Taking the bait: Strychnine poisoning.

Autor: Hardin J; Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, CA; VA San Diego Healthcare System, San Diego, CA, United States of America; San Diego Division, California Poison Control System, San Diego, CA, United States of America. Electronic address: jrhardin@health.ucsd.edu., Galust H; Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, CA; VA San Diego Healthcare System, San Diego, CA, United States of America; San Diego Division, California Poison Control System, San Diego, CA, United States of America. Electronic address: hegalust@health.ucsd.edu., Bensel A; Department of Emergency Medicine, UC San Diego Health, CA, United States of America. Electronic address: abensel@health.ucsd.edu., Bierly S; Department of Emergency Medicine, UC San Diego Health, CA, United States of America. Electronic address: sbierly@health.ucsd.edu., Seltzer J; Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, CA; VA San Diego Healthcare System, San Diego, CA, United States of America; San Diego Division, California Poison Control System, San Diego, CA, United States of America. Electronic address: jseltzer@health.ucsd.edu., Friedman N; Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, CA; VA San Diego Healthcare System, San Diego, CA, United States of America; San Diego Division, California Poison Control System, San Diego, CA, United States of America. Electronic address: nafriedman@health.ucsd.edu., Clark RF; Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, CA; San Diego Division, California Poison Control System, San Diego, CA, United States of America. Electronic address: rfclark@health.ucsd.edu., Campbell C; Department of Emergency Medicine, UC San Diego Health, CA, United States of America. Electronic address: cjcampbell@health.ucsd.edu.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2023 Dec; Vol. 74, pp. 197.e5-197.e7. Date of Electronic Publication: 2023 Oct 02.
DOI: 10.1016/j.ajem.2023.09.055
Abstrakt: A 48-year-old male intentionally ingested "gopher killer" containing strychnine as a, suicide attempt. He rapidly developed generalized muscle spasms with opisthotonos followed by cardiovascular collapse. He was resuscitated, treated with 24 h of, neuromuscular paralysis, and was discharged on hospital day 10 without sequelae. A blood strychnine concentration obtained five hours post ingestion was 2.2 mg/L. Strychnine poisoning is exceedingly rare in the modern United States and this report contains a video recording of the classic exam findings.
Competing Interests: Declaration of Competing Interest All authors have no conflicts of interest to disclose.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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