TY  - JOUR
PY  - 2024//
TI  - Acute arsenic exposure secondary to deliberate self-poisoning with sheep dip
JO  - American journal of emergency medicine
A1  - Hodgson, Sarah
A1  - Abouchedid, Rachelle
A1  - Cleary, Kate
A1  - Tile, Natasha
A1  - Wong, Anselm
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - A 53-year-old male patient presented to a regional hospital Emergency Department approximately 2 h post an intentional ingestion of Coopers Instant Wetting Powder Sheep Dip (66% arsenic trioxide, 23% sulphur and 0.42% rotenone), mixed in 600 mL water, as a suicide attempt. On arrival to the Emergency Department, the patient had nausea, vomiting and diarrhoea. Seven hours post ingestion, hypotension developed (BP 90/60 mmHg) and intravenous fluids were commenced. He later developed QTc prolongation. He was treated with 2,3-Dimercapto-1-propanesulfonic acid (DMPS) and N-acetylcysteine and improved without development of neurology. Further investigation of NAC efficacy in humans in the setting of acute arsenic poisoning is required and the optimal duration of treatment and dosing needs to be established. This case highlights an uncommon poisoning which presented to the Emergency Department, the acute symptoms of arsenic toxicity and considerations for management.<p />  <p>Language: en</p>
LA  - en
SN  - 0735-6757
UR  - http://dx.doi.org/10.1016/j.ajem.2024.04.050
ID  - ref1
ER  -