@article{ref1,
title="Suspected seizure-survival of a lethal dose of the rodenticide alpha-chloralose",
journal="Anaesthesist, Der",
year="2019",
author="Bergrath, Sebastian and Castillo-Vargas, Jessika Stefanie and Koc, Nurcihan Joy and Haake, Hendrik and Graeven, Ullrich",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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 &quot;red flag&quot; in this case has never been described.<p /> <p>Language: en</p>",
language="en",
issn="0003-2417",
doi="10.1007/s00101-019-00692-7",
url="http://dx.doi.org/10.1007/s00101-019-00692-7"
}