Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications

Carbon monoxide (CO) is a toxic gas with undetectable features. Every year in the United States, there are approximately 6000 deaths from CO poisoning. Patients usually present with signs of unresponsiveness but may have nonpathognomonic preceding symptoms. Some literature shows benefits of hyperbar...

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Main Authors: Nisha Desai, Kushal Shukla
Format: Article
Language:English
Published: American College of Physicians 2024-01-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.0360
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author Nisha Desai
Kushal Shukla
author_facet Nisha Desai
Kushal Shukla
author_sort Nisha Desai
collection DOAJ
description Carbon monoxide (CO) is a toxic gas with undetectable features. Every year in the United States, there are approximately 6000 deaths from CO poisoning. Patients usually present with signs of unresponsiveness but may have nonpathognomonic preceding symptoms. Some literature shows benefits of hyperbaric oxygen therapy (HBOT) within the first 24 hours of exposure to reduce the incidence of myocardial injury and neurologic impairment. This case report presents a 67-year-old man with CO poisoning who developed delayed neurologic sequelae (DNS) due to delayed diagnosis and missed therapeutic window for HBOT. Investigation of CO poisoning requires taking a detailed history to avoid delays in diagnosis and treatment.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-695c1c78e2bb4189aae0aa9619c0d3a42025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-01-013110.7326/aimcc.2023.0360Early Diagnosis to Prevent Carbon Monoxide Poisoning ComplicationsNisha Desai0Kushal Shukla11Overlook Medical Center, Summit, New Jersey1Overlook Medical Center, Summit, New JerseyCarbon monoxide (CO) is a toxic gas with undetectable features. Every year in the United States, there are approximately 6000 deaths from CO poisoning. Patients usually present with signs of unresponsiveness but may have nonpathognomonic preceding symptoms. Some literature shows benefits of hyperbaric oxygen therapy (HBOT) within the first 24 hours of exposure to reduce the incidence of myocardial injury and neurologic impairment. This case report presents a 67-year-old man with CO poisoning who developed delayed neurologic sequelae (DNS) due to delayed diagnosis and missed therapeutic window for HBOT. Investigation of CO poisoning requires taking a detailed history to avoid delays in diagnosis and treatment.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0360
spellingShingle Nisha Desai
Kushal Shukla
Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
Annals of Internal Medicine: Clinical Cases
title Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
title_full Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
title_fullStr Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
title_full_unstemmed Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
title_short Early Diagnosis to Prevent Carbon Monoxide Poisoning Complications
title_sort early diagnosis to prevent carbon monoxide poisoning complications
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.0360
work_keys_str_mv AT nishadesai earlydiagnosistopreventcarbonmonoxidepoisoningcomplications
AT kushalshukla earlydiagnosistopreventcarbonmonoxidepoisoningcomplications