• Der Anaesthesist · Dec 2019

    Case Reports

    Suspected seizure-survival of a lethal dose of the rodenticide alpha-chloralose.

    • Sebastian Bergrath, Jessika Stefanie Castillo-Vargas, Nurcihan Joy Koc, Hendrik Haake, and Ullrich Graeven.
    • Zentrum für klinische Akut- und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Germany. sebastian.bergrath@mariahilf.de.
    • Anaesthesist. 2019 Dec 1; 68 (12): 843-847.

    AbstractA 58-year-old female was admitted due to a suspected seizure. A blue colored pharyngeal fluid was visualized during intubation, which is indicative of poisoning. Clinical research revealed an ingestion of 2.4 g of alpha-chloralose, a rodenticide with a lethal dose of 1 g. Immediate detoxification by gastroscopy, gastric lavage and hemodialysis led to full recovery. Substance detection was carried out by gas chromatography-mass spectometry of a urine sample. There are only a few cases reporting poisoning by this substance. Coma and bilateral myoclonus have been reported but blue gastric fluid as the "red flag" in this case has never been described.

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