1/16. kerosene-induced severe acute respiratory failure in near drowning: reports on four cases and review of the literature.OBJECTIVE: The purpose of this study is to present an unusual respiratory and cardiovascular course after intoxication and near drowning in a river contaminated with kerosene. DESIGN: case reports and review of the literature. SETTING: intensive care unit of a university-affiliated hospital. patients: Four patients after near drowning. INTERVENTION: Supportive only. RESULTS: The four patients developed acute respiratory failure. Cardiomyopathy was present in three patients and a persistent hypokalemia in two patients. The onset of the symptoms was delayed, which led to underestimation of the severity of their illness. Two of the four patients died. The diagnosis of hydrocarbon intoxication was based on bronchoalveolar lavage results, neutrophilic alveolitis with the presence of lipid-laden macrophages, and evidence of lipoid pneumonia from the autopsy performed on one victim. One patient who clinically deteriorated and another who developed a severe restrictive pulmonary disorder were treated with corticosteroids, which were effective only in the latter patient. CONCLUSIONS: Acute kerosene intoxication in a near-drowning event often results in severe respiratory and cardiac failure, with a high fatality rate. Treatment with corticosteroids may lead to a rapid improvement in lung function.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |
2/16. Metabolic effects of metaproterenol overdose: hypokalemia, hyperglycemia and hyperlactatemia.This case report of metaproterenol toxicity was associated with hypokalemia, hyperglycemia and hyperlactatemia. A similar triad has been reported in acute theophylline poisoning. hypokalemia and hyperglycemia have been reported with other beta-agonists, but not metaproterenol. patients presenting with the metabolic triad of hypokalemia, hyperglycemia, and hyperlactatemia should have theophylline and beta-agonist toxicity included in their differential diagnosis because the prognosis and therapy of these 2 intoxications is markedly different.- - - - - - - - - - ranking = 0.33333333333333keywords = intoxication (Clic here for more details about this article) |
3/16. Transient global amnesia associated with cardiac arrhythmia and digitalis intoxication.A 54-year-old woman with transient global amnesia (TGA) was found to have digitalis-induced bradyarrhythmia with atrioventricular dissociation. The amnesia cleared only upon resolution of the arrhythmia. Cardiac arrhythmia has been postulated as a cause, but TGA in the setting of cardiac arrhythmia has not been documented previously. Cardiac arrhythmia should be excluded in patients with TGA, and TGA, a syndrome diagnosed on clinical grounds alone, must be recognized as one possible manifestation of treatable, potentially serious cardiac or cerebrovascular disease.- - - - - - - - - - ranking = 1.3333333333333keywords = intoxication (Clic here for more details about this article) |
4/16. Acute barium intoxication and hemodiafiltration.We report a case of severe hypokalemia and flaccid muscle paralysis following a suicide attempt associating the calcium channel blocker amlodipine, the antidepressant fluoxetine and barium carbonate. Despite rapid correction of severe, life-threatening hypokalemia, areflexic quadriplegia persisted, suggesting a direct effect of barium on muscle cells. Continuous veno-venous hemodiafiltration (CVVHDF) was initiated. We determined barium concentration in the urine, plasma, and hemodiafiltrate during CVVHDF. We subsequently calculated the amounts of barium eliminated both by the CVVHDF and the kidneys. CVVHDF triples the measured barium elimination, reduced serum barium half-life by a factor of three, stabilized serum potassium levels, and rapidly improved motor strength, with complete neurological recovery within 24 h. Presentation and treatment of barium intoxication are discussed.- - - - - - - - - - ranking = 1.6666666666667keywords = intoxication (Clic here for more details about this article) |
5/16. The old lady who liked liquorice: hypertension due to chronic intoxication in a memory-impaired patient.The authors report an 85-year-old patient admitted because of cognitive impairment. During examination hypertension and hypokalaemia were found. After some time it was discovered that the patient was eating too much liquorice. The case demonstrates that liquorice intoxication should be considered as a cause of hypertension in old age. Furthermore the case demonstrates that missing an intoxication is a pitfall for medical history taking of patients with cognitive impairment.- - - - - - - - - - ranking = 2keywords = intoxication (Clic here for more details about this article) |
6/16. barium carbonate intoxication.A 22-year-old man attempted to commit suicide by swallowing an unknown amount of barium carbonate dissolved in hydrochloric acid. Shortly after ingestion, he developed crampy abdominal pain and generalized muscle weakness. About 2 h later, respiratory failure ensued necessitating orotracheal intubation and mechanical ventilation. Concomitantly, life-threatening arrhythmias including ventricular fibrillation occurred, and he had to be resuscitated for 45 min. After correction of severe hypokalemia (serum potassium 1.5 mmol/l), cardiac rhythm stabilized. In an attempt to accelerate removal of barium from the circulation hemodialysis was begun. During hemodialysis muscle strength returned. Pharmacokinetic analysis of serum barium levels suggest that hemodialysis shortened the serum half-life of barium. Subsequently, the patient made a complete and uneventful recovery. Our case demonstrates that severe barium poisoning can be survived provided that early aggressive therapeutic measures are undertaken. Hemodialysis seems to be efficacious in the therapy of barium intoxication.- - - - - - - - - - ranking = 1.6666666666667keywords = intoxication (Clic here for more details about this article) |
7/16. Prolonged Q-T interval and hypokalemia caused by haloperidol.A patient is described who developed hypokalemia and cardiac arrhythmia after acute intoxication with haloperidol.- - - - - - - - - - ranking = 0.33333333333333keywords = intoxication (Clic here for more details about this article) |
8/16. Long-standing bidirectional tachycardia in a patient with hypokalemic periodic paralysis.Bidirectional tachycardia is an uncommon arrhythmia that usually occurs in aged persons with severe myocardial disease or digitalis intoxication, and carries a poor prognosis. This is a report of a young woman with familial hypokalemic periodic paralysis, who has a 13-year history of asymptomatic bidirectional tachycardia in the absence of organic heart disease or digitalis intoxication. association of periodic paralysis and bidirectional tachycardia in this case and four previously reported cases suggests a strong relationship between this arrhythmia and potassium.- - - - - - - - - - ranking = 0.66666666666667keywords = intoxication (Clic here for more details about this article) |
9/16. Prolonged runs of ventricular tachycardia as a complication of theophylline intoxication. Report of a case.A 70-year-old patient who developed ventricular tachycardia (up to several hundreds of consecutive ventricular complexes) in the presence of theophylline intoxication (29 micrograms/ml) is reported. Ventricular tachycardia is a rare complication of theophylline intoxication and, to our knowledge, has not yet been reported with theophylline levels below 40 micrograms/ml. The occurrence of hypokalemia and its possible arrhythmogenic effect in theophylline intoxication is discussed. The role of low theophylline clearance in developing iatrogenic theophylline intoxication is emphasized. patients with theophylline intoxication should be carefully monitored, even when the serum level does not seem to be dramatically high.- - - - - - - - - - ranking = 3keywords = intoxication (Clic here for more details about this article) |
10/16. Hypo-osmolar intravascular volume overload during anaesthesia for transurethral prostatectomy. A report of 2 cases.Two cases are reported in which absorption of surgical irrigant into the vascular system during transurethral resection of the prostate gland (TUR) resulted in life-threatening complications due to hypo-osmolar volume overload (also known as water intoxication or the TUR syndrome). Manifestations common to both cases were haemolysis of red cells, cardiac arrhythmias, a drop in the serum sodium level, and an elevated central venous pressure. In addition, one patient developed acute pulmonary oedema and the other hypokalaemia, confusion and visual disturbances due to cerebral oedema. Water as an irrigant for TUR should be superseded by glycine 1,5%, which is safer.- - - - - - - - - - ranking = 0.33333333333333keywords = intoxication (Clic here for more details about this article) |
| | Next -> |