An extremely rare cause of acute symptomatic seizure in toddlers: Apricot seed ingestion

Year 2023, Volume: 12 Issue: 2, 146 - 150, 31.08.2023

İpek Dokurel , Cansen Çeneli

https://doi.org/10.47493/abantmedj.1324250

Abstract

One of the most frequent causes of seizures in children is an acute symptomatic seizure. To forecast risk of recurrence of seizure, it's crucial to identify the trigger element at the root of the problem. Cyanide inhibits cell oxygen utilization and cellular respiration through inactivation of mitochondrial cytochrome oxidase. Cyanide is one of the most lethal toxins ever discovered for the human body. Early treatment enables the avoidance of harmful outcomes, including death. This case report represents case of a 2-year-old girl presented with an acute symptomatic seizure after eating a few apricot kernels and her quick recovery with antidote after cyanide poisoning was suspected. The patient was discharged without experiencing any long-term effects of cyanide poisoning.

Keywords

Cyanide, children, acute symptomatic seizure

Supporting Institution

none

Çocuklarda akut semptomatik nöbetin oldukça nadir bir nedeni: Kayısı çekirdeği yutulması

Abstract

Çocuklukta nöbetlerin en sık nedenlerinden biri akut semptomatik nöbettir. Nöbetin tekrarlama riskini tahmin etmek için sorunun kökündeki tetikleyici unsuru belirlemek çok önemlidir. Siyanür, mitokondriyal sitokrom oksidazın inaktivasyonu yoluyla hücre oksijen kullanımını ve hücresel solunumu inhibe eder. Siyanür, insan vücudu için şimdiye kadar keşfedilen en öldürücü toksinlerden biridir. Erken tedavi, ölüm dahil zararlı sonuçların önlenmesini sağlar. Bu vaka sunumu, birkaç kayısı çekirdeği yedikten sonra akut semptomatik nöbet ile başvuran ve siyanür zehirlenmesinden şüphelenildikten sonra panzehirle hızla iyileşen 2 yaşındaki bir kız çocuğunu sunmaktadır. Hasta siyanür zehirlenmesinin uzun süreli etkisi görülmeden taburcu edilmiştir.

Keywords

Siyanür, Çocuk, akut semptomatik nöbet

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