Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists
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Clin Toxicol (Phila) · Nov 2008
Case ReportsCerebral air gas embolism from concentrated hydrogen peroxide ingestion.
Ingestion of a small amount of concentrated hydrogen peroxide can cause cerebral air gas embolism (CAGE). Hyperbaric oxygen therapy (HBOT) is the standard of care in the treatment of CAGE. We report a case of CAGE after accidental ingestion of 33%hydrogen peroxide treated with HBOT resulting in reversal of both the clinical and radiologic abnormalities. ⋯ Ingestion of even a small amount of concentrated hydrogen peroxide can result in cerebral air gas embolism. Hyperbaric oxygen therapy may be of benefit in reversing the symptoms and preventing permanent neurological impairment.
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Clin Toxicol (Phila) · Nov 2008
Case ReportsReversal of Brugada electrocardiographic pattern with sodium bicarbonate solution after amitriptyline overdose.
A Brugada electrocardiographic pattern (BEP) associated with tricyclic antidepressant (TCA) overdose has been reported rarely, but its reversal by sodium bicarbonate has not been described previously. We reported a case of amitriptyline overdose induced Type 1 BEP which was reversed by 150 mEq of intravenous sodium bicarbonate.
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Clin Toxicol (Phila) · Nov 2008
Case ReportsA rare cause of abdominal compartment syndrome: acute trichlorethylene overdose.
The clinical signs of acute trichlorethylene overdose are commonly coma, cardiac conduction disturbances, diarrhea, and vomiting. We report a case of intentional massive trichlorethylene ingestion inducing a fatal abdominal compartment syndrome (ACS). ⋯ Patients ingesting trichlorethylene need to be closely evaluated for risk of digestive damage and perforation. Early prompt laparotomy must be performed in cases of ACS.
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The nationwide epidemiology of organophosphate pesticide (OP) poisoning has never been reported in detail for Taiwan. ⋯ Dimethyl OPs cause the majority of deaths in Taiwan.