Advanced Biomedical Research

CASE REPORT
Year
: 2020  |  Volume : 9  |  Issue : 1  |  Page : 42-

An unusual acute cyanide intoxication


Gholamali Dorooshi1, Amin Dorostkar2, Alireza Rahimi3, Shafeajafar Zoofaghari1 
1 Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, Khorshid Hospital, Isfahan, Iran
2 Isfahan Clinical Toxicology Research Center, Medical Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
3 Clinical Informationist Research Group, Health Information Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Dr. Gholamali Dorooshi
Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, Khorshid Hospital, Isfahan
Iran

Suicide with cyanides is relatively rare but highly lethal. The lethal oral dose of cyanide salts is 200 mg, and concentrations >3 mg/L may be potentially lethal. The symptoms of poisoning are predominating in the central nervous system and cardiovascular system. We report the case of a 43-year-old goldsmith man who presented with self-poisoning by cyanide salt ingestion. Patient's symptoms included confusion, cardiac arrhythmias, hyperkalemia, leukocytosis, metabolic acidosis with high anion gap, hypotension, and then hypertension. The cause of the patients poisoning was not initially diagnosed. Intensive supportive treatment was performed. The patient died on the 3rd day of admission following cardiac arrest. At autopsy, hemorrhagic gastritis and cherry-red discoloration of the chest muscles were observed. Forensic toxicology showed cyanide in the blood and tissues. Cyanide poisoning could appear in different forms, and like our case, the symptoms can last for several days with nonspecific symptoms.


How to cite this article:
Dorooshi G, Dorostkar A, Rahimi A, Zoofaghari S. An unusual acute cyanide intoxication.Adv Biomed Res 2020;9:42-42


How to cite this URL:
Dorooshi G, Dorostkar A, Rahimi A, Zoofaghari S. An unusual acute cyanide intoxication. Adv Biomed Res [serial online] 2020 [cited 2020 Sep 19 ];9:42-42
Available from: http://www.advbiores.net/article.asp?issn=2277-9175;year=2020;volume=9;issue=1;spage=42;epage=42;aulast=Dorooshi;type=0