Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event

Cyanide is rapidly reacting and causes arrest of aerobic metabolism. The symptoms are diffuse and lethal and require high clinical suspicion. Remediation of symptoms and mortality is highly dependent on quick treatment with a cyanide antidote. Presently, there are two widely accepted antidotes: sodi...

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Main Authors: Andrew Meillier, Cara Heller
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/217951
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author Andrew Meillier
Cara Heller
author_facet Andrew Meillier
Cara Heller
author_sort Andrew Meillier
collection DOAJ
description Cyanide is rapidly reacting and causes arrest of aerobic metabolism. The symptoms are diffuse and lethal and require high clinical suspicion. Remediation of symptoms and mortality is highly dependent on quick treatment with a cyanide antidote. Presently, there are two widely accepted antidotes: sodium thiosulfate and hydroxocobalamin. These treatments act on different components of cyanide’s metabolism. Here, we present two cases resulting from the same source of cyanide poisoning and the use of both antidotes separately used with differing outcomes.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2015-01-01
publisher Wiley
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spelling doaj-art-6cd74a13e15f4e2aafb1e19521f908a72025-08-20T03:34:10ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/217951217951Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure EventAndrew Meillier0Cara Heller1Department of Medicine, Temple University Hospital, Philadelphia, PA 19140, USADepartment of Medicine, Temple University Hospital, Philadelphia, PA 19140, USACyanide is rapidly reacting and causes arrest of aerobic metabolism. The symptoms are diffuse and lethal and require high clinical suspicion. Remediation of symptoms and mortality is highly dependent on quick treatment with a cyanide antidote. Presently, there are two widely accepted antidotes: sodium thiosulfate and hydroxocobalamin. These treatments act on different components of cyanide’s metabolism. Here, we present two cases resulting from the same source of cyanide poisoning and the use of both antidotes separately used with differing outcomes.http://dx.doi.org/10.1155/2015/217951
spellingShingle Andrew Meillier
Cara Heller
Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
Case Reports in Medicine
title Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
title_full Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
title_fullStr Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
title_full_unstemmed Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
title_short Acute Cyanide Poisoning: Hydroxocobalamin and Sodium Thiosulfate Treatments with Two Outcomes following One Exposure Event
title_sort acute cyanide poisoning hydroxocobalamin and sodium thiosulfate treatments with two outcomes following one exposure event
url http://dx.doi.org/10.1155/2015/217951
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