Citation

Bergrath S, Castillo-Vargas JS, Koc NJ, Haake H, Graeven U. Anaesthesist 2019; ePub(ePub): ePub.

Vernacular Title

Vermuteter Krampfanfall – Überleben einer letalen Dosis des Rodentizids Alpha-Chloralose.

Affiliation

Klinik für Hämatologie, Onkologie und Gastroenterologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00101-019-00692-7

PMID

31701172

Abstract

A 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.

Language: en

Keywords

Alpha-chloralose; Emergency department; Intoxication; Resuscitation room; Seizure