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Strychnine Intoxication: A Case Report

dc.contributor.authorLage, A
dc.contributor.authorPinho, J
dc.contributor.authorAlves, R
dc.contributor.authorCapela, C
dc.contributor.authorLourenço, E
dc.contributor.authorLencastre, L
dc.date.accessioned2014-03-06T15:13:58Z
dc.date.available2014-03-06T15:13:58Z
dc.date.issued2013
dc.description.abstractStrychnine acts as an inhibitor of post-synaptic neuronal inhibition and intoxication leads to distinct clinical manifestations which may culminate in death. Since its commercialization is prohibited in most countries, cases of strychnine intoxication are now rare. We present a case of an elderly patient who voluntarily ingested a white powder thought to be strychnine. He developed myoclonus, startle response, and episodes of generalized muscle contractions accompanied by respiratory arrest in one occasion. Diazepam, valproic acid and supportive treatments were able to control manifestations, however the patient died after 2 days. Our aim is to alert clinicians that, despite its rarity, strychnine intoxication may still be seen in emergency departments, and clinical outcome can be influenced by rapid recognition and timely institution of adequate treatment.por
dc.identifier.citationJ Med Cases. 2013;4(6):385-388por
dc.identifier.urihttp://hdl.handle.net/10400.23/584
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElmer Presspor
dc.subjectIntoxicaçãopor
dc.subjectEstricninapor
dc.titleStrychnine Intoxication: A Case Reportpor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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