CLINICAL CASE REPORT OF ACUTE HEART INJURY AND ACUTE RHABDOMYOLYSIS DUE TO CYANUA POISONING

Year 2024, Volume: 6 Issue: 1, 46 - 47, 02.05.2024

Duc Nguyen Dang , Sinh Nguyen Phuong

https://doi.org/10.55994/ejcc.1443800

Abstract

Cyanide poisoning is one of the most dangerous poisonings, it can be absorbed into the body through the mouth, inhalation and through the skin. A 32-year-old female patient was admitted to our poison control center because of high fever, severe vomiting, and seizures. Physical examination found that the patient was drowsy, had a high fever of 40 degrees Celsius, pulse of 140 beats/minute, and increased tendon and bone reflexes. Exploiting the patient's information, it was discovered that the patient bought Cyanide to drink with the intention of committing suicide. The patient was quickly treated with gastric lavage and activated charcoal. Echocardiography recorded EF: 35%, reduced movement of the entire myocardium. CK blood test: 4562 U/L. The patient's condition rapidly deteriorated and the patient was made ECMO, IHD and CVVHDF. After 3 days of treatment, the patient's condition did not improve, so the family asked for the patient to go home. This article aims to describe the rapidly progressing and severe damage to the heart and muscles of patients with cyanide poisoning.

Keywords

Ciyanide Poisoning, Acute Heart injury, Acute Rhabdomyolysis

References

• 1. Hall AH, Rumack BH. Clinical toxicology of cyanide. Ann Emerg Med 986; 15:1067.
• 2. Mizock BA. Lactic acidosis. Dis Mon 1989; 35:233.
• 3. Bryson, PD. Comprehensive Review in Toxicology for Emergency Clinicians, 3rd, Taylor and Francis, Denver 1996. p.352.
• 4. Agency for Toxic Substances and Disease Registry. Toxicological profile for cyanide (update). Atlanta: US Department of Health and Human Services, Public Health Service, 2006 June, 1-341. ATSDR/TP-92/09