Severe poisoning caused by mistaken ingestion of European waterhemlock root ( Radix Archangeliae Decurrentis)
10.3760/cma.j.cn114015-20191211-01016
- VernacularTitle:误食走马芹致重度中毒
- Author:
Yue LI
1
;
Qiuyuan HAN
;
Yang LIU
;
Guiying HOU
;
Zhipeng YAO
;
Xiaoyao WANG
;
Hongliang WANG
;
Yang GAO
Author Information
1. 哈尔滨医科大学附属第二医院重症监护科，哈尔滨 150086
- Publication Type:Journal Article
- Keywords:
Cicuta;
Plant poisoning;
Emergency medicine
- From:
Adverse Drug Reactions Journal
2020;22(10):579-580
- CountryChina
- Language:Chinese
-
Abstract:
A 61-year-old man developed nausea, vomiting, unconsciousness, and limb convulsions after 1 hour of mistaken ingestion of European waterhemlock ( Radix Archangeliae Decurrentis). Laboratory tests showed white blood cell count (WBC) 21.5×10 9/L, alanine aminotransferase (ALT) 246 U/L, total bilirubin (TBil) 35.3 μmol/L, creatine kinase MB (CK-MB) 20.8 μg/L, lactate dehydrogenase (LDH) 525 U/L, serum creatinine (Scr)143 μmol/L, uric acid 1 338 μmol/L, and blood ammonia 45 μmol/L. Chest computed tomography showed multiple ground glass density lesions in bilateral lungs. The patient was diagnosed as having acute and severe European waterhemlock poisoning, toxic encephalopathy, aspiration pneumonia, and pulmonary edema. The treatments including ventilator assisted breathing, analgesia and sedation, anti-infection, expectorant and antiasthmatic, inhibition of gastric acid secretion, rehydration hydration, promotion of awakening, liver protection, and myocardial nutrition were given. In addition, the patient received 2 times of hemoperfusion. Five days later, the patient′s condition was improved. Laboratory tests showed WBC 12.0×10 9/L, ALT 94 U/L, TBil 28.2 μmol/L, CK-MB 2.7 μg/L, LDH 452 U/L, Scr 61 μmol/L, uric acid 514 μmol/L, blood ammonia 38.0 μmol/L. Then the patient was transferred to the Department of Emergency Internal Medicine for further treatment.
