention at the right time has been shown to improve the outcome. In this article, we review the various manifestations, clinical features and treatment modalities for hair dye poisoning.

  8. Ciguatera fish poisoning

    J. Crump; McLay, C.; Chambers, S.

    1999-01-01

    Ciguatera fish poisoning is one of a variety of non-bacterial forms of human seafood poisoning. Consuming large predatory fish from tropical reef ecosystems may be hazardous. We describe a case that is typical of the disease, and illustrates the persistence of neurological symptoms that occur in some patients.


Keywords: ciguatera fish poisoning; ichthyosarcotoxaemia; poisoning; biotoxins

  9. Mercury and other heavy metal toxicity and mitocheondral dysfunction. Part of a coordinated programme of isotopic tracer-aided studies of the biological side-effects of foreign chemical residues in food and agriculture

    Mercury and other heavy metal toxicity and mitochondrial dysfunction: kidney mitochondria isolated from Hg-poisoned rats (4mgHg++/kgb.wt.,i.v.) exhibited a considerable loss of capacity for oxidative phosphorylation, apparently related to Mg++ depletion and inhibition of ATP synthesis. Liver mitochondria remained unaffected. It is maintained that acute Hg poisoning is related to kidney failure. Selenium was found to provide protection as ascertained by partial restoration of the kidney mitochondrial oxidative phosphorylation and prolongation of time of death of the poisoned animals. In contrast to Hg, acute Cd-poisoning in rats (4mgCd++/kg,b.wt.,i.v.) is probably related to liver failure, where hepatic mitochondria loses its capacity for oxidative phosphorylation, through the same mechanism postulated for kiney mitochondria isolated from Hg-poisoned rats. Again, selenium provided a similar protective effect. That Hg and Cd have two different target organs may be ascribed to the relative distribution of both elements in the animal body. Preliminary data in the rabbit showed that Cd caused an increase of heart beat as well as an increased difference between systolic and diastolic pressures. Studies on Pb-poisoned rats, using 2,4-Dinitrophenol as uncoupling agent in mitochondria, suggested inhibition of the electron transport chain

  10. Monitoring of mercury pollution in Tanzania: relation between head hair mercury and health.

    Harada, M; Nakachi, S; Cheu, T; Hamada, H; Ono, Y; Tsuda, T; Yanagida, K; Kizaki, T; Ohno, H

    1999-03-01

    Through 1996 into 1997, a spot investigation on mercury contamination was conducted three times in Tanzania, especially around the Lake Victoria. A total of 150 goldminers, 103 fishermen and their families, and 19 residents of Mwanza City volunteered for the current study. A high total mercury level of 48.3 ppm (near to 50 ppm, a critical level of Minamata disease) and over in the head hair was observed in six goldminers (highest value, 953 ppm), four fishermen and their families (highest value, 416 ppm), and four Mwanza people (highest value, 474 ppm). With the exception of these 14 subjects, however, each mean total mercury level was well within the normal range (below 10 ppm). Out of the goldminers examined, 14 cases were diagnosed as a mild form of inorganic-mercury poisoning according to their clinical symptoms (such as polyneuropathy mercurialis, neuroasthemia, or tremor mercurialis) and the low ratio of methylmercury to total mercury, whereas neither inorganic-mercury poisoning nor methylmercury poisoning (Minamata disease) was noted in the fishermen and their families or in the Mwanza people. In addition, some subjects who showed a high total mercury level made habitual use of toilet soap containing much mercury. The findings obtained suggest that the mercury pollution in Tanzania is not very serious, however, it should be observed continuously. PMID:10231987

  11. Paraphenylene diamine poisoning

    A C Jesudoss Prabhakaran

    2012-01-01

    The commonest constituent of all hair dyes is paraphenylene diamine (PPD). Hair dye poisoning is emerging as one of the emerging causes of intentional self-poisoning to commit suicide. In this article, we report a case of PPD poisoning and the importance of clinical of hair dye poisoning. The lack of specific diagnostic tests, a specific antidote for paraphenylene diamine poisoning and the importance of early supportive treatment modalities are also discussed.

  12. Paraphenylene diamine poisoning

    A C Jesudoss Prabhakaran

    2012-01-01

    Full Text Available The commonest constituent of all hair dyes is paraphenylene diamine (PPD. Hair dye poisoning is emerging as one of the emerging causes of intentional self-poisoning to commit suicide. In this article, we report a case of PPD poisoning and the importance of clinical of hair dye poisoning. The lack of specific diagnostic tests, a specific antidote for paraphenylene diamine poisoning and the importance of early supportive treatment modalities are also discussed.

  13. HAIR DYE POISONING: A CASE REPORT

    Shankar

    2015-06-01

    Full Text Available S uper Vasmol is one of the commonly used, cheap, freely available hair dye poisoning is emerging a major cause of suicidal poisoning in India, and the hair dyes mainly contain paraphenylene diamine (PPD and resorcinol. Acute poisoning by PPD causes charact eristic sever angio - neurotic oedema of upper air way associated with a swollen, dry, hard and protruding tongue, systemic intoxication results in multisystem involvement and can cause rhabdomyolysis, acute renal failure (ARF. There is no specific antidote for PPD and treatment mainly supportive, emergency tracheostomy will help the patient to relieve the airway obstruction and reduce mortality. We report a case of suicidal ingestion of hair dye that was presented with cervico - fascial oedema later developed rhabdomyolysis and acute renal failure managed with emergency tracheostomy, systemic management and dialysis.

  14. Recent Advances in the Clinical Management of Lead Poisoning.

    Sina Kianoush

    2015-06-01

    Full Text Available Lead poisoning is a historic universal disease. Acute or chronic lead exposure may cause reversible or even permanent damages in human beings. Environmental lead exposure is a global health concern in children. Occupational lead poisoning is still a health issue, particularly in developing countries. During the last decades, new methods and medications have been advocated for the prevention and treatment of lead poisoning. This review deals mainly with recent developments in the management of lead poisoning. Sources of lead exposure are introduced, and methods for the primary prevention of lead poisoning are discussed. Details for the screening of adults and children are also explained to serve as a practical guideline for the secondary prevention. Standard chelation therapy in different groups and up-to-date less toxic new medications for the treatment of lead poisoning are finally discussed. Our published clinical research on the therapeutic effects of garlic tablets in mild to moderate occupational lead poisoning will also be discussed.

  15. Status and trends in poisonings in Denmark 2007-2009

    Bøgevig, Søren; Høgberg, Lotte Christine Groth; Dalhoff, Kim Peder;

    2011-01-01

    The Danish Poison Information Centre (DPIC) provides information to the public and health care professionals on acute poisonings. The DPIC received 41,000 enquiries during the first three years of its existence as an open 24h telephone service. The aim of this data register study was to classify...... all substance exposures, to gain knowledge of the status and trends in poisonings (toxico-surveillance) and to evaluate the development in the number of contacts....

  16. High lethality and minimal variation after acute self-poisoning with carbamate insecticides in Sri Lanka – implications for global suicide prevention

    Lamb, Thomas; Selvarajah, Liza R.; Mohamed, Fahim; Jayamanne, Shaluka; Gawarammana, Indika; Mostafa, Ahmed; Buckley, Nicholas A.; Roberts, Michael S.; Eddleston, Michael

    2016-01-01

    Abstract Background: Highly hazardous organophosphorus (OP) insecticides are responsible for most pesticide poisoning deaths. As they are removed from agricultural practice, they are often replaced by carbamate insecticides of perceived lower toxicity. However, relatively little is known about poisoning with these insecticides. Methods: We prospectively studied 1288 patients self-poisoned with carbamate insecticides admitted to six Sri Lankan hospitals. Clinical outcomes were recorded for each patient and plasma carbamate concentration measured in a sample to confirm the carbamate ingested. Findings: Patients had ingested 3% carbofuran powder (719), carbosulfan EC25 liquid (25% w/v, 389), or fenobucarb EC50 liquid (50% w/v, 127) formulations, carbamate insecticides of WHO Toxicity Classes Ib, II, and II, respectively. Intubation and ventilation was required for 183 (14.2%) patients while 71 (5.5%) died. Compared with carbofuran, poisoning with carbosulfan or fenobucarb was associated with significantly higher risk of death [carbofuran 2.2%; carbosulfan 11.1%, OR 5.5 (95% CI 3.0–9.8); fenobucarb 6.3%, OR 3.0 (1.2–7.1)] and intubation [carbofuran 6.1%; carbosulfan 27.0%, OR 5.7 (3.9–8.3); fenobucarb 18.9%, OR 3.6 (2.1–6.1)]. The clinical presentation and cause of death did not differ markedly between carbamates. Median time to death was similar: carbofuran 42.3 h (IQR 5.5–67.3), carbosulfan 21.3 h (11.5–71.3), and fenobucarb 25.3 h (17.3–72.1) (p = 0.99); no patients showed delayed onset of toxicity akin to the intermediate syndrome seen after OP insecticide poisoning. For survivors, median duration of intubation was 67.8 h (IQR 27.5–118.8) with no difference in duration between carbamates. Reduced GCS at presentation was associated with worse outcome although some patients with carbosulfan died after presentation with normal GCS. Conclusions: We did not find carbamate insecticide self-poisoning to vary markedly according to the carbamate

  17. Pesticides poisoning

    Pesticides are chemical toxicants which are used to kill by their toxic actions, the pest organisms, known to incur significant economic losses or threaten human life, his health and that of his domesticated animals. These toxicants are seldom species-specific. The presence of these or their metabolites may scientific be vouched not only in the environment they are used, but in the entire ecosystem, in the subsoil, in the underwater reservoirs and in the food chain of all non-target species including man, his friends i.e. predator and parasite organisms which be uses against the pests, and in his cherished domesticated animals. In the present paper a survey is made of different groups of toxic chemicals generally used to manage pests, in the ecosystem, food chain and tissues and body parts of non-target species including man and the ones dear to him. Toxicology and biochemistry of these toxic materials and their important metabolites are also briefly discussed with special reference to ways and means through which these poison the above non-target species. (author)

  18. Mercury hazards from gold mining to humans, plants, and animals.

    Eisler, Ronald

    2004-01-01

    Mercury contamination of the environment from historical and ongoing mining practices that rely on mercury amalgamation for gold extraction is widespread. Contamination was particularly severe in the immediate vicinity of gold extraction and refining operations; however, mercury, especially in the form of water-soluble methylmercury, may be transported to pristine areas by rainwater, water currents, deforestation, volatilization, and other vectors. Examples of gold mining-associated mercury pollution have been shown for Canada, the U.S., Africa, China, the Philippines, Siberia, and South America. In parts of Brazil, for example, mercury concentrations in all abiotic materials, plants, and animals, including endangered species of mammals and reptiles, collected near ongoing mercury amalgamation gold mining sites were far in excess of allowable mercury levels promulgated by regulatory agencies for the protection of human health and natural resources. Although health authorities in Brazil are unable to detect conclusive evidence of human mercury intoxication, the potential exists in the absence of mitigation for epidemic mercury poisoning of the mining population and environs. In the U.S., environmental mercury contamination is mostly from historical gold mining practices, and portions of Nevada remain sufficiently mercury contaminated to pose a hazard to reproduction of carnivorous fishes and fish-eating birds. Concentrations of total mercury lethal to sensitive representative natural resources range from 0.1 to 2.0 microg/L of medium for aquatic organisms; from 2,200 to 31,000 microg/kg BW (acute oral) and from 4,000 to 40,000 microg/kg (dietary) for birds; and from 100 to 500 microg/kg BW (daily dose) and from 1,000 to 5,000 microg/kg diet for mammals. Significant adverse sublethal effects were observed among selected aquatic species at water concentrations of 0.03-0.1 microg Hg/L. For some birds, adverse effects, mainly on reproduction, have been associated with

  19. Efficacy of Hyperbaric Oxygen in the Treatment of 257 Cases With Acute Carbon Monoxide Poisoning%高压氧治疗急性一氧化碳中毒257例效果分析

    林素莲; 沈炳荣; 高惠珍

    2015-01-01

    目的:研究高压氧治疗一氧化碳中毒的临床效果。方法回顾分析我院1999年10月~2015年5月高压氧救治的257例一氧化碳中毒患者的治疗效果。结果257例患者中,252例患者经高压氧等综合救治后痊愈出院,无并发症发生,随访半年预后较好;3例患者留有后遗症,生活不能自理;2例患者治疗无效死亡。结论对于急性一氧化碳中毒患者,给予及时、充分的高压氧治疗是救治关键,可提高治愈率,减少迟发性脑病的发生。%ObjectiveTo study the clinical effect of hyperbaric oxygen in the treatment of carbon monoxide poisoning.Methods A total of 257 cases of carbon monoxide poisoning patients were retrospectively analyzed in our hospital from Oct 1999 to May 2015. Al patients were treated with hyperbaric oxygen treatment,the effect of hyperbaric oxygen treatment was investigated.Results252 of 257 cases patients recovered after hyperbaric oxygen treatment, and no complications were observed,a folowed up for half a year showed that al patients with a good prognosis,three patients underwent a poor prognosis,two cases died for ineffective treatment.Conclusion A timely and fuly hyperbaric oxygen therapy is a key treatment for patients with acute carbon monoxide poisoning,it can improve the cure rate and reduce the occurrence of delayed encephalopathy.

  20. Thyrotoxicity of the Chlorides of Cadmium and Mercury in Rabbit

    NINAGHOSH; SHELLEYBHATTACHARYA

    1992-01-01

    Exposure to heavy metals such as cadmium and mercury is of immediate environmental concern.The present study was aimed at establishing a direct relationship between heavy metal poisoning and thyroid dysfunction.Cadmium and mercury treatment at LD50 levels resulted in severe thyrotoxicosis in the rabbit.Within 24h of intramuscular administration of cadmium chloride 15 mg·kg-1 body weight(bw)and mercury chloride20mg·kg-1 bw,thyroid peroxidase activity increased significantly over the control with a concomitant rise in the triiodothyronie(T3)titre.On the other hand,there was a remarkable fall in the thyroxine(T4)level,and the T3,T4 ratio was high as compared with the control.Evidence indicates that acute heavy metal lethality will induce immediate hyperthyroidism.It is suggested that T3-toxicosis may be produced by a preferential synthesis of T3 and/or preferential deiodination of T4 to T3.Measurement of T3 and T4 levels may thus e utilized as a reliable indicator of heavy metal lethality.

  1. 急性重度有机磷农药中毒患者死亡危险因素分析%Analysis on risk factors of mortality in patients with acute severe organophosphorus pesticide poisoning

    孙玮艳

    2015-01-01

    Objective To explore the risk factors of mortality in patients with acute severe organophosphorus pesticide poisoning. Methods Forty-four patients with acute severe organophosphorus pesticide poison were retrospectively analyzed.Various risk factors were statistically evaluated and mortality of patients was compared between groups.Results Hospital mortality in 44 patients with acute severe organophosphorus pesticide poisoning was 22.7%.The mortality was significantly different between APACHE Ⅱ score ≥20 group and APACHE Ⅱ score<20 group (P <0.01),between age ≥ 60 group and age< 60 group (P <0.01),between hypotensive group and non-hypotensive group (P < 0.05 ),between hypoxemia group and non-hypoxemia group (P < 0.05 ),between metabolic acidosis group and non-metabolic acidosis group (P < 0.05 ).Conclusion APACHE Ⅱ score,age, hypotension, hypoxemia, metabolic acidosis may be the risk factors of mortality in patients with acute organophosphorus pesticide poisoning,and the items can be used to assess the severity of disease and mortality risk in clinic.%目的:探讨急性重度有机磷农药中毒死亡的危险因素。方法回顾性分析急性重度有机磷农药中毒44例患者的临床资料,对各项危险因素进行统计分析,比较患者的病死率。结果44例急性重度有机磷农药中毒患者住院期间病死率22.7%(10/44),其中急性生理学及慢性健康状况评分(APACHE)≥20分和<20分、年龄≥60岁和<60岁、合并低血压和未合并低血压、合并低氧血症和未合并低氧血症、合并代谢性酸中毒和未合并代谢性酸中毒的患者病死率比较,差异均有统计学意义(P <0.05或<0.01)。结论 APACHEⅡ分值、高龄、低血压、低氧血症、代谢性酸中毒可能是急性重度有机磷农药中毒患者死亡的危险因素,在临床中可以用于评估患者病情严重程度与死亡风险。

  2. The application of Hemoperfusion and Hemodialysis in rescuing patients with critical acute poisoning%血液灌流联合血液透析救治急性重型中毒的疗效观察

    叶正华; 文朝晖; 吴嘉枫

    2009-01-01

    Objective To observe the clinical effects of hemoperfusion (HP) plus hemodialysis (HD) on the patients with critical acute poisoning. Methods 44 cases in coma,which got critical acute drug or food poisioning, were divided into groups, the cure group(n = 28) and the control group (n = 16). The control group was given gastrolavage,oxygen inhalation, drug tetoxification and basic life-support treatment, on this basis, the cure group was given HP and HD. The duration of coma, the average hospital day, the cure rate and the death rate were observed,and compared between the two groups. Results 27 cases were cured and 1 case died in the cure group, while 11 cases were cured and 5 cases died in the control group, contrast to the control group, it is a singnificant decrease on the duration of coma, The average hospital day and the death rate in the cure group, and it is sapperial to the control group (P<0.01). Conclusion HP and HD is one of the efficient measures to the rescuing patients with critical acute poisoning, because it can clear the drug and food poison quickly, shorten the course of disease and reduce complication,improve the survival rate of patients with critical acute poisoning.%目的 观察血液灌流联合血液透析对救治急性重型中毒患者的疗效.方法 急性药物或食物中毒昏迷患者44例,按治疗方法 不同将病例分为治疗组(n=28)与对照组(n=16).对照组患者常规给予洗胃、吸氧、药物解毒和生命支持等治疗,治疗组患者除上述处理还进行血液灌流和血液透析治疗,观察两组患者昏迷时间、住院天数、治愈率、死亡率、并发症.结果 治疗组治愈27例,死亡1例,对照组治愈11例,死亡5例.治疗组昏迷时间、住院天数、死亡率、并发症发生率明显少于对照组(P<0.01),治愈率高于对照组(P<0.01).结论 血液灌流联合血液透析可迅速清除体内的药物或毒物,明显缩短病程、减少并发症,提高急性重症中毒患者的生存率.

  3. 急性有机磷农药中毒22例死亡原因分析%Causal analysis of Death in 22 cases with acute organophosphorus pesticids poisoning

    王志祥; 马福来

    2002-01-01

    @@ 有机磷农药是目前应用最为广泛的农业杀虫剂,有机磷农药急性中毒(acute organophosphorus pesticides poisoning,AOPP)居基层医院内科急诊中毒病例之首,病死率在10%以上[1].我院1996年1月~2000年12月共收治有机磷农药急性中毒154例,死亡22例,病死率为28.3%.本文为了提高抢救成功率,降低病死率,分析如下.

  4. Hair spray poisoning

    ... page: //medlineplus.gov/ency/article/002705.htm Hair spray poisoning To use the sharing features on this page, please enable JavaScript. Hair spray poisoning occurs when someone breathes in (inhales) hair ...

  5. Face powder poisoning

    ... this page: //medlineplus.gov/ency/article/002700.htm Face powder poisoning To use the sharing features on this page, please enable JavaScript. Face powder poisoning occurs when someone swallows or breathes ...

  6. Plant fertilizer poisoning

    Plant fertilizers and household plant foods are used to improve plant growth. Poisoning can occur if someone swallows these products. Plant fertilizers are mildly poisonous if small amounts are swallowed. ...

  7. Bracken fern poisoning

    Bracken fern (Pteridium aquilinum) is found throughout the world and enzootic hematuria, bright blindness, and bracken staggers. This chapter reviews the plant, the various poisoning syndrome that it produces, the current strategies to prevent poisoning, and recommended treatments....

  8. Poisoning first aid

    ... vicinity. Keep your children informed, too. Remove any poisonous plants. Never eat wild plants, mushrooms, roots, or berries unless you very familiar with them. Teach children about the dangers ... substances are poisonous if taken in large doses. If you are ...

  9. [Poisoning in swine].

    Heinritzi, K

    1986-01-01

    For clinical interests it is advisable to subdivide cases of swine poisoning in such as caused by food, drugs and environmental poisonings. This division gives pointers to aetiologic connections and special measures necessary for the clearing of the processes. With food poisoning mycotoxicoses play an evermore important role, whereas poisonings by trace elements are on the decrease. Sodium chloride poisoning often results primarily from insufficient water supply. With environmental poisonings carbon monoxide and cyanamide intoxication are presented. Poisonings caused by drugs are mainly the result of an overdose, of segregation in food or of non-licensed drugs. A relatively unknown swine poisoning by a drug against coccidiosis--licensed for poultry--is described. PMID:2943054

  10. Poisoning first aid

    ... page: //medlineplus.gov/ency/article/007579.htm Poisoning first aid To use the sharing features on this page, ... or burns Stupor Unconsciousness Unusual breath odor Weakness First Aid Seek immediate medical help. For poisoning by swallowing: ...

  11. Paraphenylene diamine poisoning

    Prabhakaran, A.C. Jesudoss

    2012-01-01

    The commonest constituent of all hair dyes is paraphenylene diamine (PPD) being used by the people to color their hair all over the world. Hair dye poisoning is emerging as one of the emerging causes of intentional self-poisoning to commit suicide. In this article, the importance of clinical manifestations and of hair dye poisoning is discussed due to the lack of specific diagnostic tests. Since there is no specific antidote for PPD poisoning, the early supportive treatment modalities are dis...

  12. Lead Poisoning (For Parents)

    ... Story" 5 Things to Know About Zika & Pregnancy Lead Poisoning KidsHealth > For Parents > Lead Poisoning Print A ... Family en español La intoxicación por plomo About Lead Poisoning If you have young kids, it's important ...

  13. Intestinal infarction following carbon monoxide poisoning.

    Balzan, M.; Cacciottolo, J. M.; Casha, A.

    1993-01-01

    A 65 year old patient admitted with carbon monoxide poisoning developed acute pulmonary oedema during treatment with hyperbaric oxygen. After initial recovery he developed extensive intestinal ischaemia which rapidly led to death. It is suggested that intestinal vasoconstriction due to left ventricular failure made the gut much more vulnerable to the hypoxic effects of carbon monoxide than the brain and heart.

  14. Hearing Loss due to Carbon Monoxide Poisoning

    Amir Houshang Mehrparvar; Mohammad Hossein Davari; Abolfazl Mollasadeghi; Mohammad Reza Vahidi; Mehrdad Mostaghaci; Maryam Bahaloo; Pedram Shokouh

    2013-01-01

    Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker after an acute exposure to carbon monoxide. This complication was diagnosed by pure-tone audiometry and confirmed by transient evoked otoacoustic emissions. Hearing loss has not improved after 3 months...

  15. Hearing Loss due to Carbon Monoxide Poisoning

    Mehrparvar, Amir Houshang; Davari, Mohammad Hossein; Mollasadeghi, Abolfazl;

    2013-01-01

    Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker...... after an acute exposure to carbon monoxide. This complication was diagnosed by pure-tone audiometry and confirmed by transient evoked otoacoustic emissions. Hearing loss has not improved after 3 months of followup....

  16. Marijuana poisoning.

    Fitzgerald, Kevin T; Bronstein, Alvin C; Newquist, Kristin L

    2013-02-01

    , tremors, hypothermia, and bradycardia. Higher dosages may additionally cause nystagmus, agitation, tachypnea, tachycardia, ataxia, hyperexcitability, and seizures. Treatment of marijuana ingestion in animals is largely supportive. Vital signs including temperature and heart rate and rhythm must be continually monitored. Stomach content and urine can be tested for cannabinoids. Gas chromatography and mass spectrometry can be utilized for THC detection but usually may take several days and are not practical for initiation of therapy. Human urine drug-screening tests can be unreliable for confirmation of marijuana toxicosis in dogs owing to the interference of a large number of the metabolites in canine urine. False negatives may also arise if testing occurs too recently following THC ingestion. Thus, the use of human urine drug-screening tests in dogs remains controversial. No specific antidote presently exists for THC poisoning. Sedation with benzodiazepines may be necessary if dogs are severely agitated. Intravenous fluids may be employed to counter prolonged vomiting and to help control body temperature. Recently, the use of intralipid therapy to bind the highly lipophilic THC has been utilized to help reduce clinical signs. The majority of dogs experiencing intoxication after marijuana ingestion recover completely without sequellae. Differential diagnoses of canine THC toxicosis include human pharmaceuticals with central nervous system stimulatory effects, drugs with central nervous system depressant effects, macrolide parasiticides, xylitol, and hallucinogenic mushrooms. PMID:23796481

  17. Pesticide poisoning: a major health problem in Sri Lanka

    Hoek, Wim van der; Konradsen, F; Athukorala, K;

    1998-01-01

    pesticides is the most important reason for this high number of poisoning cases. The frequent application of highly hazardous pesticides in high concentrations was often irrational and posed serious health and financial risks to the farmers. Sales promotion activities and credit facilities promoted this......Acute pesticide poisoning is a major public health problem in Sri Lanka. In several agricultural districts, it precedes all other causes of death in government hospitals. Most of the acute poisoning cases are intentional (suicide) and occur among young adults, mainly males. Poisoning due to...... occupational exposure is also common, but less well documented. In an irrigation area in Sri Lanka a very high incidence of serious pesticide poisoning was observed, with 68% due to intentional ingestion of liquid pesticides. It is argued that the easy availability and widespread use of highly hazardous...

  18. EPIDEMIOLOGICAL STUDY OF POISONING CASES IN COASTAL ANDHRA PRADESH

    Anand

    2014-05-01

    Full Text Available Acute poisoning is one of the common causes of admission in emergency department of various hospitals. This is a common socio medical problem. Green revolution has increased the production of food grain but the wide spread use of organophosphorus compounds has increased incidence of its poisoning to the human kind by accidental or suicidal. Around one hundred fifty six patient admitted in Konaseema Institute of Medical Science and General Hospital with diagnosis of acute poisoning. The present study showed that majority of the patients was of young age with females outnumbering males

  19. A general evaluation of poisoning cases occured from 1990 to 1996in Şanlıurfa

    OCAK, Dr. Seyfullah O. ARSLAN Dr. Mustafa KÖSE

    1998-01-01

    The aim of this study is to evaluate the causes and the results of acute poisoning cases occurred in Şanlıurfa. Record books of emergency departments of State and Children Hospital from 1990 to 1996 in Şanlı/ifa were retrospectively investigated. Acute poisoning cases were evaluated with regard to sex, age, poisoning causes and results. Of total 2379 poisoning cases, 818 (34.4 %) were in childhood and 1561 (65.6 %) were in adolescents. The incidence of acute poisoning cases was 0.97 %. The mo...

  20. Amelioration of Acute Mercury Toxicity by a Novel, Non-Toxic Lipid Soluble Chelator N,N′bis-(2-mercaptoethyl)isophthalamide: Effect on Animal Survival, Health, Mercury Excretion and Organ Accumulation

    Clarke, David; Buchanan, Roger; Gupta, Niladri; Haley, Boyd

    2012-01-01

    The toxic effects of mercury are known to be complex with specific enzyme inhibitions and subsequent oxidative stress adding to the damaging effects. There are likely other factors involved, such as the development of impaired metal ion homeostasis and depletion of thiol and selenium based metabolites such as cysteine and selenium. Much of the toxicity of mercury occurs at the intracellular level via binding of Hg2+ to thiol groups in specific proteins. Therefore, amelioration of mercury toxi...

  1. Study of high levels indoor air mercury contamination from mercury amalgam use in dentistry

    In 2005, United Nations Environment Programme (UNEP) estimated that 362 tonnes of dental mercury are consumed annually worldwide. Dental mercury amalgams also called silver fillings and amalgam fillings are widely done. These fillings gave off mercury vapours. Estimated average absorbed concentrations of mercury vapours from dental fillings vary from 3,000 to 17,000 ng Hg. Mercury (Hg) also known as quick silver is an essential constituent of dental amalgam. It is a toxic substance of global concern. A persistent pollutant, mercury is not limited to its source but it travels, on time thousands of kilometers away from the source. Scientific evidence, including, UNEP Global Mercury report, establishes mercury as an extremely toxic substance, which is a major threat to wildlife, ecosystem and human health, at a global scale. Children are more at risk from mercury poisoning which affects their neurological development and brain. Mercury poisoning diminishes memory, attention, thinking and sight. In the past, a number of studies at dental sites in many countries have been carried out and reported which have been reviewed and briefly described. This paper describes and discusses the recent investigations, regarding mercury vapours level in air, carried out at 18 dental sites in Pakistan and other countries. It is evident from the data of 42 dental sites in 17 countries, including, selected dental sites in five main cities of Pakistan, described and discussed in this paper that at most dental sites in many countries including Pakistan, the indoor mercury vapours levels exceed far above the permissible limit, recommended for safe physical and mental health. At these sites, public, in general, and the medical, paramedical staff and vulnerable population, in particular, are at most serious risk to health resulting from exposure to toxic and hazardous mercury. (author)

  2. Carbon monoxide poisoning-induced cardiomyopathy from charcoal at a barbecue restaurant: a case report

    Kim, Hyun-Jun; Chung, Yun Kyung; Kwak, Kyeong Min; Ahn, Se-Jin; Kim, Yong-Hyun; Ju, Young-Su; Kwon, Young-Jun; Kim, Eun-A

    2015-01-01

    Objective Acute carbon monoxide poisoning has important clinical value because it can cause severe adverse cardiovascular effects and sudden death. Acute carbon monoxide poisoning due to charcoal is well reported worldwide, and increased use of charcoal in the restaurant industry raises concern for an increase in occupational health problems. We present a case of carbon monoxide poisoning induced cardiomyopathy in a 47-year-old restaurant worker. Materials and methods A male patient was broug...

  3. Cardiovascular toxicity due to metoprolol poisoning in a patient with coronary artery disease

    Unverir, Pinar; Topacoglu, Hakan; Bozkurt, Selim; Kaynak, Firat

    2007-01-01

    What is already known about this subjectPoisoning with β-blockers can result in cardiovascular and central nervous system effects.Although much has been reported about metoprolol poisoning's cardiovascular complications, little attention has been paid to acute myocardial infarction (AMI) accompanied by elevated cardiac markers.What this study addsThis case report demonstrates for the first time an association of metoprolol poisoning with acute myocardial infarction in a patient with a previou...

  4. Mercury and Your Health

    ... the Risk of Exposure to Mercury Learn About Mercury What is Mercury What is Metallic mercury? Toxicological Profile ToxFAQs Mercury Resources CDC’s National Biomonitoring Program Factsheet on Mercury ...

  5. Hair dye poisoning

    Hair tint poisoning ... Different types of hair dye contain different harmful ingredients. The harmful ingredients in permanent dyes are: Naphthylamine Other aromatic amino compounds Phenylenediamines Toluene ...

  6. Planet Mercury

    1974-01-01

    Mariner 10's first image of Mercury acquired on March 24, 1974. During its flight, Mariner 10's trajectory brought it behind the lighted hemisphere of Mercury, where this image was taken, in order to acquire important measurements with other instruments.This picture was acquired from a distance of 3,340,000 miles (5,380,000 km) from the surface of Mercury. The diameter of Mercury (3,031 miles; 4,878 km) is about 1/3 that of Earth.Images of Mercury were acquired in two steps, an inbound leg (images acquired before passing into Mercury's shadow) and an outbound leg (after exiting from Mercury's shadow). More than 2300 useful images of Mercury were taken, both moderate resolution (3-20 km/pixel) color and high resolution (better than 1 km/pixel) black and white coverage.

  7. Fatal poisonings in Oslo: a one-year observational study

    Heyerdahl Fridtjof

    2010-06-01

    Full Text Available Abstract Background Acute poisonings are common and are treated at different levels of the health care system. Since most fatal poisonings occur outside hospital, these must be included when studying characteristics of such deaths. The pattern of toxic agents differs between fatal and non-fatal poisonings. By including all poisoning episodes, cause-fatality rates can be calculated. Methods Fatal and non-fatal acute poisonings in subjects aged ≥16 years in Oslo (428 198 inhabitants were included consecutively in an observational multi-centre study including the ambulance services, the Oslo Emergency Ward (outpatient clinic, and hospitals, as well as medico-legal autopsies from 1st April 2003 to 31st March 2004. Characteristics of fatal poisonings were examined, and a comparison of toxic agents was made between fatal and non-fatal acute poisoning. Results In Oslo, during the one-year period studied, 103 subjects aged ≥16 years died of acute poisoning. The annual mortality rate was 24 per 100 000. The male-female ratio was 2:1, and the mean age was 44 years (range 19-86 years. In 92 cases (89%, death occurred outside hospital. The main toxic agents were opiates or opioids (65% of cases, followed by ethanol (9%, tricyclic anti-depressants (TCAs (4%, benzodiazepines (4%, and zopiclone (4%. Seventy-one (69% were evaluated as accidental deaths and 32 (31% as suicides. In 70% of all cases, and in 34% of suicides, the deceased was classified as drug or alcohol dependent. When compared with the 2981 non-fatal acute poisonings registered during the study period, the case fatality rate was 3% (95% C.I., 0.03-0.04. Methanol, TCAs, and antihistamines had the highest case fatality rates; 33% (95% C.I., 0.008-0.91, 14% (95% C.I., 0.04-0.33, and 10% (95% C.I., 0.02-0.27, respectively. Conclusions Three per cent of all acute poisonings were fatal, and nine out of ten deaths by acute poisonings occurred outside hospital. Two-thirds were evaluated as accidental

  8. Mercury(6)

    2002-01-01

    31. Since Mariner Ten's flight, astronomers have been trying to find out more about Mercury. Telescopes, including the orbiting Hubble Space Telescope,cannot help much. They would be damaged by the bright light of the sun if they turned to look at Mercury. So, astronomers are studying Mercury from observatories on Earth. They are recording information about the planet's radiation.

  9. 急性重度有机磷农药中毒合并呼吸、心跳停止8例临床救治%Clinical treatment of 8 cases of acute severe organophosphorus pesticide poisoning with respiratory,cardiac arrest

    韩海涛

    2014-01-01

    目的:探讨急性重度有机磷农药中毒并呼吸、心跳停止的临床救治。方法:收治8例急性重度有机磷农药中毒并呼吸、心跳停止的患者,对其临床资料进行回顾性分析。结果:患者均抢救成功。结论:给予急性重度有机磷农药中毒并呼吸、心跳停止的患者积极有效的治疗,可促进其康复。%Objective:To explore the clinical treatment of acute severe organophosphorus pesticide poisoning with respiratory, cardiac arrest.Methods:8 cases with acute severe organophosphorus pesticide poisoning with respiratory,cardiac arrest were selected.The clinical data were retrospectively analyzed.Results:All the patients were successfully treated.Conclusion:The positive and effective treatment for patients with acute severe organophosphorus pesticide poisoning with respiratory,cardiac arrest,can promote the rehabilitation.

  10. Recent advances in evaluation of health effects on mercury with special reference to methylmercury—A minireview

    Honda, Shun’ichi; Hylander, Lars; Sakamoto, Mineshi

    2006-01-01

    Mercury is a metal that has long been used because of its many advantages from the physical and chemical points of view. However, mercury is very toxic to many life forms, including humans, and mercury poisoning has repeatedly been reported. The main chemical forms of mercury are elemental mercury (Hg0), divalent mercury (Hg2+) and methylmercury (CH3−Hg+), the toxicities and metabolisms of which differ from each other. Methylmercury is converted from divalent mercury and is a well-known neuro...

  11. Mass carbon monoxide poisoning

    McGuffie, C; Wyatt, J.; Kerr, G; Hislop, W

    2000-01-01

    The largest occurrence of carbon monoxide poisoning in Britain demonstrates the potential for mass accidental poisoning. It emphasises the need for strict public health controls and the importance of good liaison between emergency services to ensure that such events are quickly recognised and that the necessary resources are organised.

  12. Amnesic Shellfish Poisoning (ASP)

    Ravn, H.

    HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae......HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae...

  13. 急性有机磷农药中毒的院前救治护理%Acute organophosphorus pesticide poisoning for treatment of pre-hospital care

    吴丽莹; 黄品超; 罗明春

    2012-01-01

      Objective Discussion of severe organophosphorus pesticide poisoning in patients with pre-hospital emergency treatment and effective care, to improve the success rate. Methods Retrospective analysis the situation of patients with 25 cases of pre-hospital case management and care in our hospital from May 2010 to December 2011 .Results Getting the victims of organophosphorus intoxication out of the toxic environment in time , patients with early gastric lavage nearby, matching doctors with the application of drug detoxification and nursing, attention to the close observation of the course of delivery , strengthening the psychological care pre-hospitaly is an important guarantee for success.Conclusions Effective pre-hospital treatment and care can improve the survival rate.%  目的探讨急性有机磷农药中毒患者的院前有效救治护理,以提高抢救成功率。方法回顾总结我院2010年5月至2011年12月25例患者的院前救治及护理情况。结果对有机磷农药中毒患者及时脱离中毒环境,早期就近洗胃,配合医生做好解毒药物的应用及护理,运送过程注意密切观察病情,加强心理护理是院前救治成功的重要保证。结论有效的院前救治及护理能提高抢救成功率。

  14. Mercury in municipal solid wastes and New Jersey mercury prevention and reduction program

    Erdogan, H.; Stevenson, E. [New Jersey Department of Environmental Protection, Trenton, NJ (United States). Division of Science and Research

    1994-12-31

    Mercury is a very toxic heavy metal which accumulates in the brain causing neurological damages involving psychasthenic and vegetative syndrome. At high exposure levels it causes behavioral and personality changes, loss of memory and insomnia. Long-term exposure or exposure during pregnancy to mercury or mercury compounds can permanently damage the kidney and fetus. In addition to potential effects on human health, mercury poisoning can also affect other living organisms. Mercury is different than other heavy metals. It consistently biomagnifies and bioaccumulates within the aquatic food chain. Global sources of mercury release are both natural and anthropogenic. Natural sources include volatilization of gaseous-mercury iron soils ana rocks, volcanic releases, evaporation from the ocean and other water bodies. Anthropogenic sources are fuel and coal combustion, mining, smelting, manufacturing activities, disposal of sludge, pesticides, animal and food waste, and incineration of municipal solid waste. Worldwide combustion of municipal solid waste is the second largest source of atmospheric emission of mercury. In New Jersey, incineration of solid waste is the largest source of atmospheric emission of mercury. The New Jersey Department of Environmental Protection and Energy (NJDEPE) has developed a comprehensive program to control and prevent emission of mercury resulting from combustion municipal solid waste.

  15. Analysis of risk factors of delayed encephalopathy after acute carbon monoxide poisoning%一氧化碳中毒迟发性脑病危险因素分析

    王伟强; 王勤勇; 李丽; 李晓红

    2013-01-01

    Objective To explore the risk factors for delayed encephalopathy after acute carbon monoxide poisoning (DEACMP).Methods All 198 patients with DEACMP were enrolled as DEACMP group,and 130 patients without DEACMP after acute carbon monoxide poisoning (ACMP) were as ACMP group.The general conditions(including age,gender,body mass index,occupation),poisoning degree,coma duration,the time of treatment of hyperbaric oxygen,complications after ACMP and brain image of CT/MRI were analyzed.Results The rates of age > 60 years,brainworkers,living alone in DEACMP group[65.2% (129/198),24.7% (49/198),48.5%(96/198)] were higher than those in ACMP group[50.0% (65/130),13.8% (18/130),19.2% (25/130)].The severe poisoning patients were more in DEACMP group than in ACMP group [58.1% (115/198) vs 9.2%(12/130),P < 0.01].The patients accompanied with cardiovascular and cerebrovascular diseases (including insufficiency of brain blood supply,encephalatrophy,coronay heart disease and hypertension) or diabetes in DEACMP group were more than those in ACMP grup(P <0.05 or P <0.01).The rates of coma duration more than 24 h and the time of treatment of hyperbaric oxygen treatment for more than 4 h in DEACMP group were higher than those in ACMP group (P < 0.05 or P <0.01).The patients accompanied with complications and brain injury in DEACMP group were more than those in ACMP group(P < 0.05 or P < 0.01).The multiple factor regression analysis explored 8 risk factors of DEACMP,including poisoning degree,coma time,brain materially injury,living alone,pulmonary infection,the time accepted treatment of hyperbaric oxygen,multiple organ dysfunctions and brainworkers.Conclusion There are versatile risk factors of DEACMP.%目的 探讨急性一氧化碳中毒迟发性脑病(DEACMP)的危险因素,为其预防提供参考.方法 DEACMP患者198例为DEACMP组,经历急性一氧化碳中毒(ACMP)但未出现DEACMP患者130例为ACMP组.对2组患者的一般情况[包括

  16. Diffusion-weighted MR imaging findings in carbon monoxide poisoning

    Diffusion-weighted MR imaging (DWI) of two patients with carbon monoxide (CO) poisoning demonstrated white matter and cortical hyperintensities. In one patient, the changes on the FLAIR sequence were more subtle than those on DWI. The DWI abnormality in this patient represented true restriction. In the second patient, repeated exposure to CO caused restricted diffusion. DWI may be helpful for earlier identification of the changes of acute CO poisoning. (orig.)

  17. PROFILE OF POISONING CASES IN A TERTIARY CARE HOSPITAL, TAMILNADU

    Karikalan

    2014-10-01

    Full Text Available BACKGROUND AND OBJECTIVES: Poisoning is an important public health problem causing significant morbidity and mortality throughout the world. Knowledge of general pattern of poisoning in a particular region will help in early diagnosis and treatment of cases, thus decreasing the rate of mortality and morbidity. Information available in our locality with regard to acute poisoning is limited. The present study was carried out with the objective to investigate the pattern of acute poisoning cases in a tertiary care hospital in Coimbatore, Tamilnadu. MATERIALS AND METHODS: A retrospective analysis of all acute poisoning cases admitted to the emergency department of Karpagam Faculty of Medical Sciences and Research from April 2003 to March 2004 was done to study the pattern of poisoning. Data regarding age, sex, marital status, occupation, religion, locality, route of exposure, time elapsed after intake, circumstances of poisoning, name of poisonous substance, chemical type, duration of hospitalization and outcome were collected and analyzed. RESULTS: All reported cases were found to be suicidal poisoning. Majority of cases were in the age group of 11 – 20 years. Females (112 cases, 70% outnumbered males (48 cases, 30%. Students attempted to commit suicide much commoner than others followed by house wives and daily wage laborers. The commonest poison consumed was cow dung powder. The mortality rate was higher among those consumed rat killer poison (37.5%. CONCLUSION: This study adds information to the existing data which may help to develop prevention strategies. Health education to adolescents at school and college level about poisoning, regular counseling program for all high school children either by an in house trained faculty or a child psychologist and early detection of risk taking behavior in adolescents may to some extent prevent deliberate self-harm in teenagers. Ban on cow dung powder sales in grocery shops should be followed by district

  18. Status and trends in poisonings in Denmark 2007-2009

    Dalhoff, Kim Peder; Bøgevig, Søren; Høgberg, Lotte Christine Groth;

    2011-01-01

    INTRODUCTION: The Danish Poison Information Centre (DPIC) provides information to the public and health care professionals on acute poisonings. The DPIC received 41,000 enquiries during the first three years of its existence as an open 24h telephone service. The aim of this data register study was...... individuals in the Danish population were registered in 2009. For all groups, except drugs of abuse, the data showed an increase in the actual number of exposures from 2008 to 2009. Pharmaceuticals represent one third of substance exposures, and analgesics constitute a third of these poisonings. A relative...

  19. Intentional and unintentional poisoning in Pakistan: a pilot study using the Emergency Departments surveillance project

    2015-01-01

    Background Acute poisoning is one of the most common reasons for emergency department visits around the world. In Pakistan, the epidemiological data on poisoning is limited due to an under developed poison information surveillance system. We aim to describe the characteristics associated with intentional and unintentional poisoning in Pakistan presenting to emergency departments. Methods The data was extracted from the Pakistan National Emergency Department Surveillance (Pak-NEDS) which was an active surveillance conducted between November 2010 and March 2011. All patients, regardless of age, who presented with poisoning to any of Pakistan's seven major tertiary care centers' emergency departments, were included. Information about patient demographics, type of poisoning agent, reason for poisoning and outcomes were collected using a standard questionnaire. Results Acute poisoning contributed to 1.2% (n = 233) of patients with intentional and unintentional injuries presenting to EDs of participating centers. Of these, 68% were male, 54% were aged 19 to 44 and 19% were children and adolescents (drug/medicine (27%), alcohol (16.7%) and food/plant (6%). In half of all patients the poisoning was intentional. A total of 11.6% of the patients were admitted and 6.6% died. Conclusion Poisoning causes more morbidity and mortality in young adults in Pakistan compared to other age groups, half of which is intentional. Improving mental health, regulatory control for hazardous chemicals and better access to care through poison information centers and emergency departments will potentially help control the problem. PMID:26691609

  20. Basic Information about Mercury

    ... Twitter Google+ Pinterest Contact Us Basic Information about Mercury On this page: What is mercury? Emissions of ... Consumer products that traditionally contain mercury What is Mercury? Mercury is a naturally-occurring chemical element found ...

  1. Changes in plasma osmolality in food poisoning

    Čanović Predrag; Nešić Ljiljana; Gajović Olgica; Mijailović Željko

    2006-01-01

    Introduction. Changes in plasma osmolality may occur during acute intestinal infections due to dehydration (loss of water and/or electrolytes). Depending on whether the water and electrolyte deficit is primary, or a proportional loss of water and electrolytes, dehydration can be classified into three categories: hypertonic, hypotonic and isotonic. Material and methods. Thirty (30) patients with food poisoning were included in this research. All patients were hospitalized because of frequent v...

  2. Potassium Permanganate Poisoning: A Nonfatal Outcome

    Eteiwi, Suzan M.; Al-Eyadah, Abdallah A.; Al-Sarihin, Khaldon K.; Ahmad A. Al-Omari; Rania A. Al-Asaad; Haddad, Fares H.

    2015-01-01

    Acute poisoning by potassium permanganate is a rare condition with high morbidity and mortality. Diagnosis of the condition relies on a history of exposure or ingestion and a high degree of clinical suspicion. Oxygen desaturation and the presence of methemoglobin are also helpful indicators. Since no specific antidote is available, treatment is mainly supportive. Few cases have been reported in the literature following potassium permanganate ingestion, whether intentional or accidental, and m...

  3. Organic environmental poisons in Norwegian freshwater fish

    According to this article, the level of organic poisons in Norwegian freshwater fish is, on the whole, is too small to threaten human health. It has been found, however, that liver from some species such as burbot, from some lakes, should not be eaten. These lakes are found to contain higher levels of PCB (polychlorinated biphenyls) and DDT (dichlorodiphenyltrichloroethane). Previously, pregnant or breast-feeding women anywhere in Norway have been advised not to eat pike, large perch or large trout because of too much mercury. Other people should not eat these species more often than once per month. In general, the level of organic environmental poisons is higher in the southern part of the country than in the northern part. The sediments of the lakes in large parts of South Norway are contaminated with lead, mercury and cadmium as compared with the conditions before the industrial revolution. However, the level of metals in the lake sediments are relatively low, and these substances are unlikely to appear in the food chain, by and large. The anthropogenic emission of lead was insignificant before the industrial revolution. The exception of lead from German mining industry in the 1700s

  4. Mercury(1)

    2002-01-01

    1.Mercury is the planet closest to the sun.It is thefastest moving planet.And it is the second smallestplanet in our solar system. 2.Mercury is very difficult to see.Its orbit isbetween us and the sun.So,we have to look toward thebright light of the sun to see it.The sunlight usuallyhides Mercury.When we can see it,it appears as a fuzzyball.

  5. Arsenic – Poison or medicine?

    Karolina Kulik-Kupka

    2016-04-01

    Full Text Available Arsenic (As is commonly known as a poison. Only a few people know that As has also been widely used in medicine. In the past years As and its compounds were used as a medicine for the treatment of such diseases as diabetes, psoriasis, syphilis, skin ulcers and joint diseases. Nowadays As is also used especially in the treatment of patients with acute promyelocytic leukemia. The International Agency for Research on Cancer (IARC has recognized arsenic as an element with carcinogenic effect evidenced by epidemiological studies, but as previously mentioned it is also used in the treatment of neoplastic diseases. This underlines the specificity of the arsenic effects. Arsenic occurs widely in the natural environment, for example, it is present in soil and water, which contributes to its migration to food products. Long exposure to this element may lead to liver damages and also to changes in myocardium. Bearing in mind that such serious health problems can occur, monitoring of the As presence in the environmental media plays a very important role. In addition, the occupational risk of As exposure in the workplace should be identified and checked. Also the standards for As presence in food should be established. This paper presents a review of the 2015 publications based on the Medical database like PubMed and Polish Medical Bibliography. It includes the most important information about arsenic in both forms, poison and medicine. Med Pr 2016;67(1:89–96

  6. Hair dye poisoning

    Hair dye poisoning occurs when someone swallows dye or tint used to color hair. This article is for ... Different types of hair dye contain different harmful ingredients. ... aromatic amino compounds Phenylenediamines Toluene diamines ...

  7. Ethylene glycol poisoning

    ... causes disturbances in the body's chemistry, including metabolic acidosis . The disturbances may be severe enough to cause ... given through a vein (IV) to reverse severe acidosis Antidotes that slow the formation of the poisonous ...

  8. Potassium carbonate poisoning

    Potassium carbonate is a white powder used to make soap, glass, and other items. This article discusses poisoning from swallowing or breathing in potassium carbonate. This article is for information only. Do ...

  9. Sodium carbonate poisoning

    Sodium carbonate (known as washing soda or soda ash) is a chemical found in many household and ... products. This article focuses on poisoning due to sodium carbonate. This article is for information only. Do ...

  10. Sodium hydroxide poisoning

    Sodium hydroxide is a very strong chemical. It is also known as lye and caustic soda. This ... poisoning from touching, breathing in (inhaling), or swallowing sodium hydroxide. This article is for information only. Do ...

  11. Tips to Prevent Poisonings

    ... chemical products such as cleaning solutions or beauty products. Never mix household products together. For example, mixing bleach and ammonia ... the fan and open windows when using chemical products such as household cleaners. Keep Young Children Safe from Poisoning Be ...

  12. Poison Ivy Dermatitis

    ... Category: Share: Yes No, Keep Private Poison Ivy Dermatitis Share | "Leaves of three - let it be!" aptly ... is caused by an allergic reaction ( allergic contact dermatitis ) to the oily coating that covers of these ...

  13. Medicine Poisoning in Child

    Vera Lígia Montenegro de Albuquerque

    2003-12-01

    Full Text Available The aims of this study were to identify the main medications responsible for exogenous poisoning of children attended at a referral emergency hospital of Fortaleza, Ceará State,Brazil; to describe the most prevalent age and gender, as well as the main reactions presented by poisoned children. It was a documental retrospective study of 203 records of patients attended in 1997 at the Toxicology Center of Ceará. Our results showed that antidepressants, bronchodilators and vitamins were the most common agents; 77% of poisoned children were between 1 and 4 years of age, and 54% were males; somnolence, psicomotor excitement, tachycardia and vomiting were the most commonly encountered reactions. In conclusion, these medicines represents an important cause of children poisoning, Families must attempt to the safe storing and dealing with these products. It is mandatory that the government determines the utilization of special packages for children protection in our country.

  14. Drain cleaner poisoning

    ... this page: //medlineplus.gov/ency/article/002779.htm Drain cleaner poisoning To use the sharing features on this page, please enable JavaScript. Drain cleaners contain very dangerous chemicals that can be ...

  15. Carbon monoxide poisoning

    ... heater). Many carbon monoxide poisonings occur in the winter months when furnaces, gas fireplaces, and portable heaters ... 16567227 www.ncbi.nlm.nih.gov/pubmed/16567227 . Nelson LS, Hoffman RS. Inhaled toxins. In: Marx JA, ...

  16. Rhubarb leaves poisoning

    ... Field R, Panter KE, et al. Selected poisonous plants affecting animal and human health. In: Haschek WAM, Rousseaux CG, Wallig MA, eds. Haschek and Rousseaux's Handbook of Toxicologic Pathology . 3rd ed. Philadelphia, PA: Elsevier; 2013:chap 40.

  17. Cold wave lotion poisoning

    ... this page: //medlineplus.gov/ency/article/002693.htm Cold wave lotion poisoning To use the sharing features on this page, please enable JavaScript. Cold wave lotion is a hair care product used ...

  18. Poison Control Centers

    ... King St., Suite 510 Alexandria, VA 22314 Online http://www.aapcc.org/ Email not for emergency use. ... Poison Center" in the memo line. Donate online: http://bit.ly/1HDxdHb Tucson, AZ 85721 Online http:// ...

  19. Hair spray poisoning

    Hair spray poisoning occurs when someone breathes in (inhales) hair spray or sprays it down their throat or into their eyes. ... The harmful ingredients in hair spray are: Carboxymethylcellulose ... Polyvinyl alcohol Propylene glycol Polyvinylpyrrolidone

  20. Metal cleaner poisoning

    Metal cleaners are very strong chemical products that contain acids. This article discusses poisoning from swallowing or ... Metal cleaners contain organic compounds called hydrocarbons, including: 1,2-butylene oxide Boric acid Cocoyl sarcosine Dicarboxylic ...

  1. Acid soldering flux poisoning

    ... Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 158. Mirkin DB. Benzene and ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 94. Wax PM, Yarema M. ...

  2. Window cleaner poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 32. Mycyk MB. Toxic alcohols. ... JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 151. White SR. Toxic alcohols. ...

  3. Ammonium hydroxide poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 97. Harchelroad FP Jr, Rottinghaus ... Textbook of Critical Care . 6th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 187. Wax PM, Yarema M. ...

  4. Bug spray poisoning

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 77. Cannon RD, Ruha A- ... JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 146. Freedman DO. Protection of ...

  5. Wart remover poisoning

    ... Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 48. Nelson LS, Ford MD. ... eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 110. Seger DL, Murray L. ...

  6. Swimming pool cleaner poisoning

    Swimming pool cleaner poisoning occurs when someone swallows this type of cleaner, touches it, or breathes in ... The harmful substances in swimming pool cleaner are: Bromine ... copper Chlorine Soda ash Sodium bicarbonate Various mild acids

  7. Clinical features or metabolic disorder in acute alcohol poisoning and treatment experience%急性酒精中毒致代谢紊乱的临床特点及救治体会

    李秋松; 陈翀; 王保平; 王锡洪; 肖化军

    2011-01-01

    Objective: To investigate the clinical features of kaliun、 natrum、 chlorum、 glucose and acid- alkali metabolic disorders, proposed treatment plan. Methods: 156 patients with acute severe alcohol poisoning were divided into stupor group and coma group, determination of blood alcohol concentration and kaliun、natrum、 chlorum、glucoso and pH change, treatment approach to fluid therapy and naloxone applications and hemodialysis.Results : Two groups were compared with blood alcohol concentration was significantly different(P<0. 01) ,metabolic acidosis was the most common metabolic disorder accounted for 47. 4%, the rest were hyponatremia、 hypokalemia and hypochloremia, blood glucose was diversity. Coma group patients metabolic acidosis、 hyponatremia、hypokalemia and hypochloremia were significantly lower than stupor group (P<0. 05), two group of patients after treatment were discharged in 24 hours. Conclusions:The incidences of metabolic disorder are higher in acute severe alcohol poisoning patients,which should be paid attention to in emergency work. Fluid therapy、 the application of naloxone and hemodialysis were the exact effective treatment methods.%目的:探讨急性酒精中毒患者的钾、钠、氯、糖及酸碱紊乱的临床特点,提出救治方案.方法:根据意识障碍程度将重度酒精中毒患者156例分为昏睡组和昏迷组,分别测定血液中的乙醇浓度及血钾、钠、氯、糖及 pH值的变化;救治方法以液体治疗、纳络嗣应用及血液透析为主.结果:两组患者血液中乙醇浓度相比有显著性差异(P<0.01).代谢紊乱变化以代谢性酸中毒最为常见,达47.7%,其次为低钠、低钾和低氯,血糖的变化呈多样性.昏迷组患者代谢性酸中毒、低钠、低钾和低氯的发生率明显高于昏睡组(P<0.05).经有效治疗后两组患者均在入院后24h内出院.结论:量度急桂酒精中毒有较明显的代谢紊乱,应予以重视.液体治疗、纳络嗣

  8. Intoxicação aguda por samambaia (Pteridium aquilinum em bovinos na Região Central do Rio Grande do Sul Acute poisoning by bracken fern (Pteridium aquilinum in cattle in central Rio Grande do Sul, Brazil

    Bruno L. Anjos

    2008-10-01

    Full Text Available Foram revisados casos de intoxicação por samambaia (Pteridium aquilinum em bovinos de 10 pequenas propriedades rurais de sete municípios da Região Central do Rio Grande do Sul. O estudo abrangeu 6.256 necrospias de bovinos realizadas num período de 43 anos e incluiu 15 necropsias de bovinos que morreram em conseqüência da intoxicação aguda por samambaia. As taxas de morbidade e mortalidade foram 17,9% e a letalidade era virtualmente de 100%. Em 40% das propriedades a doença ocorreu em pequenos surtos afetando vários bovinos; em 60% das propriedades apenas um bovino era afetado. Os principais sinais clínicos incluíam febre (40-42ºC, apatia, salivação e hemorragias, principalmente pelas gengivas, pela cavidade nasal e pelo trato gastrintestinal. Múltiplas petéquias eram observadas nas mucosas e na pele. Ocasionalmente observou-se hematúria e sangue no leite. A doença era invariavelmente fatal após um curso clínico de dois dias. Alterações hematológicas consistiam de leucopenia por neutropenia, anemia normocítica normocrômica e trombocitopenia arregenerativa. Os achados de necropsia incluíam hemorragias de intensidade variável em vários órgãos e infartos no fígado. Tanto as hemorragias quanto os infartos foram confirmados histologicamente; agregados de bacilos e vasos trombosados foram observados em associação com os infartos. Aplasia da medula óssea era um achado consistente nos quatro casos em que esse órgão foi examinado.Cases of acute poisoning by bracken fern (Pteridium aquilinum in cattle from 10 small farms of seven municipalities of the Central Region of Rio Grande do Sul State, Brazil, were reviewed. The study encompassed 6,256 necropsies of cattle considering a 43-year period and included 15 necropsies of cattle dying from acute bracken poisoning. Morbidity and mortality were 17.9% and lethality was virtually 100%. In 40% of the farms the disease occurred in small outbreaks affecting several cattle

  9. Carbon monoxide poisoning.

    Kao, Louise W; Nañagas, Kristine A

    2005-11-01

    CO is an ubiquitous poison with many sources of exposure. CO poisoning produces diverse signs and symptoms that are often subtle and may be easily misdiagnosed. Failure to diagnose CO poisoning may result insignificant morbidity and mortality and permit continued exposure to a dangerous environment. Treatment of CO poisoning begins with inhalation of supplemental oxygen and aggressive supportive care. HBOT accelerates dissociation of CO from hemoglobin and may also prevent DNS. Absolute indications forHBOT for CO poisoning remain controversial, although most authors would agree that HBOT is indicated in patients who are comatose or neurologically abnormal, have a history of LOC with their exposure, or have cardiac dysfunction. Pregnancy with an elevated CO-Hgb level(>15%-20%) is also widely, considered an indication for treatment.HBOT may be considered in patients who have persistent symptoms despite NBO, metabolic acidosis, abnormalities on neuropsychometric testing, or significantly elevated levels. The ideal regimen of oxygen therapy has yet to be determined, and significant controversy exists regarding HBOTtreatment protocols. Often the local medical toxicologist, poison control center, or hyperbaric unit may assist the treating physician with decisions regarding therapy. PMID:16227059

  10. Occupational and environmental toxicology of mercury and its compounds.

    Satoh, H

    2000-04-01

    Mercury exists in various chemical forms. The important forms from a toxicological viewpoint are the metallic form, also called the elemental form, the divalent inorganic forms and methylmercury compounds. Elemental (Hg0) mercury has a high vapor pressure and the vapor causes a number of cases of poisoning via inhalation. Classical mercury poisoning is characterized by a triad of signs, namely tremors, erethism and gingivitis. Mercurial erethism, which is characterized by behavioral and personality changes such as extreme shyness, excitability, loss of memory, and insomnia are also observed. Recently, the effects of mercury exposure at levels around 0.05 mg/m3 or lower have been of concern and may include minor renal tubular damage, increased complaints of tiredness, memory disturbance and other symptoms, subclinical finger tremor, abnormal EEG by computerized analysis and impaired performance in neurobehavioral or neuropsychological tests. Abnormal gait, dysarthria, ataxia, deafness and constriction of the visual field are typical of the symptoms of methylmercury poisoning observed in Minamata and Iraqi outbreaks, as well as in occupational methylmercury poisoning cases. Furthermore, an infant born to a mother with excessive methylmercury consumption showed various neurological disturbances and delayed development. Since several populations are believed to be still exposed to methylmercury through the consumption of fish and sea mammals, neurobehavioral deviations in children of these populations have recently been investigated. PMID:10812838

  11. [The protective effect of pantothenic acid derivatives and changes in the system of acetyl CoA metabolism in acute ethanol poisoning].

    Moiseenok, A G; Dorofeev, B F; Omel'ianchik, S N

    1988-01-01

    Calcium pantothenate (CaP), calcium 4'-phosphopantothenate (CaPP), pantethine, panthenol, sulfopantetheine and CoA decrease acute toxicity of acetaldehyde in mice. All studied compounds diminish duration of the narcotic action of ethanol--ET (3.5 g/kg intraperitoneally) in mice and rats. In the latter this effect is realized at the expense of "long sleeping" and "middle sleeping" animals. CaP (150 mg/kg subcutaneously) and CaPP (100 mg/kg subcutaneously) prevent hypothermia and a decrease of oxygen consumption in rats induced by ET administration. Combined administration of ET, CaP and CaPP leads to a characteristic increase of acid-soluble CoA fractions in the rat liver and a relative decrease of acetyl CoA synthetase and N-acetyltransferase reactions. The antitoxic effect of preparations of pantothenic acid is not mediated by CoA-dependent reactions of detoxication, but most probably is due to intensification of ET oxidation and perhaps to its elimination from the organism. PMID:2905277

  12. Methadone Related Poisoning on the Rise in Tehran, Iran

    Kambiz Soltaninejad

    2014-09-01

    Full Text Available Background: In Iran, methadone has been used for methadone maintenance treatment (MMT as well as analgesic treatment in pain clinics. Recently, there are some reports regarding accidental and intentional methadone poisonings and deaths. The aim of this study was to evaluate the trend of methadone poisonings and deaths during a 10-year period in Tehran, Iran. Methods: This was a retrospective cross-sectional study over 2000 to 2010. Patients with a documented methadone poisoning who were admitted in Loghman Hakim Hospital Poison Center in Tehran, Iran were identified and included in the study. The data including patients’ age, gender, ingested dose, co-ingestants, intention of ingestion and outcome were extracted from the patients’ medical records. Results: During the study period, 1426 cases of methadone poisoning were recorded, of which, 1041 cases (73% were men. Thirty-six cases (2.5% died. Mean age of the patients was 29.9 ± 17 years. In 476 cases, the intention of poisoning could not be determined, and in the remaining, the intention was misuse (n = 273, 28.7%, suicide (n = 254, 26.7%, accidental (n = 245, 25.8% and abuse (n = 178, 18.8%. Mean of the ingested dose of methadone was 120.6 ± 306.8 mg. The incidence of acute methadone poisoning per one million population of Tehran was 0.43 in 2000 that rose to 37.62 in 2010. Conclusion: The results indicate that methadone poisoning and deaths have increased in Tehran. MMT clinics should be strictly run according to the national guideline to prevent methadone poisoning. With regard to high frequency of poly-drug use in methadone poisoning, it seems important to warn health care providers against prescription of other drugs with methadone. 

  13. Mercury(5)

    2002-01-01

    26. Mercury appears to have a center of iron thattakes up seventy-five percent 0f the planet. There isonly a thin outer covering of rock around the core. Someastronomers think most of Mercury's rock was explodedoff when the planet was hit by a huge object early in itshistory.

  14. Pancreatitis aguda necrotizante en una intoxicación fatal por metadona Acute necrotizing pancreatitis in a fatal poisoning with methadone

    A. Sibón

    2004-01-01

    Full Text Available La pancreatitis necrotizante es una causa infrecuente de muerte súbita. La metadona, un fármaco empleado en el tratamiento sustitutivo de adictos a opiáceos, ha sido responsable de muertes tras su ingestión accidental por niños cuando estaba a su alcance, en intentos autolíticos o después de un período de abstinencia en pacientes con tolerancia. La muerte se debe a depresión del sistema nervioso central y depresión respiratoria. Reportamos un caso de muerte súbita con pancreatitis aguda necrotizante y hemorrágica, hemorragia suprarrenal y edema pulmonar en el contexto de una sobredosis por metadona en un paciente en programa de mantenimiento. Se descartaron otras causas frecuentes de pancreatitis como el alcoholismo crónico o la patología de tracto biliar. Discutimos la constelación de hallazgos para sugerir un posible mecanismo fisiopatológico.Necrotic pancreatitis is a rare cause of sudden death. Methadone, a drug used as a substitution treatment in heroin addicts, has been responsible for deaths after accidental ingestion by children of carelessly stored methadone, in suicide attempts or after a period of abstinence in tolerant patients. Death results from central nervous system and respiratory depression. We report a case of a sudden death with acute hemorrhagic and necrotizing pancreatitis, suprarenal haemorrhagia and pulmonary edema in the context of an overdose of methadone in a patient in an opioid maintenance program. Other frequent causes of pancreatitis such as chronic alcoholism and biliary tract disease were ruled out. We discuss the constellation of findings with regard to possible pathophysiological mechanisms.

  15. Acrodynia: exposure to mercury from fluorescent light bulbs

    Tunnessen, W.W. Jr.; McMahon, K.J.; Baser, M.

    1987-05-01

    Medical attention was sought for a 23-month-old toddler because of anorexia, weight loss, irritability, profuse sweating, peeling and redness of his fingers and toes, and a miliarial rash. The diagnosis was mercury poisoning, and an investigation of his environment disclosed that he had been exposed to mercury from broken fluorescent light bulbs. Acrodynia resulting from fluorescent bulbs has not been previously reported.

  16. Effects of trophic poisoning with methylmercury on the appetitive elements of the agonistic sequence in fighting-fish (Betta splendens).

    Gouveia, Amauri; de Oliveira, Caio Maximino; Romão, Cynthia Ferreira; de Brito, Thiago Marques; Ventura, Dora Fix

    2007-11-01

    The aggressive display in Betta splendens is particularly prominent, and vital to its adaptation to the environment. Methylmercury is an organic variation of Hg that presents particularly pronounced neuro-behavioral effects. The present experiments aim to test the effect of acute and chronic poisoning with methylmercury on the display in Bettas. The animals were poisoned by trophic means in both experiments (16 ug/kg in acute poisoning; 16 ug/kg/day for chronic poisoning), and tested in agonistic pairs. The total frequency of the display was recorded, analyzing the topography of the agonistic response. The methylmercury seems to present a dose- and detoxification-dependent effect on these responses, with a more pronounced effect on motivity in acute poisoning and on emotionality in the chronic poisoning. It is possible that this effect could be mediated by alteration in the mono-amino-oxidase systems. PMID:17992970

  17. Epidemiological analysis of poisoning cases in Van, Turkey

    Objective: To investigate the etiological and demographical characteristics of acute adult poisoning cases in eastern Turkey. Methods: The retrospective study was conducted at the Emergency Department of Yuzuncu Yil University, School of Medicine, and comprised data related to the period between 2007 and 2009. The data obtained included age, gender, referrals, manner of poisoning, manner of application, the department which followed up on the patients, duration of hospital stay. All data was noted on proforma. SPSS 15 was used for statistical analysis. Results: Of the total cases visiting the Emergency Department, 1207 (1.1%) related to poisoning. Of them, 880 (72.9%) had attempted suicide; 858 (71.1%) were female; 349 (29%) were male. The average age of the females was 25.4+-8.5 years, and that of the males 28.3+-14.3 years. Single-medicine was noted in poisoning 544 (45.1%) patients. Other poisoning types were multidrugs 373 (30.9%); rat poisoning, insecticide and pesticides, 145 (12%); corrosives 38 (3.1%); and weed, mushroomang; food 47 (3.8%). Oral poisoning was noted in 1141 (94.5%) cases. A total of 1019 (84.4%) patients received treatment and were followed up in the Emergency Department. Six (0.6%) patients died. Conclusion: There is a need to generate more awareness about the hazards of domestic cleaning products and to keep it away at some distinct place to minimised chances of confusion. (author)

  18. Most common poisonings and their management--data from Tbilisi.

    Kobidze, T S; Gerzmava, O Kh; Areshidze, T Kh; Tsintsadze, M A; Dikhamindzhiia, O B

    2009-01-01

    The purpose of the present study was to evaluate the toxicological aid and efficiency of preventive measures and methods in treatment of acute exogenous intoxications in hospitals in Tbilisi in 1990-2005. Structure of poisoning accidents in Tbilisi, its trends in last decade is analyzed and explained. The data were obtained in Georgian National Center for Disease Control and Medical statistics in Tbilisi. The study revealed that total number of hospitalizations due to acute poisoning in Tbilisi exceeded the number of hospitalizations due to acute myocardial infarction. In 1992-1994 Georgia was in severe social-economic crisis: the cases of acute poisoning increased and the number of hospitalizations had been reduced with concomitant longer hospital stay (in 1992--10.7 hospital days; in 1993-1994--13.7 hospital days), and higher mortality (in 1992--4%; in 1993--5.5%; 1994--5.2%). Low hospitalization rates in 1992-1994 should be explained by late patient referral to hospitals. Longer hospital stay was available due to free hospital care at that time. In 1995 with termination of free medical care number of hospitalized patients with acute intoxication raised annually; hospital stay shortened and mortality rate decreased. In 2003 mortality was reduced by 0.74% in Tbilisi. The prevalence of acute alcoholic intoxication incidence was noticed. Therefore hospital stay decreases. High prevalence of acute alcoholic intoxication was explained by the growth of alcohol consumption; lack of quality control of beverage production resulting in huge amount of unconditioned and counterfeit substances in the market, etc. As to poisonings due to medical substances 42% of cases were intoxications with anticonvulsants, sedative and psychotropic preparations; 17% with cardiovascular drugs; and 10% with narcotic substances. It was found, that poisoning incidence and their outcome significantly depend on social-economical conditions in Georgia. Measures to improve toxicology care in the

  19. Searching for the universal reactivator for treatment of pesticide poisoning

    According to the present knowledge, none of the currently available oximes (pralidoxime, obidoxime, trimedoxime, MMB-4 or HI-6) originally developed for the treatment of the nerve agent poisonings is able to treat organophosphorus pesticide poisoning. Among them, obidoxime seems to be the best candidate, however, its high toxicity disfavors its application in the high quantities. As byproduct of our searching for the new nerve agent reactivators, we found that oxime K027 seems to be very promising in the case of the treatment of organophosphorus pesticide poisonings. Its reactivation potency is similar or better than that of obidoxime, and moreover, its acute toxicity is lower. Thanks to these results, this oxime seems to be the best candidate for future use as universal reactivator for the treatment of poisonings caused by organophosphorus pesticides. This work was supported by the Czech Grant Agency - project No. 305/07/P162.(author)

  20. Influence of mercury accumulation on fish

    Dokholyan, V.K.; Akhmedov, A.M.; Akhmedova, T.P.; Shleyfer, G.S.

    1981-01-01

    Questions of the accumulation and distribution of mercury in the organs and tissues of different species of fish were examined in relation to the influence of mercury on survival, physiological and biochemical indices of the blood and brain. In the sturgeon and the roach, mercury accumulated primarily in the kidneys, liver, spleen and gills. The uneven distribution is evidently due to differentiation and differences in the degree of intensity of the metabolic processes of the cells in the organs and tissues, and the physico-chemical mechanism of the interaction of mercury with the biological structure is also important. There are substantial changes in the composition of the blood as a result of intoxication. In the sturgeon and roach a drop is noted in erythrocytes, hemoglobin and leukocytes and qualitative changes in the red blood cells also occur. Deviations were also noted in the correlation of individual forms of leukocytes. These changes are evidently provoked both by the direct presence of mercury in the blood stream and by its disruption of the functions of the hematopoetic organs. Mercury poisoning leads to disruption of the nitrogen metabolism of the brain of the fish. With the accumulation of mercury in fish to a certain critical level, the metabolic processes are inhibited or altered and the defense functions of the blood are weakened. 17 references, 6 figures, 4 tables.

  1. Effect of long-term drinking on postmortem redistribution of MDMA in acute poisoned rats%长期饮酒对急性中毒大鼠死后体液内MDMA再分布的影响

    梁曼; 李学博; 张海东; 刘红霞; 卓荦; 刘良

    2012-01-01

    Objective To investigate the effect of long-term drinking on postmortem redistribution (PMR) of 3, 4-methylenedioxymethamphetamine (MDMA) in body fluids of acute poisoned rats. Methods 360 male rats were divided into four groups randomly; group A and B were fed on alcohol, while group C and D on doubledistilled water for 4 weeks. After oral administration of MDMA (150 mg/kg) , rats were put to death and the bodies were kept at 25X1 or4t, respectively. Ethanol in heart bloods were determined when rats were put to death and MDMA in body fluids were detected in 0 ~ lOd by GC VARIAN CP-3800. Results In 0 ~ lOd under different conditions, the concentration of MDMA in blood, vitreous humor and urine of MDMA poisoned rats rose, and then reduced; there were significant differences of MDMA concentrations between group A and C, group B and D (P < 0.05) compared to concentrations at Oh; and significant differences of the concentrations between group A and B, group C and D (P < 0.05 ). Conclusion Long-term drinking could limit the PMR of MDMA in body fluids at a certain degree. And the extent of decrease in blood, urine and vitreous humor were less in turn. The low temperature recede the PMR of MDMA in body fluids.%目的 研究长期饮酒对急性中毒大鼠体液中亚甲基二氧甲基苯丙胺(MDMA)死后再分布的影响.方法 SD雄性大鼠360只,随机均分为A、B、C、D4组;A、B组以白酒,C、D组以双蒸水为饮用液体,4周后各组按150mg/kg MDMA剂量灌胃,处死后分置于25℃、4℃条件下;以VARIAN CP-3800气相色谱仪分别检测处死时血乙醇含量和0~10d内体液样品中MDMA浓度.结果 0~10d不同条件下,大鼠血液、玻璃体液及尿液中MDMA的PMR浓度变化趋势均为先升高、后降低;各时间点A、B组和C、D组大鼠各体液样本MDMA浓度较0h均有显著性差异(P<0.05),各时间点A与C组、B与D组之间体液样本MDMA浓度有显著性差异(P<0.05);A与B组、C与D组之间体液样

  2. Poison control center - emergency number

    For a POISON EMERGENCY call: 1-800-222-1222 ANYWHERE IN THE UNITED STATES This national hotline number will let you ... is a free and confidential service. All local poison control centers in the United States use this ...

  3. Poison ivy - oak - sumac rash

    ... this page: //medlineplus.gov/ency/article/000027.htm Poison ivy - oak - sumac rash To use the sharing features on this page, please enable JavaScript. Poison ivy, oak, and sumac are plants that commonly ...

  4. 10 "Poison Pills" for Pets

    ... Care Animal Welfare Veterinary Careers Public Health 10 "Poison Pills" for Pets Anyone who takes medication prescribed ... of all phone calls to the ASPCA Animal Poison Control Center (APCC) are about human medications. Your ...

  5. Poison ivy - oak - sumac rash

    Poison ivy, oak, and sumac are plants that commonly cause an allergic skin reaction. The result is most often ... oils most often enter the skin rapidly. POISON IVY This is one of the most frequent causes ...

  6. Carbon monoxide poisoning: correlation of neurological findings between accident and emergency departments and a hyperbaric unit

    Lynch, R.; Laden, G; Grout, P

    2001-01-01

    Objectives—To investigate and quantify the differences in neurological examination findings in patients acutely poisoned with carbon monoxide, between initial assessment at accident and emergency (A&E) departments and subsequently at a hyperbaric unit.

  7. Extracorporeal treatment for thallium poisoning

    Ghannoum, Marc; Nolin, Thomas D; Goldfarb, David S;

    2012-01-01

    The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl).......The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl)....

  8. Chronic lead poisoning

    Hess, K.; Straub, P.W.

    1974-02-19

    A detailed description is given of the complex pathological picture observed in the case of a worker with 30 years' occupational exposure to lead in an accumulator factory (evolution of the disease, clinical findings, autopsy). In spite of a typical clinical picture, lead is not held responsible for the terminal encephalopathy, in view of the fact that Alzheimer's syndrome was discovered at autopsy. However, the neurovegetative asthenia and progressive kidney disease without hypertonia, but with uraemia, which preceded the encephalopathy are in all probability due to chronic lead poisoning. The article discusses the diagnosis and symptomatology of chronic lead poisoning, encephalopathy and kidney disease.

  9. Mercury and Pregnancy

    ... Home > Pregnancy > Is it safe? > Mercury and pregnancy Mercury and pregnancy E-mail to a friend Please ... vision problems. How can you be exposed to mercury? Mercury has several forms: It can be a ...

  10. Poison Ivy/Oak/Sumac

    ... Melon Smoothie Pregnant? Your Baby's Growth First Aid: Poison Ivy/Oak/Sumac KidsHealth > For Parents > First Aid: Poison Ivy/Oak/Sumac Print A A A Text Size The oil in poison ivy /oak/sumac plants (called urushiol ) can cause ...

  11. Got Mercury?

    Meyers, Valerie; James, John T.; McCoy, Torin; Garcia, Hector

    2010-01-01

    Many lamps used in various spacecraft contain elemental mercury, which is efficiently absorbed through the lungs as a vapor. The liquid metal vaporizes slowly at room temperature, but may be completely vaporized when lamps are operating. Because current spacecraft environmental control systems are unable to remove mercury vapors, we considered short-term and long-term exposures. Using an existing study, we estimated mercury vapor releases from lamps that are not in operation during missions lasting less than or equal to 30 days; whereas we conservatively assumed complete vaporization from lamps that are operating or being used during missions lasing more than 30 days. Based on mercury toxicity, the Johnson Space Center's Toxicology Group recommends stringent safety controls and verifications for any hardware containing elemental mercury that could yield airborne mercury vapor concentrations greater than 0.1 mg/m3 in the total spacecraft atmosphere for exposures lasting less than or equal to 30 days, or concentrations greater than 0.01 mg/m3 for exposures lasting more than 30 days.

  12. SPECTRUM OF POISONING IN CHILDREN: STUDY FROM TERTIARY CARE HOSPITAL IN SOUTH INDIA

    Mallesh

    2015-08-01

    Full Text Available PURPOSE: To understand pattern of poisoning in different age group in tertiary child care center and quantify burden of poisoning in pediatric admissions and mortality. DESIGN: Retrospective observation study. SETTING: Tertiary care center for children. METHODS: All the children admitted with diagnosis of acute poisoning between January 2013 and June 2015 was studied. RESULTS: There were 332 admissions due to poisoning during the study period (5.4% of total admissions. Mortality due to poisoning was 7, i.e. , 1.97% of all - cause mortality. 2.1% of poisonings died during the study period where a s overall mortality from all causes was 5.71%. House hold Products topped the list with 112 cases, followed by agricultural products (88 cases, animal bites and stings (69 cases, drugs (48 cases and industrial compounds (7 cases. Majority of admissions were in summer seasons 31% of all poisoning followed by rainy season. CONCLUSIONS: Incidence of acute poisoning in childhood has not changed significantly over time. Organophosphorus compounds, phosphides and drugs poisoning peak during adolescence and is particularly alarming. Conditions such as free availability of these compounds, co morbid conditions of adolescents, adolescent stressors have to be addressed

  13. Hemlock water dropwort poisoning.

    Ball, M J; Flather, M. L.; Forfar, J C

    1987-01-01

    Severe plant poisoning is relatively uncommon in adults. We report two adults who ingested hemlock water dropwort roots, having mistaken them for wild parsnip. One developed prolonged convulsions, severe metabolic acidosis and respiratory distress requiring mechanical ventilation. The toxin--oenanthotoxin--was detected in the gastric aspirate and measured by high performance liquid chromatography.

  14. Cold wave lotion poisoning

    ... and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call ... forms that need to be diluted before use. Exposure to concentrated cold wave lotion will cause much more damage than over-the-counter lotion.

  15. Heterogeneous burnable poisons:

    The use of materials possessing high neutron absorption cross-section commonly known as 'burnable poisons' have its origin in BWR reactors with the purpose of improving the efficiency of the first fuel load. Later on, it was extended to PWR to compensate of initial reactivity without infringing the requirement of maintaining a negative moderator coefficient. The present tendency is to increase the use of solid burnable poisons to extend the fuel cycle life and discharge burnup. There are two concepts for the burnable poisons utilization: 1) heterogeneously distributions in the form of rods, plates, etc. and 2) homogeneous dispersions of burnable poisons in the fuel. The purpose of this work is to present the results of sinterability studies, performed on Al2O3-B4C and Al2O3-Gd2O3 systems. Experiments were carried on pressing at room temperature mixtures of powders containing up to 5 wt % of B4C or Gd2O3 in Al2O3 and subsequently sintering at 1750 deg C in reducing atmosphere. Evaluation of density, porosity and microstructures were done and a comparison with previous experiences is shown. (Author)

  16. Carbon Monoxide Poisoning

    ... natural gas, propane, oil, and methane) burn incompletely. ** Carbon Monoxide can have different effects on people based on its concentration in the air that people breathe, and the person’s health condition.**** Each year, carbon monoxide poisoning claims approximately 480 lives and sends another ...

  17. Paraphenylenediamine Containing Hair Dye: An Emerging Household Poisoning.

    Patra, Ambika Prasad; Shaha, Kusa Kumar; Rayamane, Anand P; Dash, Shreemanta Kumar; Mohanty, Manoj Kumar; Mohanty, Sachidananda

    2015-09-01

    Paraphenylenediamine poisoning is among one of the emerging causes of poisoning in Asian countries, because it is a constituent of hair dye formulations and is easily available in market at low cost. Hair dyes are rampantly used in Asian households compared with the western world. Locally, hair dye constituents may have allergic adverse effects, and acute systemic poisoning presents with characteristic angioedema, upper airway obstruction, rhabdomyolysis, methemoglobinemia, myoglobinuria, and acute renal failure. This study reports about the death of a 24-year-old Indian housewife who committed suicide by taking hair dye emulsion. She had an argument with her husband, and because of fit of rage, took a bowlful (80 mL) of hair dye emulsion kept prepared for the use by husband. She developed angioedema, cervical swelling, and rhabdomyolysis and died of acute renal failure within 24 hours. Toxicological analysis of viscera and blood revealed varying levels of paraphenylenediamine. Histopathological samples of kidney showed features of acute tubular necrosis and myoglobin casts in renal tubules. The aim of the study is to create awareness about the adverse effects of the hair dye, its poisoning outcome, and possible preventive measures. PMID:26056768

  18. Venous diethylene glycol poisoning in patients with preexisting severe liver disease in China

    Bing-Liang Lin; Zhi-Xin Zhao; Yu-Tian Chong; Jian-Guo Li; Xing Zuo; Yu Tao; Tan-Qi Lou; Zhi-Liang Gao

    2008-01-01

    AIM:To analyze the clinical presentation of venous diethylene glycol (DEG) poisoning in patients with preexisting severe liver disease and factors that correlate with DEG poisoning.METHODS:Retrospective chart review was performed to analyze the epidemiology,clinical presentation,hepatorenal functions,hemodynamics and pathological characteristics of 64 patients with severe liver disease who received intravenous armillarisin-A,the solvent of which was DEG.Comparative analyses of correlating factors and causes for poisoning were based on the presence or absence of poisoning.RESULTS:Of the 64 patients who received armillarisin-A,15 were found to have DEG poisoning.Twelve poisoned patients died.After a mean of 5 d,the poisoned patients displayed acute renal failure.Metabolic acidosis occurred in 13 cases.BUN,Cr,and CO2 values were significantly elevated and exacerbation of digestive tract symptoms and/or symptom was noted in 11 cases.Neurological system impairment was observed in 10 cases after 2 wk.Compared to the 49 non-poisoned patients,the poisoned patients exhibited significantly lower RBC and Hb values and higher WBC count.Renal biopsy from the poisoned patients revealed acute tubular necrosis and interstitial nephritis.Significant differences in preexisting severe hepatitis,ascites,renal disease,and diuretic therapy were found between groups.Prior to diethylene glycol injections,the mean values for neutral granular cells,BUN,Cr,calcium and phosphorous ions differed significantly between groups.CONCLUSION:Venous diethylene glycol poisoning is characterized by oliguric acute renal failure,metabolic acidosis,digestive symptoms,nervous system impairment,and a high probability of anemia and WBC proliferation.Mortality is high.Correlative factors include preexisting severe liver disease,renal disease,and infection.

  19. 阿托品救治有机磷中毒不同给药途径的疗效比较%Study on Atropine Administration Methods in Rescuing Patients with Acute Organophosphorus Pesticide Poisoning

    黄新桥; 谭琪敏; 钟房友; 钟丽娴

    2013-01-01

    Objective To explore the effects of different atropine medications in remedy of severely acute organophosphorus pesticide. Methods A retrospective study were performed.This study was carried out in 75 patients with acute organophosphorus pesticide poisoning. The patients were divided into three groups according atropine medications: Group A(25 cases), were treated with intravenous injection of atropine and artificial; Group B(25 cases)directly with micro pump delivery, Group C(25 cases)achieved using micro-pump after atropine administration patients are atropine artificial intravenous injection, the patient achieved using micro-pump after atropine administration; Compared the efficacy and complications among the three groups. Results There is significant difference between minim continuous pump after atropine administration and interval injecting or minim continuous pump. As a result, the patients in Group C were more effective and fewer complications than that in Group A and C. Conclusion Using micro-pump after atropine administration artificial intravenous injection of atropine was the better effect, it has proved to be a fine medication.%目的:分析基层医院救治有机磷中毒患者时,阿托品不同给药方式的疗效差异,为探索其最佳给药方法提供依据。方法回顾分析75例急性有机磷农药中毒患者的临床资料,25例进行人工间歇静脉推注阿托品法(A 组),25例采用微量泵持续静脉输注阿托品法(B 组,25例先间歇静脉推注阿托品,达阿托品化后再用微量泵泵入阿托品(C 组),分析比较三组阿托品化时间、用量、住院时间、疗效以及不良反应和并发症。结果 C 组阿托品化时间、用量、住院时间、阿托品过量、不足中毒、用量、尿潴留和多器官功能损害等明显降低而治愈率显著提高(P <0.05)。结论采用阿托品人工静脉推注,待患者阿托品化再予以微量泵给药,不仅起效

  20. Determinants of lethality from suicidal pesticide poisoning in metropolitan HsinChu.

    Sheu, J J; Wang, J D; Wu, Y K

    1998-12-01

    Acute pesticide poisoning is a global health problem, especially in developing countries. Although Taiwan has quickly industrialized during the last several decades, pesticide use is still prevalent in the agricultural sector. We reviewed 187 consecutive hospitalized cases of the Provincial HsinChu Hospital from January 1989 through December 1995 to explore the determinants of acute pesticide poisoning in Metropolitan HsinChu. The annual incidence rate of acute pesticide poisoning was 3.2/100,000 with an overall fatality rate of 23% which was more severe than the rates found in developed countries. The major agents involved were organophosphates, and the major cause of poisoning was suicide. Alcohol abuse, history of major medical illnesses, and history of suicide were significantly associated with suicidal poisoning; quarrel was the immediate risk factor. Causes of poisoning (suicide vs non-suicide) and selection of the pesticides were major determinants of lethality. More stringent legislation and enforcement regarding the sale and distribution of extremely toxic pesticides are needed to reduce fatalities due to acute pesticide poisoning. PMID:9830692

  1. Intoxicação aguda e abortos em cobaias pelas favas de Enterolobium contortisiliquum (Leg. Mimosoideae Acute poisoning and abortions in guinea pigs by the pods of Enterolobium contortisiliquum (Leg. Mimosoideae

    Josiane Bonel-Raposo

    2008-12-01

    properties of Enterolobium contortisiliquum pods in guinea pigs. Pods of E. contortisiliquum were administered orally to 4 groups of 3 guinea pigs each. Another group of 3 guinea-pigs was used as control. Group 1 and 2 were fed with one dose of 5 and 10g of pods for kg body weight, respectively. The guinea pigs of Group 3 and 4 received 10 and 15g/kg, respectively, divided into daily doses of 5g/kg. One guinea pig from Group 2 and one from Group 4 died 12 and 18 hours after the end of the administration. Gross lesions were hemorrhages of the stomach and of the large and small gut, enlarged liver, and dilated gall bladder. Histologically, the liver had severe vacuolation and necrosis of periportal hepatocytes. In another experiment a ration containing 4% of pods of E. contortisiliquum was fed to 2 groups of 4 guinea-pigs, 35 days after mating. Four of the 8 guinea pigs aborted 6-15 days after the beginning of ingestion. The other 4 guinea pigs were not pregnant. All guinea pigs were euthanized after abortion or at the end of the experiment. Histologically all animals had mild to severe periportal hemorrhagic necrosis. All fetuses had variable degree of autolysis. In 4 fetuses studied no significant histologic lesions were observed. The acute lesions observed in guinea-pigs are similar than those observed in the spontaneous poisoning by Enterolobium spp. in cattle. Similar lesions are observed in guinea-pigs poisoned experimentally with saponins from E. gummiferum. The results of the experiments in pregnant guinea pigs suggest that E. contortisiliquum can be used to study the abortive effect of its pods or its toxic compounds.

  2. Cost of accidental carbon monoxide poisoning: A preventable expense.

    Hampson, Neil B

    2016-06-01

    Carbon monoxide (CO) poisoning is common in the United States, accounting for hundreds of deaths and thousands of emergency department visits annually. It is believed that most accidental CO poisoning is preventable through public education, warning labels on consumer products, and uniform use of residential CO alarms. However, cost effectiveness of these prevention strategies has not been demonstrated in the United States to date. It was the objective of this study to estimate societal cost of accidental CO poisoning and evaluate the cost-effectiveness of universal installation of residential CO alarms. Published studies and data from the English language literature were used in to estimate direct hospital costs and lost earnings resulting from accidental CO poisoning. The study was performed in the US in 2015. Approximately 6600 individuals are estimated to sustain long-term cognitive sequela annually, with total loss in earnings of approximately $925 million, 334 individuals die from accidental, non-fire related CO poisoning with an average loss of 26 years of productivity accounting for $355 million, and 2800 are hospitalized with acute medical care costs of $33 million. Available data indicate that accidental CO poisoning in the US conservatively costs society over $1.3 billion, resulting from direct hospital costs and lost earnings. Further, it demonstrates a positive cost-benefit ratio for the uniform use of residential CO alarms. PMID:26844181

  3. EMERGENCE OF ENTIRELY NEW POISONING IN RURAL INDIA; AN UPCOMING HEALTH HAZARD TO THE COMMUNITY HEALTH.

    A Kumar

    2012-10-01

    Full Text Available Acute agrochemical poisoning is a leading cause of mortality and morbidity in India. Pendimethalin (herbicide and Pancycuron (fungicide are frequently used worldwide and considered quite a remarkably safe one for humans. Their acute toxicity is not yet widely known. Here we are reporting cases of their acute poisoning in young. To the best of our knowledge not a single such case of their poisoning has been reported so far in india. Such poisoning by entirely new compounds is an emerging problem in the tropics. In this communication we are reporting such unusual and entirely new toxicities and trying to highlight the need of their early recognition and timely management in rural regions where health facilities are already at the stake.

  4. [Poisoning by spiders of Loxosceles genus].

    De Roodt, Adolfo R; Salomón, Oscar D; Lloveras, Susana C; Orduna, Tomás A

    2002-01-01

    Despite the great number of spiders in the world, only a small group of them is capable of producing death in humans. In Argentina, there are only three of the four genera of spiders considered of high risk to humans: Latrodectus is present in rural areas, Phoneutria is restricted to small regions while Loxosceles is distributed throughout the country. Accidents by Loxosceles represent around 4% of the total number produced by venomous animals in Argentina. The bite is accidental and may produce considerable local necrosis with scar formation and ulcers of slow and difficult healing that may require surgical repair. Some bitten people may suffer from intravascular hemolysis, disseminated coagulation and acute renal insufficiency leading to death. Despite the great number of studies performed on Loxosceles venoms, at present, the physiopathological course of poisoning is not clear and there is not common criteria for its treatment. In this review, biological and epidemiological data of this spider are described as well as the venom composition and the possible participation of its components in the poisoning. These data provide biological and biochemical tools to understand the course of poisoning and to have better criteria for the treatment and prevention of these accidents and their complications. PMID:11965857

  5. Pattern of Poisoning Cases in a Tertiary Hospital in Bangladesh

    AKM Rafique Uddin

    2011-01-01

    Full Text Available Background: Poisoning with various substances is a global problem. It is one of the most important reasons for emergency admission in the hospital. The earlier the initial resuscitations, gastric decontamination and use of specific antidotes, the better is the outcome. Epidemiology of poisoning differs from region to region. This study was carried out to determine the pattern and severity of poisoning in a tertiary care hospital. Objective: To characterize the poisoning cases admitted in Enam Medical College Hospital. Materials and Methods: All cases admitted to the emergency department of Enam Medical College Hospital during the period of April to December, 2010 were evaluated retrospectively. We reviewed data obtained from the hospital medical records and included the following factors: demographic characteristics, etiology and outcome of the acutely poisoned patients. Total 84 poisoning cases were found and they were included in the study. Results: The overall case fatality rate was 3.5%. More detailed data from 2010 reveals that two-thirds of the patients were 20-30 years old, 53% male and 47% female. Organophosphorus was the most common cause (73.9% followed by unknown poisoning (9.5%, sedative (5.9%, harpic (4.7%, aluminium phosphide (2.4%, savlon (1.2%, paracetamol (1.2% and amitryptiline (1.2%. 90.5% cases were suicidal and 9.5% were homicidal. Conclusion: This study provides important information on the characteristics of the poisoning in this region. Community education about the danger of the drugs and reduction of exposure to pesticides are recommended.

  6. AN EPIDEMIOLOGICAL STUDY OF POISONING IN A TERTIARY CARE HOSPITAL

    Stephen

    2015-05-01

    Full Text Available AIMS : The aim of this retrospective study was to analyze the rate and chara cteristics of acute poisoning cases admitted to adult intensive care unit ( ICU in a tertiary care medical college hospital. We report clinical features , demographic data , laboratory results , mortality rate , and the results of our treatment in cases who ca me with the history of poisoning. METHODS: The study was done in patients admitted with history of poisoning under the department of medicine at RRMCH Hospital , Bengaluru from December 2013 to November 2014. This study includes 84 poisoning Patients who we re admitted to ICU care. Detailed history , clinical examination and laboratory inv est igations were done in all patients. Ventilator support and supportive treatment was instituted to required patients as p er our ICU criteria of intubation and Ventilation. Data was collected in structured format and analyzed. RESULTS: Majority of the cases were due to organophosphorus compound poisoning ( n=47 , 61% . Others had consumed drugs which included analgesics , carbomates , anti - hypertensive , spirit , benzodiazepines. A mongst these , 4 had consumed aluminum phosphide and all 4 of them died. In some history did not reveal the identity of the drugs. The most common indication for mechanical ventilation in these patients was respiratory failure due to OP poisoning. CONCLUSIO N: Pesticides were the main cause of poisoning ( 68.97% . The reasons being agriculture based economics , poverty due to poor agricultural yield and easy availability of pesticides. Patient education by conducting community based public awareness camps and l ectures might also help in bringing down the incidence of poisoning. The mortality could be decreased by enhanced ICU care , better medical management , appropriate supportive therapy and further restrictions on the highly toxic pesticides.

  7. STUDY OF FATAL POISONING IN A DISTRICT HOSPITAL OF WEST BENGAL

    Arijit

    2016-05-01

    Full Text Available Poisoning is an emerging problem worldwide. According to WHO, 3 million acute poisoning cases with 2,20,000 deaths occur annually. Of these, 90% of fatal poisoning occurs in developing countries mainly among agricultural workers. It is estimated that more than 50,000 people die every year from toxic exposure in India. OBJECTIVES 1. To study the current trend of poisoning in a District of West Bengal. 2. To know the burden of pesticide poisoning in society. MATERIAL AND METHODS A hospital based retrospective cross sectional study was conducted in a district hospital of West Bengal. Ethical clearance was taken from Ethics Committee. All the registered cases of poisoning in a district hospital during the study period were included in the study. Data was collected from medico-legal register and respective case sheets using pre-structured and validated questionnaire containing demographic and medico-legal aspects of poisoning for the period of 2 years (March 2014-March 2016. Data was analysed using the SPSS version 16 software. Descriptive statistics were reported as mean (SD for continuous variables and frequency (percentage for categorical variables. RESULT Total 7280 patients reported to casualty department over two years; 5.21% were reported to be the poisoning cases. Out of total 380 poisoning cases, 84 (22.10% patients died. Maximum poisoning cases were from rural area falling mainly in the age group of 21-30 and above 50 years. Organ phosphorus poisoning was noted in 46.42% of reported cases. CONCLUSIONS Based on the study findings, we could understand the trend of poisoning in the study area. It is very important to identify these changing trends in the study area, as it will be helpful for policy makers to equip health care institutions which can lead to better management of cases and reduction in the mortality related to poisoning

  8. Study of trends of poisoning in the cases reported to government hospital, Yavatmal

    Yuganti Prabhakar Vaidya

    2012-01-01

    Full Text Available Context: India is a developing country in south Asia. Rural population of this country is mostly dependant on agriculture. Pesticides, mainly the organophosphorus compounds are the most frequently used substances in agriculture and thus are easily accessible. Animal bites such as snake bite, scorpion bites are also common, as people here are mainly involved in the field work. Aims: This includes, knowing the pattern of poisoning in India along with various parameters, such as mode of poisoning, type of poison, outcome of the poisoning, the most vulnerable age group involved in poisoning, so that the study will help in rapid clinical diagnosis and immediate treatment of the cases leading to decreased mortality and morbidity. Setting and design: Retrospective observational study. Materials and Methods: The study was conducted at Govt. Hospital, Yavatmal. Poisoning cases reported to casualty and post-mortem cases of poisoning brought to the hospital from 01/06/2003 to 30/05/2004 were included in the study. Result: Total 1003 patients studied; acute poisoning in the age group of 21-30 years was the most common with higher frequency in males. Most common mode was suicidal. Most common agent responsible for poisoning was organophosphorus compounds followed by snake bite. Overall mortality due to poisoning was 12%. It was highest in insecticidal poisoning. Conclusion: It was seen that adults between 21 and 30 years of age were more prone to suicidal poisoning with organophosphorous compounds followed by accidental poisoning due to snake bite. Steps are needed to be taken to educate the people, to improve their socioeconomic status and also to provide better treatment facilities at grass root level.

  9. Using Poison Center Exposure Calls to Predict Methadone Poisoning Deaths

    Nabarun Dasgupta; Jonathan Davis; Michele Jonsson Funk; Richard Dart

    2012-01-01

    Purpose There are more drug overdose deaths in the Untied States than motor vehicle fatalities. Yet the US vital statistics reporting system is of limited value because the data are delayed by four years. Poison centers report data within an hour of the event, but previous studies suggested a small proportion of poisoning deaths are reported to poison centers (PC). In an era of improved electronic surveillance capabilities, exposure calls to PCs may be an alternate indicator of trends in over...

  10. nsect poisons in museums

    Eirik Granqvist

    2015-01-01

    Since natural history museums existed, there have been problems concerning how to protect the collections from damages caused by insects. In 1740s', French Chemist Becoeur started to use arsenic-soap to protect his taxidermy specimens against insects. But in the years of 1770s', it was discovered the terrible strong arsenic poison which was dangerous to human beings. Finally taxidermy specimens leave the use of ar- senic and borax to history and use Eulan in their place.

  11. Lead Poison Detection

    1976-01-01

    With NASA contracts, Whittaker Corporations Space Science division has developed an electro-optical instrument to mass screen for lead poisoning. Device is portable and detects protoporphyrin in whole blood. Free corpuscular porphyrins occur as an early effect of lead ingestion. Also detects lead in urine used to confirm blood tests. Test is inexpensive and can be applied by relatively unskilled personnel. Similar Whittaker fluorometry device called "drug screen" can measure morphine and quinine in urine much faster and cheaper than other methods.

  12. Amnesic Shellfish Poisoning (ASP)

    Ravn, H.

    1995-01-01

    In this manual a review is provided of the chemical and toxicological aspects of Amnesic Shellfish Poisoning (ASP). The document contains information on chemical structure, chemical data, where to obtain standards and reference materials, the origin and occurrence, chemical analysis, mouse bioassay, epidemiology, mechanisms of action, symptoms and therapeutics. The practical use of this document has been highlighted in agreement with the Members of the Task Team on Aquatic Biotoxins. This ...

  13. Approach in Pregnant Poisoning

    Gulay Ok

    2014-01-01

    Poisoning in pregnant patients seen in the most common second trimester affects both the mother and fetus. Most of the toxic exposure is accidental and frequently occurs orally. Pregnant patients should be in emergency department or in any department which has a monitoring opportunity and when necessary interventions can be done quickly in the chosen department. The patient%u2019s airway should be secured, respiration must be protected, and changes in blood pressure, pulse, fever, peripheral ...

  14. Treatment of acetaminophen poisoning.

    Sellers, E M; Freedman, F.

    1981-01-01

    Acetaminophen is an analgesic that is frequently used in Canada, and the occurrence of overdoses with this drug seems to be increasing. The most serious complication of acetaminophen overdose is hepatic failure. Because of pathophysiologic effects of acetaminophen poisoning and the mechanisms of its toxic effects are now better understood, a rational approach to treatment is possible. Several precursors of glutathione, acetylcysteine in particular, are effective in preventing liver damage if ...

  15. Fragmentation Considered Poisonous

    Herzberg, Amir

    2012-01-01

    We present practical poisoning and name-server block- ing attacks on standard DNS resolvers, by off-path, spoofing adversaries. Our attacks exploit large DNS responses that cause IP fragmentation; such long re- sponses are increasingly common, mainly due to the use of DNSSEC. In common scenarios, where DNSSEC is partially or incorrectly deployed, our poisoning attacks allow 'com- plete' domain hijacking. When DNSSEC is fully de- ployed, attacker can force use of fake name server; we show exploits of this allowing off-path traffic analy- sis and covert channel. When using NSEC3 opt-out, attacker can also create fake subdomains, circumvent- ing same origin restrictions. Our attacks circumvent resolver-side defenses, e.g., port randomisation, IP ran- domisation and query randomisation. The (new) name server (NS) blocking attacks force re- solver to use specific name server. This attack allows Degradation of Service, traffic-analysis and covert chan- nel, and also facilitates DNS poisoning. We validated the attac...

  16. 江苏省农村居民急性生产性农药中毒调查及危险因素%Investigation of work-related acute pesticide poisoning among farmers in Jiangsu Province and the risk factors

    崔梦晶; 涂志斌; 顾月; 张徐军

    2013-01-01

    Objective To determine the incidence of work-related acute pesticide poisoning among farmers in Jiangsu Province and to identify the risk factors.Methods Multi-stage stratified sampling and cluster sampling methods were used to randomly select 1490 farmers from the south (Z village),centre (Y village) and north (X village) of Jiangsu Province.The database was established by EpiData 3.1.SPSS 17.0 and SAS 9.13 were used to do chi-square test,trend chi-square test,single factor and multi-factor logistic regression analysis.Results Among 1490 farmers,121 people had work-related acute pesticide poisoning in the past year.The incidence rate in Jiangsu Province was 8.1%.118 farmers (97.5%) were mild pesticide poisoning.3 farmers (2.5%) were moderate pesticide poisoning.The incidence rate of Work-related acute pesticide poisoning in X village of North Jiangsu Province (13.5%,68/505) is obviously higher than that in Y village of Central Jiangsu Province(4.8%,19/399) and Z village of South Jiangsu Province(5.8%,34/586),and the difference is statistically significant (x2=29.60,P<0.01).The incidence rate of Work-related acute pesticide poisoning in female (10.4%,58/557) is obviously higher than that in male (6.8%,63/933),and the difference is statistically significant (x2 =6.26,P<0.05).There are lack of safety guidance,unsafety application methods (without alternate row spraying,without backward application,without down-wind application) and risk behaviors in the spraying (without read labels,preparing pesticides without gloves,wiping sweat with hand (s),equipment leakage,body pollution by pesticide,working when feeling sick,without bath after work).If farmers have risk behaviors above,the incidence rate of Work-related acute pesticide poisoning will be obviously higher than farmers who receive safety guidance and have no such dangerous behaviors,and all the differences are statistically significant (P<0.05).The group of 24~34 years old has the highest

  17. Development of novel activated carbon-based adsorbents for the control of mercury emissions from coal-fired power plants

    Radisav D. Vidic

    1999-03-01

    In addition to naturally occurring mercury sources, anthropogenic activities increase the mercury loading to the environment. Although not all produced mercury is dissipated directly into the environment, only minor portions of the total production are stocked or recycled, and the rest of the mercury and its compounds is finally released in some way into atmosphere, surface waters and soil, or ends in landfills dumps, and refuse. Since mercury and its compounds are highly toxic, their presence in the environment constitutes potential impact on all living organisms, including man. The first serious consequence of industrial mercury discharges causing neurological disorder even death occurred in Minimata, Japan in 1953. Systematic studies showed that mercury poisoning is mainly found in fish-eating populations. However, various levels of mercury are also found in food other than fish. During the past several decades, research has been conducted on the evaluation of risks due to exposure to mercury and the development of control technologies for mercury emissions. In 1990, the Clean Air Act Amendments listed mercury, along with 10 other metallic species, as a hazardous air pollutant (HAP). This has further stimulated research for mercury control during the past several years. The impact of mercury on humans, sources of mercury in the environment, current mercury control strategies and the objective of this research are discussed in this section.

  18. Le poison chez les Trastamare

    Ramires, Flora

    2012-01-01

    During the last centuries of the Middle Ages, poison seems to have played an important role in Castilian political life, and many authors of chronicles and medical treatises pay attention to the reality of this phenomenon. The article focuses on the use of poison by the Trastamaras, and on its political consequences. We attempt to show the impact of poison on the imagination of contemporaries and on the reality of this practice by members of the Trastamara dynasty, and to demonstrate that ref...

  19. Paraquat poisoning in the dog

    Recovery from paraquat poisoning in the dog is rare. This is a report of a case of recovery from confirmed paraquat poisoning in a clinical setting. The dog exhibited the usual signs of paraquat poisoning. The diagnosis was confirmed on toxicological analysis of urine using an ion exchange technique. The dog was treated with frusemide, nicotinamide, corticosteroids, α-tocopherol, vitamin A, etamiphylline camsylate and ampicillin. He recovered after seven weeks of intensive therapy. Alternative treatments are discussed

  20. 急性有机磷农药中毒致呼吸衰竭的影响因素分析%Study on correlated clinical factors of respiratory failure induced by acute organophosphorus pesticide poisoning

    陶贤洲; 王佐

    2014-01-01

    目的:分析急性有机磷农药中毒( AOPP)致呼吸衰竭的相关临床因素,为制订有效的预防及干预措施提供科学依据。方法回顾分析94例重性AOPP患者临床资料,根据血气分析结果将患者分为呼吸衰竭组(41例)和非呼吸衰竭组(53例),观察患者的APACHEⅡ评分、胆碱酯酶、血糖、血清淀粉酶、肝肾功能及心肌酶谱等指标。结果胆碱酯酶水平呼吸衰竭组患者低于非呼吸衰竭组患者(P<0.05);APACHEⅡ评分、血清淀粉酶、肝肾功能及心肌酶谱等,呼吸衰竭组患者高于非呼吸衰竭组患者(P<0.05);Logistic回归分析显示APACHEⅡ评分、胆碱酯酶及血清淀粉酶与呼吸衰竭相关。结论 APACHEⅡ评分、胆碱酯酶及血清淀粉酶水平可作为AOPP引起呼吸衰竭的预测指标。%Objective To investigate the correlated clinical factors of respiratory failure induced by acute organophosphorus pesticide poisoning ( AOPP) ,and to provide relevant data for prevention and intervention of respiratory failure .Methods This retrospective study in-cluded 94 patients with severe AOPP ,and all patients were divided into respiratory failure group ( n=41 ) and non-respiratory failure group (n=53) according to arterial blood gas analysis .We observed APACHEⅡscores,cholinesterase,blood glucose,serum amylase,hepatic func-tion,renal function and myocardial enzyme between the two groups .Results Cholinesterase level in the respiratory failure group was lower than that in non-respiratory failure group (P<0.05);APACHEⅡ scores,serum amylase,hepatic function,renal function and myocardial enzyme in the respiratory failure group were higher than those of non-respiratory failure group (P<0.05).Spearman correlation analysis and Logistic regression analyses showed APACHEⅡscores,cholinesterase and serum amylase were related to respiratory failure ,and they had sig-nificant predictive effects on respiratory failure

  1. Potassium Permanganate Poisoning: A Nonfatal Outcome.

    Eteiwi, Suzan M; Al-Eyadah, Abdallah A; Al-Sarihin, Khaldon K; Al-Omari, Ahmad A; Al-Asaad, Rania A; Haddad, Fares H

    2015-07-01

    Acute poisoning by potassium permanganate is a rare condition with high morbidity and mortality. Diagnosis of the condition relies on a history of exposure or ingestion and a high degree of clinical suspicion. Oxygen desaturation and the presence of methemoglobin are also helpful indicators. Since no specific antidote is available, treatment is mainly supportive. Few cases have been reported in the literature following potassium permanganate ingestion, whether intentional or accidental, and most of the patients in these cases had unfavorable outcomes, which was not the case in our patient. Our patient, a 73-year-old male, purchased potassium permanganate over the counter mistaking it for magnesium salt, which he frequently used as a laxative. Several hours after he ingested it, he was admitted to the endocrine department at King Hussein Medical Center, Jordan, with acute rapidly evolving shortness of breath. During hospitalization, his liver function tests deteriorated. Since he was diagnosed early and managed promptly he had a favorable outcome. PMID:26366264

  2. Mercury uptake and accumulation by four species of aquatic plants

    Skinner, Kathleen [Department of Biology, Russell Sage College, 45 Ferry Street, Troy, NY 12180 (United States)]. E-mail: skinnk@sage.edu; Wright, Nicole [NEIWPCC-NYSDEC, 625 Broadway, 4th Floor, Albany, NY 12233-3502 (United States)]. E-mail: ndwright@gw.dec.state.ny.us; Porter-Goff, Emily [Department of Biology, Russell Sage College, 45 Ferry Street, Troy, NY 12180 (United States)

    2007-01-15

    The effectiveness of four aquatic plants including water hyacinth (Eichornia crassipes), water lettuce (Pistia stratiotes), zebra rush (Scirpus tabernaemontani) and taro (Colocasia esculenta) were evaluated for their capabilities in removing mercury from water. The plants were exposed to concentrations of 0 mg/L, 0.5 mg/L or 2 mg/L of mercury for 30 days. Assays were conducted using both Microtox[reg] (water) and cold vapor Atomic Absorption Spectroscopy (AAS) (roots and water). The Microtox[reg] results indicated that the mercury induced acute toxicity had been removed from the water. AAS confirmed an increase of mercury within the plant root tissue and a corresponding decrease of mercury in the water. All species of plants appeared to reduce mercury concentrations in the water via root uptake and accumulation. Water lettuce and water hyacinth appeared to be the most effective, followed by taro and zebra rush, respectively. - Four species of aquatic plants reduced mercury in water.

  3. Mercury uptake and accumulation by four species of aquatic plants

    The effectiveness of four aquatic plants including water hyacinth (Eichornia crassipes), water lettuce (Pistia stratiotes), zebra rush (Scirpus tabernaemontani) and taro (Colocasia esculenta) were evaluated for their capabilities in removing mercury from water. The plants were exposed to concentrations of 0 mg/L, 0.5 mg/L or 2 mg/L of mercury for 30 days. Assays were conducted using both Microtox[reg] (water) and cold vapor Atomic Absorption Spectroscopy (AAS) (roots and water). The Microtox[reg] results indicated that the mercury induced acute toxicity had been removed from the water. AAS confirmed an increase of mercury within the plant root tissue and a corresponding decrease of mercury in the water. All species of plants appeared to reduce mercury concentrations in the water via root uptake and accumulation. Water lettuce and water hyacinth appeared to be the most effective, followed by taro and zebra rush, respectively. - Four species of aquatic plants reduced mercury in water

  4. [Fatal poisoning in the Department of Toxicology in Poznarn in 2008-2012--preliminary analysis].

    Łukasik-Głebocka, Magdalena; Adamek, Robert

    2013-01-01

    This paper presents the results of a preliminary analysis of deaths from acute poisoning, which occurred in the Department of Toxicology in Poznań in 2008-2012. During this period, recorded 31 cases of fatal poisoning, representing 0.38% of all treated cases. In subsequent years the percentage of poisoning deaths ranged from 0.25 to 0.49%. Throughout the period leading cause of fatal poisoning were drugs (38.71%) and non-consumptive alcohols (methanol or ethylene glycol) (38.71%). In subsequent years, however, a decrease in the percentage of drug poisoning (from 75 to 0%) and an increase in the percentage of nonconsumptive alcohol poisoning (from 0% to 100%) were observed. In fatal cases were diagnosed among others olanzapine, carbamazepine, pseudoephedrine, tramadol, benzodiazepines, clozapine, morphine and benzodiazepines, insulin, verapamil, carbon monoxide and smoke fire, cyanide, Amanita phalloides, ethanol and a mixture of drugs with ethanol poisoning. The most common fatal poisoning occurred in people addicted (45.16%), mainly in alcohol dependence syndrome (35.48%). Suicidal poisoning was the cause of 32.26% of the deaths, while accidental of 19.35%. In nine cases, the procedure of diagnosis of death from irreversible cessation of brain stem function was performed in order to qualify donors of organs for transplantation or to terminate the therapy. One of the dead was liver and kidneys, and two were kidneys donors. PMID:24466679

  5. 丁苯酞软胶囊在急性一氧化碳中毒迟发脑病认智功能障碍治疗中的应用%Butylphthalide soft capsules in the treatment of acute carbon monoxide poisoning delayed encephalopathy application recognize wisdom dysfunction

    洪诸权; 潘莹

    2015-01-01

    Objective To investigate Butylphthalide soft capsules in acute carbon monoxide poisoning delayed encephalopathy recognize wisdom dysfunction treatment application effect. Methods The acute carbon monoxide poisoning delayed encephalopathy recognize wisdom dysfunction 40 cases were divided into two groups, 20 cases in each group, the control group received conven-tional treatment, the experimental group was given Butylphthalide soft capsules treatment on the basis of conventional therapy. Results The experimental group recognize wisdom score of 27-30 percentage points (65.0%) was higher (30.0%), Chi recognition score of 0-9 percentage points (10.0%) than the control group (40.0%), the overall response rate (90.0%) was higher (60.0%), two groups was statistically significant (P<0.05).Conclusion Butylphthalide soft capsule delayed treatment of acute carbon monoxide poisoning encephalopathy recognize wisdom dysfunction, which can effectively improve the recognition capabilities wisdom, clinical efficacy is obvious.%目的:探讨丁苯酞软胶囊在急性一氧化碳中毒迟发脑病认智功能障碍治疗中的应用效果。方法将急性一氧化碳中毒迟发脑病认智功能障碍40例分为2组,每组20例,对照组给予常规治疗,实验组在常规治疗基础上给予丁苯酞软胶囊治疗。结果实验组认智功能评分为27-30分的比率(65.0%)高于对照组(30.0%),认智功能评分为0~9分的比率(10.0%)低于对照组(40.0%),其总有效率(90.0%)高于对照组(60.0%),2组差异有统计学意义(P<0.05)。结论丁苯酞软胶囊治疗急性一氧化碳中毒迟发脑病认智功能障碍,可有效改善认智功能,临床疗效明显。

  6. The power of poison: pesticide poisoning of Africa's wildlife.

    Ogada, Darcy L

    2014-08-01

    Poisons have long been used to kill wildlife throughout the world. An evolution has occurred from the use of plant- and animal-based toxins to synthetic pesticides to kill wildlife, a method that is silent, cheap, easy, and effective. The use of pesticides to poison wildlife began in southern Africa, and predator populations were widely targeted and eliminated. A steep increase has recently been observed in the intensity of wildlife poisonings, with corresponding population declines. However, the majority of poisonings go unreported. Under national laws, it is illegal to hunt wildlife using poisons in 83% of African countries. Pesticide regulations are inadequate, and enforcement of existing legislation is poor. Few countries have forensic field protocols, and most lack storage and testing facilities. Methods used to poison wildlife include baiting carcasses, soaking grains in pesticide solution, mixing pesticides to form salt licks, and tainting waterholes. Carbofuran is the most widely abused pesticide in Africa. Common reasons for poisoning are control of damage-causing animals, harvesting fish and bushmeat, harvesting animals for traditional medicine, poaching for wildlife products, and killing wildlife sentinels (e.g., vultures because their aerial circling alerts authorities to poachers' activities). Populations of scavengers, particularly vultures, have been decimated by poisoning. Recommendations include banning pesticides, improving pesticide regulations and controlling distribution, better enforcement and stiffer penalties for offenders, increasing international support and awareness, and developing regional pesticide centers. PMID:24716788

  7. [Cases of poisoning in Germany. Disease entity, documentation, and aspects of the event].

    Hahn, A; Begemann, K; Stürer, A

    2014-06-01

    Cases of poisoning account for a distinct share of accidents in Germany, which is particularly high for accidents involving children. Cases of poisoning resulting from suicidal intent or abuse are not counted as accidents. Compared to other cases of disease and accidents, the numerical documentation of cases of poisoning is inadequate. Presently, there is no institution in Germany that could make available representative and meaningful data on the current state of poisoning. Owing to intensive scientific cooperation between the poison information centers (funded by the federal states) and the Poison and Product Documentation Center at the Federal Institute for Risk Assessment (BfR DocCenter) as well as to international cooperation, harmonized and standardized tools have been developed for the appropriate documentation and reporting of procedures to account for poisoning accidents. The first evaluation for 2005-2012 based on published and processed figures for the Federal Republic of Germany yielded the following results: Of approximately 230,000 telephone inquiries received in 2012, about 207,000 involved exposure of humans to different noxae. An annual increase of 3-5 % was recorded. For 2011, analyses of subsets processed by means of standardized methods yielded the following results: Medicines were involved in about 39 % of the cases recorded (of these, medicinal products for humans in 99 %); chemical/physicochemical agents in about 26 % (of these, cleaning and maintenance products in 46 %); products of daily use in about 14 % (of these, cosmetics in 40 %); and plants in about 10 %. More than 90 % of cases were acute poisoning and less than 5 %, chronic poisoning. Regarding the degree of severity of poisoning, an asymptomatic course was reported for 44 % of the cases; minor manifestations were experienced in 30 %, moderate ones in 6 %, and severe manifestations in 2 % of the cases recorded. Fatal cases were rare (industrial poisoning

  8. 急性百草枯中毒肺损伤机制与保护研究的进展%Acute paraquat poisoning lung injury mechanisms and protection of research Progress

    葛玉霞

    2012-01-01

    Paraqual is a herbicide, which is widely used in ihe agriculture production. As a helerocyclic organic conlacl defolianl and effective herbicide, il is widely used around ihe world. Because il is supervirulenl, difficultly Lrealed, wilh poor prognosis and ils mortality rale can be as high as 50% ~80% , people pay more allenlion Lo il. In ihe inilial slage of paraqual poisoning, ihe symplom is untypical, nonspecific anlidole, mosl palienls wilh paraqual poisoning died from acule respiratory distress syndrome and multiple organ dysfunction syndrome, which were resulted from lung injury. The lelhalily of paraqual is higher lhan any other peslicide poisoning at presenl. To explore the pathological mechanisms of early lung injury induced by paraqual poisoning, lo investigate the early interventions and lo reduce ihe falalily.%百草枯(paraquat,11二甲基44联吡啶二氯化物)作为有机环杂类接触性脱叶剂及高效除草剂已经在世界范围内广泛使用,因其对人畜毒性强、治疗难度大、预后差、死亡率高达50%~80%.由于百草枯中毒发病初期症状不典型,无特效解毒剂及后期不可逆转的肺纤维化,中毒后多死于肺损伤所致的急性呼吸窘迫综合征、多器官功能障碍综合征,是目前致死性最高的农药中毒,本文探讨百草枯中毒肺损伤的病理机制,研究早期干预措施,降低病死率.

  9. Plasma microRNAs expression profile in female workers occupationally exposed to mercury

    Ding, Enmin; Zhao, Qiuni; Bai, Ying; Xu, Ming; Pan, Liping; Liu, Qingdong; Wang, Bosheng; Song, Xianping; Wang, Jun; Chen, Lin

    2016-01-01

    Background Circulating microRNAs (miRNAs) have attracted interests as non-invasive biomarkers of physiological and pathological conditions. Several studies have examined the potential effects of mercury exposure on miRNAs expression profiles of general population environmentally exposed to mercury. The objective is to identify mercury-related miRNAs of female workers occupationally exposed to mercury. Methods In this case-control study, we used a microarray assay to detect the miRNA expression profiles in pooled plasma samples between (I) chronic mercury poisoning group; (II) mercury absorbing group and (III) control group in the discovery stage. Each group has ten individuals. In addition, we conducted a validation of eight candidate miRNAs in the same 30 workers by quantitative real-time PCR. Results In the discovery stage, eight miRNAs were conformed following our selection criteria. In the validation stage, RT-PCR confirmed up-regulation of miR-92a and miR-486 in the mercury poisoned group (Pmercury exposure. However, further studies are necessary to prove the causal association between miRNAs changes and mercury exposure, and to determine whether these two miRNAs are clear biomarkers to mercury exposure. PMID:27162656

  10. Paracetamol (acetaminophen) poisoning

    Buckley, Nick; Eddleston, Michael

    2007-01-01

    Paracetamol (acetaminophen) is a common means of self-poisoning in Europe and North America, often taken as an impulsive act of self-harm in young people. Mortality from paracetamol overdose is now about 0.4%, although without treatment, severe liver damage occurs in at least half of people with blood paracetamol levels above the UK standard treatment line.In adults, ingestion of less than 125 mg/kg is unlikely to lead to hepatotoxicity; even higher doses may be tolerated by children witho...

  11. Approach in Pregnant Poisoning

    Gulay Ok

    2014-06-01

    Full Text Available Poisoning in pregnant patients seen in the most common second trimester affects both the mother and fetus. Most of the toxic exposure is accidental and frequently occurs orally. Pregnant patients should be in emergency department or in any department which has a monitoring opportunity and when necessary interventions can be done quickly in the chosen department. The patient%u2019s airway should be secured, respiration must be protected, and changes in blood pressure, pulse, fever, peripheral O2 saturation should be measured. At the patients who do not respond cardiopulmonary resuscitation in the first 5 minutes, it is recommended to consider obstetric consultation with bedside cesarean section.

  12. Rhabdomyolysis Syndrome in Alcohol, Psychotropic Drugs, and Illicit Substance Poisonings

    Seyed Kazem Taheri

    2013-06-01

    Full Text Available Background: Rhabdomyolysis is one of the major complications of poisoning causedby alcohol, narcotics, and psychotropic substances acute toxicity, which might lead toacute renal failure and even death. This study aimed to evaluate clinical and laboratoryfindings of rhabdomyolysis syndrome in poisoning patients who were admitted topoisoning ward of Farshchian Hospital of Hamadan, Iran.Methods: In this cross-sectional study, patients with acute toxicity by alcohol, narcotics,or psychotropic drugs who were admitted in poisoning ward of Farshchian Hospital ofHamadan were investigated during a 6-month period in 2012. Clinical and laboratorydata were collected by a standard questionnaire and analyzed by the SPSS softwareversion 16.Results: Eighty-two patients aged between 14 to 81 years were investigated. Twentytwocases developed rhabdomyolysis and narcotics related toxicity was the mostcommon cause. The most common clinical symptom in all patients was muscle pain(51cases, Laboratory studies showed some significant differences between serumcreatine kinase (CK, lactate dehydrogenase (LDH, serum creatinine, andaminotransferases (AST,ALT levels in rhabdomyolysis cases as compared to theothers (p<0.05.Conclusion: The results of this study revealed that the incidence of rhabdomyolysissyndrome in acute intoxication with alcohol and narcotics is significant and withoutproper treatment might cause serious complications such as acute renal failure andeven death. Classic clinical signs and symptoms of rhabdomyolysis are usually notpresent simultaneously, thus strong clinical suspicion and proper laboratory tests haveimportant role in early diagnosis and suitable treatment. Laboratory studies have animportant role in the diagnosis of this syndrome.

  13. Temperature changes among organophosphate poisoned patients, Tehran- Iran

    Talaie Haleh

    2012-10-01

    Full Text Available Abstract Background Acute poisoning with organophosphorus compounds (OPs is a major global clinical problem in the developing countries. There have been many animal studies and few human surveys on the effects of organophosphorus pesticide (OP poisoning on thermoregulation. The aim of this prospective study was to document the pattern of tympanic temperature changes among OP poisoned patients throughout the length of their hospital stay. Methods 60 patients with diagnose of organophosphate poisoning were included in this study. Questioner was filled out by trained nurses including demographic, clinical and paraclinical data. Tympanic temperature and Pulse rate data of the cases were collected on five- occasions after admission. Results There were 41 (68.3% male and 19 (31.7% female, with a mean age of 34.4 ±19.4 years (range 13–89 years. Forty five patients had intentional poisoning for suicidal attempt. At the time of entry, the mean tympanic temperature, pulse rate, respiratory rate and blood pressure (systolic and diastolic of the OP poisoned patients were respectively 37.1+/−0.6°C (36.0- 39.5, 91+/−18 (55–145, 18+/−5.6 (8–44, 116+/−20 mm Hg (70–170 and 75+/−11.6 mm Hg (40–110. 41.7% of the cases had serum butyryl cholinesterase activities (BChE ≥ 50% normal (≥1600 mU/ml. Our patients had normal temperature at the time entry (mean = 37.1. Tympanic temperature decreasing below 36°C was not detected among the patients during the study period. A rise in mean tympanic temperature was found after atropine administration. Conclusion Our study showed hypothermia was not considerable factor among organophosphate poisoned patients, although more studies with similar situations in tropical countries are needed.

  14. Scombroid Poisoning: A Practical Approach.

    Guergué-Díaz de Cerio, O; Barrutia-Borque, A; Gardeazabal-García, J

    2016-09-01

    Scombroid poisoning is a common cause of food poisoning worldwide. It is caused by ingestion of oily fish contaminated with bacteria that trigger the formation of high concentrations of histamine. Scombroid poisoning manifests mainly as a skin complaint (flushing that spreads downward and/or an erythematous urticarial rash affecting the face and upper trunk). Although the clinical course is usually self-limiting and benign, vascular compromise, bronchospasm, and arrhythmias have been described. It is important to establish a differential diagnosis that includes conditions such as fish allergy. Oral antihistamines are the mainstay of treatment. Scombroid poisoning is best prevented by refrigerating fish properly. The practical review of scombroid poisoning provided here is intended for dermatologists. PMID:27133773

  15. Lead poisoning and cystatin-C in children

    Yuri

    2015-09-01

    Full Text Available Background Lead pollution is a global problem both in developed and developing countries. Lead poisoning is associated with decreased glomerular filtration rate (GFR and is a risk factor for acute kidney injury (AKI. Serum cystatin-C is a more precise test of GFR than serum creatinine level, as serum cystatin-C levels rise earlier than serum creatinine, when GFR decreases. Objective To assess for a possible correlation between lead poisoning and cystatin-C levels in children. Methods We conducted a cross-sectional study in children aged 6-11 years with a history of lead poisoning from elementary schools in Talawaan District, North Minahasa Regency from July to October 2013. Cystatin-C and blood lead levels (BLL were measured in all subjects. Spearman’s rho test was used to analyze a potential correlation between BLL and cystatin-C level. Results This study included 41 children, comprising 21 boys and 20 girls. Their median age was 8.50 (range 6.8-10.7 years. Elevated levels of cystatin-C did not exceed normal values, however, we found a positive correlation between BLL and cystatin C (r=0.419, P=0.006. Conclusion There is a positive correlation between BLL and cystatin C level in children with lead poisoning. Regular monitoring of BLL, medical intervention, and an epidemiological study to help find the sources of contamination are needed for children with lead poisoning.

  16. Mushroom poisoning in children: clinical presentation and outcome

    A variable clinical picture characterizes mushroom poisoning. The Amatoxin, the main toxic component of these fungi, are responsible for gastrointestinal symptoms as well as hepatic and renal failure. As acute gastroenteritis is extremely common in our set up, so every patient presenting with these symptoms is treated as gastroenteritis of viral aetiology. The authors present the clinical picture of the phalloid syndrome, its treatment and immediate outcome. All children age less than 16 years admitted in Saidu Hospital Swat from January to December 2006 with mushroom poisoning were included in the study. Patients with doubtful history or with associated illness were not included. The diagnosis was based on the clinical picture of the patient, history and the laboratory data. In addition to maintenance of fluid and electrolyte balance and treating sepsis, oral Silymarin and intravenous penicillin was started. Liver function tests, renal functions tests, serum electrolytes and coagulation profile was done in all the patients. The severity of poisoning was graded according to hepatic transaminase elevations and prolongation of prothrombin time. Of the 18 patients, fifteen were above five years of age. Female were twice in number. Fifteen patients developed hepatic failure and three patients developed renal failure. Thirteen patients expired. To start timely management, Mushroom poisoning should be considered in the differential diagnosis in patients presenting with food poisoning particularly coming in groups. Delay in diagnosis is associated with high mortality. (author)

  17. Lead poisoning in dogs

    Lead poisoning was diagnosed and studied in 60 dogs. It was found that lead poisoning is a common disease of young dogs, especially in the summer and fall, and is related to their chewing and eating habits resulting in the ingestion of paint, linoleum, or other lead-containing materials. The signs were characterized by gastrointestinal dysfunction (colic, vomiting, and diarrhea) and nervous disorders (convulsions, hysteria, nervousness, behavioral changes). The blood findings, which the authors consider nearly pathognomonic, consisted of numerous stippled and immature (especially nucleated) erythrocytes in the absence of severe anemia. Protein and casts were frequently found in the urine. Radiography sometimes revealed lead-containing particles in the gastro-intestinal tract, and lead lines were occasionally detected in the metaphysis of long bones in immature dogs. Treatment with calcium ethylenediamine-tetraacetic acid resulted in rapid and often dramatic recoveries in nearly all instances. Removal of lead from the gastrointestinal tract and treatment to relieve pronounced central nervous disorders was sometimes necessary. 40 references, 6 figures, 7 tables

  18. [Poisonings in pregnancy].

    Schaefer, C; Hoffmann-Walbeck, P

    2012-03-01

    Attempted suicides and poisonings in pregnancy are a challenge for health care professionals because of the unknown effects of the toxic agent and the antidote therapy on the unborn. In case of intoxication, the malformation risk is often overestimated. In contrast, pertinent data show that the risk is not very high as long as the drug is not known as a teratogen and the mother's health is not substantially impaired. This applies to suicide attempts with acetaminophen, iron-containing products, and multidrug overdoses with psychopharmaceuticals as well as snake and spider bites and the ingestion of poisonous mushrooms. It is of utmost importance that the pregnant patient receives the same detoxification and supportive therapy following pertinent guidelines as a non-pregnant patient. The fetus should be followed-up by ultrasound with special focus on its vital parameters, movement pattern, and normal growth and organ differentiation. As long as the maternal health status is not substantially impaired, there is no indication to discuss elective termination of pregnancy "for toxicological reasons". PMID:22349530

  19. Acute abdomen

    Acute abdomen may be connected with the injury of one of the internal organs, injury of large blood vessels, with the spreading of pains from some other area. It may also be a manifestation of systemic disease or poisoning. The main purposes of radiodiagnosis are: determination of the cause of clinical syndrome; determination of the localization and spreading of pathological changes in abdominal organs; finding out the character of complications. If the data of the ordinary roentgenological investiagtion and isn't complete, the computer tomography of abdominal and pelvic cavities is needed

  20. 1H MR spectroscopy of gray and white matter in carbon monoxide poisoning

    Kondziella, D.; Danielsen, E.R.; Hansen, K.;

    2009-01-01

    Carbon monoxide (CO) intoxication leads to acute and chronic neurological deficits, but little is known about the specific noxious mechanisms. (1)H magnetic resonance spectroscopy (MRS) may allow insight into the pathophysiology of CO poisoning by monitoring neurochemical disturbances, yet only...... limited information is available to date on the use of this protocol in determining the neurological effects of CO poisoning. To further examine the short-term and long-term effects of CO on the central nervous system, we have studied seven patients with CO poisoning assessed by gray and white matter MRS...

  1. Carbon monoxide poisoning: easy to treat but difficult to recognise.

    Balzan, M. V.; Agius, G.; Galea Debono, A.

    1996-01-01

    Carbon monoxide (CO) poisoning is a common medical emergency and a frequent cause of deliberate or accidental death. It can cause acute and chronic central nervous system damage which may be minimised by prompt treatment with 100% oxygen or hyperbaric oxygen therapy. However, recognition of this intoxication can be difficult. Failure to diagnose it may have disastrous effects on the patient, and other members of the household who could subsequently become intoxicated. Guidance on the correct ...

  2. Extracorporeal Treatment for Salicylate Poisoning

    Juurlink, David N; Gosselin, Sophie; Kielstein, Jan T;

    2015-01-01

    poisoning. We conducted a systematic literature review followed by data extraction and summarized findings, following a predetermined format. The entire work group voted by a 2-round modified Delphi method to reach consensus on voting statements, using a RAND/UCLA Appropriateness Method to quantify......-based recommendations on the use of extracorporeal treatment in salicylate poisoning. METHODS: The Extracorporeal Treatments in Poisoning (EXTRIP) Workgroup is a multidisciplinary group with international representation whose aim is to provide evidence-based recommendations on the use of extracorporeal treatments in...

  3. Alcohol Withdrawal Mimicking Organophosphate Poisoning

    Nezihat Rana Disel

    2014-02-01

    Full Text Available Organophosphates, which can cause occupational poisoning due to inappropriate personal protective measures, are widely used insecticides in agricultural regions of southern Turkey. Therefore, the classical clinical findings of this cholinergic poisoning are myosis, excessive secretions, bradicardia and fasciculations are easy to be recognized by local medical stuff. Diseases and conditions related to alcoholism such as mental and social impairments, coma, toxicity, withdrawal, and delirium are frequent causes of emergency visits of chronic alcoholic patients. Here we present a case diagnosed and treated as organophosphate poisoning although it was an alcohol withdrawal in the beginning and became delirium tremens, due to similar symptoms.

  4. Mercury contamination extraction

    Fuhrmann, Mark; Heiser, John; Kalb, Paul

    2009-09-15

    Mercury is removed from contaminated waste by firstly applying a sulfur reagent to the waste. Mercury in the waste is then permitted to migrate to the reagent and is stabilized in a mercury sulfide compound. The stable compound may then be removed from the waste which itself remains in situ following mercury removal therefrom.

  5. Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements

    Hossein Hassanian-Moghadam

    2014-06-01

    Full Text Available Background: There is no clear data on the adherence of emergency medical services (EMS paramedics and hospital staff rather than those working in poisoning centers to the guidelines for managing acutely poisoned patients in developing countries. Methods: During a 6-month period, all EMS-managed poisoned patients along with those initially managed in a non-poisoning center before being referred to a poisoning hospital in Tehran, Iran, were instructed. Then the indications for administrating the activated charcoal (AC as well as performing gastric lavage (GL and tracheal intubation were studied and compared to the recommended guidelines. Results: A total of 3347 cases, including 1859 males (55.6%, were evaluated. There were significant differences between expected and performed endotracheal intubations in both EMS and other medical centers (P-value = 0.002 and 0.001, respectively as well as the administration of GL and AC in other medical centers (P-values= 0.003 and 0.03, respectively. Conclusion: More extensive educational programs should be established to improve the preliminary management of poisoned patients performed by EMS paramedics and staff of hospitals other than poisoning centers.

  6. Information on Several Interesting Case Reports of Liquid Mercury Intoxication

    Navrátil, Tomáš; Vlčková, Š.; Mrázová, K.; Nováková, Kateřina; Zakharov, S.; Honsová, Š.; Pelclová, D.

    Ústí nad Labem: Srsenová Lenka - Best Servis, 2015 - (Navrátil, T.; Fojta, M.; Schwarzová, K.), s. 156-160 ISBN 978-80-905221-3-8. [Moderní elektrochemické metody /35./. Jetřichovice (CZ), 18.05.2015-22.05.2015] R&D Projects: GA ČR(CZ) GAP208/12/1645; GA ČR GAP206/11/1638 Institutional support: RVO:61388955 Keywords : mercury * poisoning * toxicity of mercury Subject RIV: CG - Electrochemistry

  7. Mercury uptake and accumulation by four species of aquatic plants.

    Skinner, Kathleen; Wright, Nicole; Porter-Goff, Emily

    2007-01-01

    The effectiveness of four aquatic plants including water hyacinth (Eichornia crassipes), water lettuce (Pistia stratiotes), zebra rush (Scirpus tabernaemontani) and taro (Colocasia esculenta) were evaluated for their capabilities in removing mercury from water. The plants were exposed to concentrations of 0 mg/L, 0.5 mg/L or 2 mg/L of mercury for 30 days. Assays were conducted using both Microtox (water) and cold vapor Atomic Absorption Spectroscopy (AAS) (roots and water). The Microtox results indicated that the mercury induced acute toxicity had been removed from the water. AAS confirmed an increase of mercury within the plant root tissue and a corresponding decrease of mercury in the water. All species of plants appeared to reduce mercury concentrations in the water via root uptake and accumulation. Water lettuce and water hyacinth appeared to be the most effective, followed by taro and zebra rush, respectively. PMID:16781033

  8. N-acetylcysteine overdose after acetaminophen poisoning

    Mahmoudi GA

    2015-02-01

    Full Text Available Ghafar Ali Mahmoudi,1 Peyman Astaraki,1 Azita Zafar Mohtashami,1 Maryam Ahadi2 1Faculty of Medicine, Department of Internal Medicine, Lorestan University of Medical Sciences, 2Legal Medicine Research Center of Lorestan, Khorramabad, Iran Abstract: N-acetylcysteine (NAC is used widely and effectively in oral and intravenous forms as a specific antidote for acetaminophen poisoning. Here we report a rare case of iatrogenic NAC overdose following an error in preparation of the solution, and describe its clinical symptoms. Laboratory results and are presented and examined. A 23-year-old alert female patient weighing 65 kg presented to the emergency ward with weakness, lethargy, extreme fatigue, nausea, and dizziness. She had normal arterial blood gas and vital signs. An excessive dosage of NAC over a short period of time can lead to hemolysis, thrombocytopenia, and acute renal failure in patients with normal glucose-6-phosphate dehydrogenase, and finally to death. Considering the similarity between some of the clinical symptoms of acetaminophen overdose and NAC overdose, it is vitally important for the administration phases and checking of the patient's symptoms to be carried out attentively and cautiously. Keywords: N-acetylcysteine, overdose, acetaminophen poisoning, medication error

  9. Cartap hydrochloride poisoning: A clinical experience

    Hari K Boorugu

    2012-01-01

    Full Text Available Cartap hydrochloride, a nereistoxin analog, is a commonly used low toxicity insecticide. We describe a patient who presented to the emergency department with alleged history of ingestion of Cartap hydrochloride as an act of deliberate self-harm. The patient was managed conservatively. To our knowledge this is the first case report of Cartap hydrochloride suicidal poisoning. Cartap toxicity has been considered to be minimal, but a number of animal models have shown significant neuromuscular toxicity resulting in respiratory failure. It is hypothesized that the primary effect of Cartap hydrochloride is through inhibition of the [ 3 H]-ryanodine binding to the Ca 2+ release channel in the sarcoplasmic reticulum in a dose-dependent manner and promotion of extracellular Ca 2+ influx and induction of internal Ca 2+ release. This results in tonic diaphragmatic contraction rather than paralysis. This is the basis of the clinical presentation of acute Cartap poisoning as well as the treatment with chelators namely British Anti Lewisite and sodium dimercaptopropane sulfonate.

  10. Poison control center - emergency number

    ... ANYWHERE IN THE UNITED STATES This national hotline number will let you talk to experts in poisoning. ... centers in the United States use this national number. You should call if you have any questions ...

  11. Grass and weed killer poisoning

    ... medlineplus.gov/ency/article/002838.htm Grass and weed killer poisoning To use the sharing features on this page, please enable JavaScript. Many weed killers contain dangerous chemicals that are harmful if swallowed. ...

  12. Diagnosing poisoning: Carbon monoxide (CO)

    Public Health Agency

    2011-01-01

    Guidance for primary�care�on how to deal with�patients presenting with possible symptoms of carbon monoxide (CO) poisoning. Produced by the Health Protection Agency and adapted by the Public Health Agency.

  13. Diagnosing poisoning: Carbon monoxide (CO)

    Public Health Agency

    2010-01-01

    Guidance for primarycareon how to deal withpatients presenting with possible symptoms of carbon monoxide (CO) poisoning. Produced by the Health Protection Agency and adapted by the Public Health Agency.

  14. Extracorporeal Treatment for Metformin Poisoning

    Calello, Diane P; Liu, Kathleen D; Wiegand, Timothy J;

    2015-01-01

    diverse professions, presents its systematic review and clinical recommendations for extracorporeal treatment in metformin poisoning. METHODS: A systematic literature search was performed, data extracted, findings summarized, and structured voting statements developed. A two-round modified Delphi method...

  15. Carbon Monoxide (CO) Poisoning Prevention

    ... What's this? Submit Button Past Emails CDC Features Carbon Monoxide (CO) Poisoning Prevention Language: English Español (Spanish) ... tornadoes), using alternative sources of power can cause carbon monoxide (CO) to build up in a home ...

  16. Mercury Toxicity on Sodium Pump and Organoseleniums Intervention: A Paradox

    Ige Joseph Kade

    2012-01-01

    Full Text Available Mercury is an environmental poison, and the damage to living system is generally severe. The severity of mercury poisoning is consequent from the fact that it targets the thiol-containing enzymes, irreversibly oxidizing their critical thiol groups, consequently leading to an inactivation of the enzyme. The Na+/K+-ATPase is a sulfhydryl protein that is sensitive to Hg2+ assault. On the other hand, organoseleniums are a class of pharmacologically promising compounds with potent antioxidant effects. While Hg2+ oxidizes sulfhydryl groups of Na+/K+-ATPase under in vitro and in vivo conditions, the organoselenium compounds inhibit Na+/K+-ATPase in vitro but enhance its activities under in vivo conditions with concomitant increase in the level of endogenous thiols. Paradoxically, it appears that these two thiol oxidants can be used to counteract one another under in vivo conditions, and this hypothesis serves as the basis for this paper.

  17. Lead poisoning in China: a health and human rights crisis.

    Cohen, Jane E; Amon, Joseph J

    2012-01-01

    Acute and chronic lead poisoning is occurring throughout China and is a major cause of childhood morbidity. The Chinese government's emphasis on industrial development and poverty reduction has, over the past three decades, decreased by 500 million the number of people surviving on less than one dollar per day, but has caused significant environmental degradation that threatens public health. Drawing upon in-depth interviews conducted in 2009 and 2010 with families affected by lead poisoning, environmental activists, journalists, government and civil society organization officials in Shaanxi, Henan, Hunan, and Yunnan provinces, as well as a review of scientific and Chinese media, and health and environmental legal and policy analysis, we examine the intersection of civil, political, economic, and social rights related to access to information, screening, treatment, and remediation related to lead poisoning. In-depth interviews in each province uncovered: censorship and intimidation of journalists, environmental activists, and parents seeking information about sources and prevention of lead poisoning; denial of screening for lead poisoning, often based upon arbitrary eligibility criteria; and inadequate and inappropriate treatment being promoted and provided by health facilities. Over the past decade, the Chinese government has prioritized health care and invested billions of dollars towards universal health coverage, and strengthened environmental to address industrial pollution and guarantee access to information on the environment. Yet, despite these reforms, information remains constrained and citizens seeking information and redress are sometimes arrested, in violation of Chinese and international law. Local government officials and national environmental policies continue to prioritize economic development over environmental protection. To effectively address lead poisoning requires an emphasis on prevention, and to combat industrial pollution requires

  18. Successful treatment of polymedicamentous poisoning with metoprolol, diltiazem and cilazapril

    Radovanović Milan R.

    2009-01-01

    Full Text Available Introduction. Poisoning caused by drugs with cardiodepressive effects is an urgent condition in medicine which is associated with high mortality rate regardless of modern therapeutic methods. Accidental or intentional poisoning whit these drugs produces heart activity depression and cardiovascular collapse as consequences. Current therapy for severe poisoning caused by beta-blockers and calcium channel blockers includes both unspecific and specific antidote therapy whit glucagon, as well as application of adrenergic drugs, calcium, phosphodiesterase inhibitors and hyperinsulinemia/euglycemia therapy. However, even whit the application of these drugs, prompt measures of unspecific detoxication therapy and cardiopulmonary reanimation are crucial for survival of patients with severe poisoning. Case report. A 28-year-old female patient was hospitalized for cardiogenic shock and altered state of conscioussnes (Glasgow coma score = 4, caused by acute poisoning with 2 g of metoprolol (Presolol®, 1.8 g of diltiazem (Cortiazem® and 50 mg of cilazapril (Zobox®. Prolonged cardiopulmonary resuscitation was applied during the first 16 hours of hospitalization, including administration of crystaline solutions (8 L, 17 mg of adrenaline, 4 mg of atropine, 4 mg of glucagone and 1.6 g of dopamine, with electro-stimulation by temporary pacemaker and mechanical ventilation. In a defined time period, normalized state of consciousness was registered, mechanical ventilation was stopped and normal heart activity and hemodynamic stability were accomplished. During hospitalization the patient was treated for mild pneumonia and after ten days, completely recovered, was released and sent to home treatment. Conclusion. Prompt measures of cardiopulmonary resuscitation and multidisciplinary treatment in intensive care units significantly increase the chances of complete recovery of a patient with severe poisoning caused by drugs with cardiodepressive efects.

  19. Paracetamol poisoning: beyond the nomogram

    Bateman, D Nicholas

    2015-01-01

    Paracetamol poisoning is the commonest overdose seen in the UK. The management of patients with paracetamol poisoning has been little changed for the past 40 years, with a weight related dose of antidote (acetylcysteine) and treatment based on nomograms relating paracetamol concentration to time from ingestion. In 2012 the UK Commission on Human Medicines recommended a revision of the nomogram, following the death of a young woman, lowering the treatment threshold for all patients. As a resul...

  20. Alcohol Poisoning Deaths PSA (:60)

    2015-01-06

    This 60 second Public Service Announcement is based on the January 2015 CDC Vital Signs report. In the United States, an average of six people die every day from alcohol poisoning. Learn what you can do to prevent binge drinking and alcohol poisoning.  Created: 1/6/2015 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 1/6/2015.