Sosyal Medya Kaynaklı Bir Siyanür Zehirlenmesi

Öz

Özet: Elma, kiraz, şeftali, armut ve erik gibi meyveler Rosaceae familyasının üyeleri olup en çok tüketilen meyveler arasındadır. İnsanlara önemli sağlık yararları sağlamalarına rağmen tohumları potansiyel bir toksin olan amigdalin içerir. Çekirdekler ezilerek parçalandığında, siyanojenik glikozitler endojen enzimlerle etkileşime girerek hidrojen siyanür oluşumuna neden olur. Teknolojik gelişmeler ve artan internet kullanımı bizlere birçok bilginin kapısını açmıştır. Bilgisayar ve internet kullanımı genel olarak genç nüfusta oldukça yüksek düzeydedir. Pek çok sosyal platformda sağlık alanındaki hatalı bilgiler, gereksiz tüyolardan tehlikeli iddialara kadar çeşitlilik göstermektedir. Bu olguda internetten öğrenilen bilgilerle 200 elma çekirdeği ile intihar girişiminde bulunan bir hastada erken tanı ve tedavinin hayati önemini göstermeyi amaçladık. Anahtar Kelimeler: Acil tıp, zehirlenme, siyanür, Sosyal medya Abstract: Fruits such as apples, cherries, peaches, pears and plums are members of the Rosaceae family and are among the most consumed fruits. Although they provide important health benefits to humans, their seeds contain amygdalin, a potential toxin. When the nuclei are broken down by crushing, cyanogenic glycosides interact with endogenous enzymes, causing the formation of hydrogen cyanide. Technological developments and increasing internet use have opened the door to a lot of information for us. Computer and internet usage is generally at very high levels in the young population. In many social platforms, erroneous information in the field of health ranges from unnecessary tips to dangerous claims. In this case, we aimed to show the vital importance of early diagnosis and treatment in a patient who using information learned from the internet attempted suicide with 200 apple seeds. Key words: Emergency medicine, poisoning, cyanide, social media

A Social Media-Induced Cyanide Poisoning

Abstract

Fruits such as apples, cherries, peaches, pears and plums are members of the Rosaceae family and are among the most consumed fruits. Although they provide important health benefits to humans, their seeds contain amygdalin, a potential toxin. When the nuclei are broken down by crushing, cyanogenic glycosides interact with endogenous enzymes, causing the formation of hydrogen cyanide. Technological developments and increasing internet use have opened the door to a lot of information for us. Computer and internet usage is generally at very high levels in the young population. In many social platforms, erroneous information in the field of health ranges from unnecessary tips to dangerous claims. In this case, we aimed to show the vital importance of early diagnosis and treatment in a patient who using information learned from the internet attempted suicide with 200 apple seeds.

Keywords

• Emergency medicine
• Poisoning
• Cyanide
• Social media

References

1. 1. Bolarinwa IF, Orfila C, Morgan MR. Determination of amygdalin in apple seeds, fresh apples and processed apple juices. Food Chem 2015; 170: 437-42.
2. 2. He XY, Wu LJ, Wang WX, Xie PJ, Chen YH, Wang F. Amygdalin - A pharmacological and toxicological review. Journal of Ethnopharmacology 254 (2020) 112717.
3. 3. Skinner RC, Gigliotti JC, Ku KM, Tou JC. A comprehensive analysis of the composition, health benefits, and safety of apple pomace. Nutrition Reviews Vol, 2022; 76(12):893–909.
4. 4. Kıran S, Küçükbostancı H, Emre İE. Examination Of The Effects Of Social Media Use On Individuals. Bilişim Teknolojileri Dergisi 2020; 13(4), 435 - 441.
5. 5. Büyükafşar M. Sağlık Mezenformasyonu: Çevrimiçi Kanallardan Yayılan Yanlış Bilgi Salgını. Öneri Dergisi 2022; 17(57), 73-10.
6. 6. Koçak S, Dündar ZD, Demirci Ş, Cander B, Doğan H. Cyanide Intoxication: A Case Report. Journal of Emergency Medicine Case Reports. 2010;1(1):11-4.
7. 7. World Health Organization. (2021). Suicide worldwide in 2019: global health estimates.
8. 8. Şahingöz M, Kendirli K, Yılmaz E. Sönmez EÖ, Satan Y, Aksoy F.et.al. Psychiatric Emergencies in a Univercity Hospital. Selçuk Tıp Derg 2014;30(4): 153-154

9. 9. Günaydın G, Demirci Ş, Şahin TK. Evaluation of Medicolegal Deaths between 1991 and 2000 in Konya Justice. Sü Tıp Fak Derg, 2002; 18:89-96.
10. 10. Ata EE, Bayrak NG, Yılmaz EB. Evaluation of cases presenting to the emergency department due to suicide attempt: a one-year retrospective study. Cukurova Med J 2021;46(4):1675-1686.