Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.
Identifieur interne : 000368 ( Main/Exploration ); précédent : 000367; suivant : 000369Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.
Auteurs : Y. Yilmaz [Turquie] ; E. Armagan ; Of Olmez ; M. Esen ; N. Alkis ; E. DolarSource :
- Human & experimental toxicology [ 0960-3271 ] ; 2009.
Descripteurs français
- KwdFr :
- Charbon de bois (usage thérapeutique), Chélateurs (usage thérapeutique), Composés de l'arsenic (MeSH), Dimercaprol (usage thérapeutique), Humains (MeSH), Intoxication par l'arsenic (anatomopathologie), Intoxication par l'arsenic (thérapie), Intubation gastro-intestinale (méthodes), Lavage gastrique (méthodes), Maladie aigüe (MeSH), Mâle (MeSH), Oxydes (intoxication), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Tentative de suicide (MeSH), Traitement chélateur (MeSH), Trioxyde d'arsenic (MeSH).
- MESH :
- anatomopathologie : Intoxication par l'arsenic.
- intoxication : Oxydes.
- méthodes : Intubation gastro-intestinale, Lavage gastrique.
- thérapie : Intoxication par l'arsenic.
- usage thérapeutique : Charbon de bois, Chélateurs, Dimercaprol.
- Composés de l'arsenic, Humains, Maladie aigüe, Mâle, Résultat thérapeutique, Sujet âgé, Tentative de suicide, Traitement chélateur, Trioxyde d'arsenic.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Aged (MeSH), Arsenic Poisoning (pathology), Arsenic Poisoning (therapy), Arsenic Trioxide (MeSH), Arsenicals (MeSH), Charcoal (therapeutic use), Chelating Agents (therapeutic use), Chelation Therapy (MeSH), Dimercaprol (therapeutic use), Gastric Lavage (methods), Humans (MeSH), Intubation, Gastrointestinal (methods), Male (MeSH), Oxides (poisoning), Suicide, Attempted (MeSH), Treatment Outcome (MeSH).
- MESH :
- chemical , poisoning : Oxides.
- chemical , therapeutic use : Charcoal, Chelating Agents, Dimercaprol.
- chemical : Arsenic Trioxide, Arsenicals.
- methods : Gastric Lavage, Intubation, Gastrointestinal.
- pathology : Arsenic Poisoning.
- therapy : Arsenic Poisoning.
- Acute Disease, Aged, Chelation Therapy, Humans, Male, Suicide, Attempted, Treatment Outcome.
Abstract
Arsenic is a classical poison that has been historically used since ancient times for homicidal purposes. More recently, episodes of deliberate or unintentional arsenic self-poisoning have been increasingly reported. We describe here a case of a 77-year old male patient with a history of major depression, who attempted suicide by ingestion of 4 g of arsenic trioxide. The man, a dentist by profession, used arsenic preparations for pulp devitalization. The patient was admitted to our hospital 5 h after arsenic ingestion with nausea and vomiting. Plain radiograph of the abdomen showed radio-opaque material in the stomach and small intestine. Nasogastric lavage, activated charcoal, and chelators were used to remove arsenic. On day 3, endoscopy disclosed the presence of gastritis and superficial ulcers. The patient developed significant anemia (Hb: 8.7 g/dL on day 7) without significant signs of hemolysis. He gradually recovered from anemia within 5 months. The patient did not suffer any adverse outcome in spite of having ingesting 4 g of arsenic, approximately 20 times the lethal dose.
DOI: 10.1177/0960327108097432
PubMed: 19411562
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.</title><author><name sortKey="Yilmaz, Y" sort="Yilmaz, Y" uniqKey="Yilmaz Y" first="Y" last="Yilmaz">Y. Yilmaz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Uludag University Medical School, Bursa, Turkey. yusufyilmaz@uludag.edu.tr</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Internal Medicine, Uludag University Medical School, Bursa</wicri:regionArea><wicri:noRegion>Bursa</wicri:noRegion></affiliation></author><author><name sortKey="Armagan, E" sort="Armagan, E" uniqKey="Armagan E" first="E" last="Armagan">E. Armagan</name></author><author><name sortKey="Olmez, Of" sort="Olmez, Of" uniqKey="Olmez O" first="Of" last="Olmez">Of Olmez</name></author><author><name sortKey="Esen, M" sort="Esen, M" uniqKey="Esen M" first="M" last="Esen">M. Esen</name></author><author><name sortKey="Alkis, N" sort="Alkis, N" uniqKey="Alkis N" first="N" last="Alkis">N. Alkis</name></author><author><name sortKey="Dolar, E" sort="Dolar, E" uniqKey="Dolar E" first="E" last="Dolar">E. Dolar</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19411562</idno><idno type="pmid">19411562</idno><idno type="doi">10.1177/0960327108097432</idno><idno type="wicri:Area/Main/Corpus">000366</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000366</idno><idno type="wicri:Area/Main/Curation">000366</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000366</idno><idno type="wicri:Area/Main/Exploration">000366</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.</title><author><name sortKey="Yilmaz, Y" sort="Yilmaz, Y" uniqKey="Yilmaz Y" first="Y" last="Yilmaz">Y. Yilmaz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Uludag University Medical School, Bursa, Turkey. yusufyilmaz@uludag.edu.tr</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Internal Medicine, Uludag University Medical School, Bursa</wicri:regionArea><wicri:noRegion>Bursa</wicri:noRegion></affiliation></author><author><name sortKey="Armagan, E" sort="Armagan, E" uniqKey="Armagan E" first="E" last="Armagan">E. Armagan</name></author><author><name sortKey="Olmez, Of" sort="Olmez, Of" uniqKey="Olmez O" first="Of" last="Olmez">Of Olmez</name></author><author><name sortKey="Esen, M" sort="Esen, M" uniqKey="Esen M" first="M" last="Esen">M. Esen</name></author><author><name sortKey="Alkis, N" sort="Alkis, N" uniqKey="Alkis N" first="N" last="Alkis">N. Alkis</name></author><author><name sortKey="Dolar, E" sort="Dolar, E" uniqKey="Dolar E" first="E" last="Dolar">E. Dolar</name></author></analytic><series><title level="j">Human & experimental toxicology</title><idno type="ISSN">0960-3271</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Aged (MeSH)</term><term>Arsenic Poisoning (pathology)</term><term>Arsenic Poisoning (therapy)</term><term>Arsenic Trioxide (MeSH)</term><term>Arsenicals (MeSH)</term><term>Charcoal (therapeutic use)</term><term>Chelating Agents (therapeutic use)</term><term>Chelation Therapy (MeSH)</term><term>Dimercaprol (therapeutic use)</term><term>Gastric Lavage (methods)</term><term>Humans (MeSH)</term><term>Intubation, Gastrointestinal (methods)</term><term>Male (MeSH)</term><term>Oxides (poisoning)</term><term>Suicide, Attempted (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Charbon de bois (usage thérapeutique)</term><term>Chélateurs (usage thérapeutique)</term><term>Composés de l'arsenic (MeSH)</term><term>Dimercaprol (usage thérapeutique)</term><term>Humains (MeSH)</term><term>Intoxication par l'arsenic (anatomopathologie)</term><term>Intoxication par l'arsenic (thérapie)</term><term>Intubation gastro-intestinale (méthodes)</term><term>Lavage gastrique (méthodes)</term><term>Maladie aigüe (MeSH)</term><term>Mâle (MeSH)</term><term>Oxydes (intoxication)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Tentative de suicide (MeSH)</term><term>Traitement chélateur (MeSH)</term><term>Trioxyde d'arsenic (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="poisoning" xml:lang="en"><term>Oxides</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Charcoal</term><term>Chelating Agents</term><term>Dimercaprol</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Arsenic Trioxide</term><term>Arsenicals</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Intoxication par l'arsenic</term></keywords><keywords scheme="MESH" qualifier="intoxication" xml:lang="fr"><term>Oxydes</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Gastric Lavage</term><term>Intubation, Gastrointestinal</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Intubation gastro-intestinale</term><term>Lavage gastrique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arsenic Poisoning</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Arsenic Poisoning</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Intoxication par l'arsenic</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Charbon de bois</term><term>Chélateurs</term><term>Dimercaprol</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Aged</term><term>Chelation Therapy</term><term>Humans</term><term>Male</term><term>Suicide, Attempted</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Composés de l'arsenic</term><term>Humains</term><term>Maladie aigüe</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tentative de suicide</term><term>Traitement chélateur</term><term>Trioxyde d'arsenic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Arsenic is a classical poison that has been historically used since ancient times for homicidal purposes. More recently, episodes of deliberate or unintentional arsenic self-poisoning have been increasingly reported. We describe here a case of a 77-year old male patient with a history of major depression, who attempted suicide by ingestion of 4 g of arsenic trioxide. The man, a dentist by profession, used arsenic preparations for pulp devitalization. The patient was admitted to our hospital 5 h after arsenic ingestion with nausea and vomiting. Plain radiograph of the abdomen showed radio-opaque material in the stomach and small intestine. Nasogastric lavage, activated charcoal, and chelators were used to remove arsenic. On day 3, endoscopy disclosed the presence of gastritis and superficial ulcers. The patient developed significant anemia (Hb: 8.7 g/dL on day 7) without significant signs of hemolysis. He gradually recovered from anemia within 5 months. The patient did not suffer any adverse outcome in spite of having ingesting 4 g of arsenic, approximately 20 times the lethal dose.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19411562</PMID><DateCompleted><Year>2009</Year><Month>06</Month><Day>23</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0960-3271</ISSN><JournalIssue CitedMedium="Print"><Volume>28</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Human & experimental toxicology</Title><ISOAbbreviation>Hum Exp Toxicol</ISOAbbreviation></Journal><ArticleTitle>Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.</ArticleTitle><Pagination><MedlinePgn>63-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0960327108097432</ELocationID><Abstract><AbstractText>Arsenic is a classical poison that has been historically used since ancient times for homicidal purposes. More recently, episodes of deliberate or unintentional arsenic self-poisoning have been increasingly reported. We describe here a case of a 77-year old male patient with a history of major depression, who attempted suicide by ingestion of 4 g of arsenic trioxide. The man, a dentist by profession, used arsenic preparations for pulp devitalization. The patient was admitted to our hospital 5 h after arsenic ingestion with nausea and vomiting. Plain radiograph of the abdomen showed radio-opaque material in the stomach and small intestine. Nasogastric lavage, activated charcoal, and chelators were used to remove arsenic. On day 3, endoscopy disclosed the presence of gastritis and superficial ulcers. The patient developed significant anemia (Hb: 8.7 g/dL on day 7) without significant signs of hemolysis. He gradually recovered from anemia within 5 months. The patient did not suffer any adverse outcome in spite of having ingesting 4 g of arsenic, approximately 20 times the lethal dose.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yilmaz</LastName><ForeName>Y</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine, Uludag University Medical School, Bursa, Turkey. yusufyilmaz@uludag.edu.tr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Armagan</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Olmez</LastName><ForeName>Of</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Esen</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Alkis</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Dolar</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Hum Exp Toxicol</MedlineTA><NlmUniqueID>9004560</NlmUniqueID><ISSNLinking>0960-3271</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D001152">Arsenicals</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D002614">Chelating Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D010087">Oxides</NameOfSubstance></Chemical><Chemical><RegistryNumber>0CPP32S55X</RegistryNumber><NameOfSubstance UI="D004112">Dimercaprol</NameOfSubstance></Chemical><Chemical><RegistryNumber>16291-96-6</RegistryNumber><NameOfSubstance UI="D002606">Charcoal</NameOfSubstance></Chemical><Chemical><RegistryNumber>S7V92P67HO</RegistryNumber><NameOfSubstance UI="D000077237">Arsenic Trioxide</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020261" MajorTopicYN="N">Arsenic Poisoning</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000077237" MajorTopicYN="N">Arsenic Trioxide</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001152" MajorTopicYN="N">Arsenicals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002606" MajorTopicYN="N">Charcoal</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002614" MajorTopicYN="N">Chelating Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015913" MajorTopicYN="N">Chelation Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004112" MajorTopicYN="N">Dimercaprol</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005751" MajorTopicYN="N">Gastric Lavage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007441" MajorTopicYN="N">Intubation, Gastrointestinal</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010087" MajorTopicYN="N">Oxides</DescriptorName><QualifierName UI="Q000506" MajorTopicYN="Y">poisoning</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013406" MajorTopicYN="Y">Suicide, Attempted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>5</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>5</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>6</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19411562</ArticleId><ArticleId IdType="pii">28/1/63</ArticleId><ArticleId IdType="doi">10.1177/0960327108097432</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Turquie</li></country></list><tree><noCountry><name sortKey="Alkis, N" sort="Alkis, N" uniqKey="Alkis N" first="N" last="Alkis">N. Alkis</name><name sortKey="Armagan, E" sort="Armagan, E" uniqKey="Armagan E" first="E" last="Armagan">E. Armagan</name><name sortKey="Dolar, E" sort="Dolar, E" uniqKey="Dolar E" first="E" last="Dolar">E. Dolar</name><name sortKey="Esen, M" sort="Esen, M" uniqKey="Esen M" first="M" last="Esen">M. Esen</name><name sortKey="Olmez, Of" sort="Olmez, Of" uniqKey="Olmez O" first="Of" last="Olmez">Of Olmez</name></noCountry><country name="Turquie"><noRegion><name sortKey="Yilmaz, Y" sort="Yilmaz, Y" uniqKey="Yilmaz Y" first="Y" last="Yilmaz">Y. Yilmaz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SuicidDentistV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000368 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000368 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= SuicidDentistV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:19411562
|texte= Acute arsenic self-poisoning for suicidal purpose in a dentist: a case report.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:19411562" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SuicidDentistV1
| This area was generated with Dilib version V0.6.39. |  |