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Published on: March 9, 2018
[Arsenic poisoning: a special gastroenteritis...]
F Ganster1, K Kuteifan, Y Mootien
1Département de réanimation médicale et médecine hyperbare, CHU d'Angers, 49933 Angers cedex, France.
Acute and chronic arsenic poisoning, though rare, can be fatal. This report details two criminal poisoning deaths, highlighting symptoms mimicking gastroenteritis and rapid shock progression. Blood arsenic levels confirmed lethal intoxication.
Area of Science:
- Toxicology
- Forensic Medicine
- Environmental Health
Background:
- Arsenic intoxication is a rare but severe condition.
- Criminal poisoning cases involving arsenic are exceptionally infrequent.
- Understanding arsenic's toxic effects is crucial for diagnosis and public health.
Observation:
- Two elderly individuals died from suspected criminal arsenic poisoning.
- Clinical symptoms presented as severe gastroenteritis, rapidly progressing to refractory shock.
- Post-mortem toxicological analysis revealed extremely high blood arsenic concentrations.
Findings:
- Confirmed acute and chronic arsenic poisoning as the cause of death.
- Blood arsenic levels were significantly elevated (579 and 21,765 microg/l).
- The clinical presentation mimicked severe gastrointestinal illness.
Implications:
- Highlights the need for considering arsenic poisoning in unexplained, rapid-onset fatalities.
- Underscores the importance of forensic toxicology in criminal investigations.
- Reinforces the potential for environmental toxins to be used as poisons.
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