• Am J Emerg Med · Dec 2023

    Case Reports

    Taking the bait: Strychnine poisoning.

    • Jeremy Hardin, Henrik Galust, Alexandra Bensel, Shane Bierly, Justin Seltzer, Nathan Friedman, Richard F Clark, and Colleen Campbell.
    • 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.
    • Am J Emerg Med. 2023 Dec 1; 74: 197.e5197.e7197.e5-197.e7.

    AbstractA 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.Published by Elsevier Inc.

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