Cyanide Poisoning Secondary to Unintentional Dermal and Inhalation Exposure: Case Report and Literature Review
Journal Title: Revista Cuarzo - Year 2020, Vol 26, Issue 2
Abstract
Introduction. Cyanide is a readily available chemical on the market used in various industries such as insecticide production, photography, and jewelry. The cases of poisoning due to this compound have a high mortality rate, especially those in which the antidotes are not administered in a timely manner. This is applicable to both industrialized and developing countries, the last ones, places where there are not enough resources to manage these complex medical situations, as is the case in our environment, where the incidence of this type of poisoning is not clear and it may be under-registered, being reported within the group of intoxications by chemical substances, with half of the cases being by suicidal intention and a greater incidence in men. Objective. In order to know and adequately manage cases of cyanide poisoning, it is of great importance that the emergency services have clear information about the pathophysiological and clinical aspects involved and the availability for use of substances such as sodium nitrite, nitrite of amyl, sodium thiosulfate and hydroxycobalamin as part of the treatment of these patients, compounds that are not usually available in our country, with methylene blue being the antidote of choice due to its availability in our country. Methodology. This is a case report of a patient with cyanide poisoning secondary to dermal exposure at the Santa Fe Foundation in Bogotá in 2020 and a review of the literature Results. We report the case of a 68-year-old woman who suffers an involuntary exposure to cyanide, for which she is admitted to the emergency deparment with nonspecific symptoms secondary to said exposure, in wich we found evidence of metabolic as the main laboratory finding. The clinical evolution and the information provided by the laboratory and the available measures used for its management are documented. Conclusion. We expose a case of cyanide poisoning by ways taht are not common in our enviorment the measures used and the limitations that we observe when facing to a scenario that would potentially lead to the death of the patient.
Authors and Affiliations
Espinosa, J. , Hernández M, S. , Laguado C, V. , Valverde G, E. , & Núñez C, D.
Keywords
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- EP ID EP694581
- DOI https://doi.org/10.26752/cuarzo.v26.n2.531
- Views 219
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