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[Poisoning with 80% acetic acid].

H Hakenbeck, K Zimmermann, U Kiehl

Zeitschrift Fur Urologie Und Nephrologie

|May 1, 1984

Summary

This summary is machine-generated.

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A patient survived a massive acetic acid intoxication using intensive care and hemodialysis. Despite life-threatening complications like myocardial infarction and intestinal bleeding, the patient

Area of Science:

Toxicology
Internal Medicine
Critical Care Medicine

Background:

Acetic acid is a common corrosive agent.
Ingestion of large quantities can lead to severe systemic toxicity.
Lethal dose estimations are crucial for managing poisoning cases.

Observation:

A patient ingested a massive, potentially lethal dose of 80% acetic acid (160g).
The patient experienced multiple shock states, myocardial infarction, and massive intestinal bleeding.
A resulting brain organic psychosyndrome was noted.

Findings:

Complex application of hemodialysis and intensive care therapy was crucial for survival.
Despite severe complications, the patient survived the acute intoxication phase.

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The long-term neurological sequelae (psychosyndrome) require ongoing management.

Implications:

This case highlights the critical role of intensive care and extracorporeal therapies in managing severe corrosive ingestions.
Early and aggressive intervention can improve survival rates even in cases of massive poisoning.
Further research into managing long-term neurological deficits post-intoxication is warranted.