Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report

Background. Glufosinate ammonium has a famous delayed complication as respiratory failure, however, delayed cardiogenic complication is not well known. Objectives. The aim of this study is to report a takotsubo cardiomyopathy as a delayed complication of glufosinate ammonium for suicide attempt. Cas...

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Main Authors: Keiichiro Tominaga, Manabu Izumi, Masayuki Suzukawa, Takafumi Shinjo, Yoshimitsu Izawa, Chikara Yonekawa, Masaki Ano, Keisuke Yamashita, Tomohiro Muronoi, Reiko Mochiduki
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/630468
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author Keiichiro Tominaga
Manabu Izumi
Masayuki Suzukawa
Takafumi Shinjo
Yoshimitsu Izawa
Chikara Yonekawa
Masaki Ano
Keisuke Yamashita
Tomohiro Muronoi
Reiko Mochiduki
author_facet Keiichiro Tominaga
Manabu Izumi
Masayuki Suzukawa
Takafumi Shinjo
Yoshimitsu Izawa
Chikara Yonekawa
Masaki Ano
Keisuke Yamashita
Tomohiro Muronoi
Reiko Mochiduki
author_sort Keiichiro Tominaga
collection DOAJ
description Background. Glufosinate ammonium has a famous delayed complication as respiratory failure, however, delayed cardiogenic complication is not well known. Objectives. The aim of this study is to report a takotsubo cardiomyopathy as a delayed complication of glufosinate ammonium for suicide attempt. Case Report. A 75-year-old woman ingested about 90 mL of Basta, herbicide for suicide attempt at arousal during sleep. She came to our hospital at twelve hours after ingesting. She was admitted to our hospital for fear of delayed respiratory failure. Actually, she felt down to respiratory failure, needing a ventilator with intubation at 20 hours after ingesting. Procedure around respiratory management had smoothly done with no delay. Her vital status had been stable, however, she felt down to circulatory failure and diagnosed as Takotsubo cardiomyopathy at about 41 hours after ingestion. There was no trigger activities or events to evoke mental and physical stresses. Conclusion. We could successfully manage takotsubo cardiomyopathy resulted in circulatory failure in a patient with glufosinate poisoning for suicide attempt. Takotsubo cardiomyopathy should be taken into consideration if circulatory failure is observed for unexplained reasons.
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spelling doaj-art-6a4f681478db4c39aa54e8ee77968b932025-08-20T02:06:06ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/630468630468Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case ReportKeiichiro Tominaga0Manabu Izumi1Masayuki Suzukawa2Takafumi Shinjo3Yoshimitsu Izawa4Chikara Yonekawa5Masaki Ano6Keisuke Yamashita7Tomohiro Muronoi8Reiko Mochiduki9Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of General Medicine, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya City 321-0974, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi 329-0498, JapanBackground. Glufosinate ammonium has a famous delayed complication as respiratory failure, however, delayed cardiogenic complication is not well known. Objectives. The aim of this study is to report a takotsubo cardiomyopathy as a delayed complication of glufosinate ammonium for suicide attempt. Case Report. A 75-year-old woman ingested about 90 mL of Basta, herbicide for suicide attempt at arousal during sleep. She came to our hospital at twelve hours after ingesting. She was admitted to our hospital for fear of delayed respiratory failure. Actually, she felt down to respiratory failure, needing a ventilator with intubation at 20 hours after ingesting. Procedure around respiratory management had smoothly done with no delay. Her vital status had been stable, however, she felt down to circulatory failure and diagnosed as Takotsubo cardiomyopathy at about 41 hours after ingestion. There was no trigger activities or events to evoke mental and physical stresses. Conclusion. We could successfully manage takotsubo cardiomyopathy resulted in circulatory failure in a patient with glufosinate poisoning for suicide attempt. Takotsubo cardiomyopathy should be taken into consideration if circulatory failure is observed for unexplained reasons.http://dx.doi.org/10.1155/2012/630468
spellingShingle Keiichiro Tominaga
Manabu Izumi
Masayuki Suzukawa
Takafumi Shinjo
Yoshimitsu Izawa
Chikara Yonekawa
Masaki Ano
Keisuke Yamashita
Tomohiro Muronoi
Reiko Mochiduki
Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
Case Reports in Medicine
title Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
title_full Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
title_fullStr Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
title_full_unstemmed Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
title_short Takotsubo Cardiomyopathy as a Delayed Complication with a Herbicide Containing Glufosinate Ammonium in a Suicide Attempt: A Case Report
title_sort takotsubo cardiomyopathy as a delayed complication with a herbicide containing glufosinate ammonium in a suicide attempt a case report
url http://dx.doi.org/10.1155/2012/630468
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