由于黄胺酸的毒性而导致的二次性拉布多解:一个案例报告
Frontiers in pharmacology
|March 9, 2026
概括
本案例研究突出了一个罕见的拉布多解病例,一种肌肉损伤的疾病,发生在常见的过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量过量 迅速的医疗干预导致了患者的康复.
科学领域:
- 毒理学 毒理学 毒理学
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 甲酸是广泛用于过敏的抗组胺药物.
- 过量服用可能导致严重的不良反应,包括中枢神经系统抑郁和器官功能障碍.
- 拉布多溶解是一种罕见但严重的黑胺中毒的并发症.
研究的目的:
- 报告一种罕见的拉布多米解体病例,该病例是在黑胺酸过量服用后发生的.
- 讨论胺中毒和狂犬病溶解之间的潜在联系.
主要方法:
- 一个案例报告,一名14岁的女学生摄入了大量的黄胺酸.
- 摄入后监测肌红蛋白和肌酸激酶水平.
- 临床管理包括胃肠道脱污和尿液.
主要成果:
- 这名患者呈现出高的肌红蛋白和肌酸激酶水平,这表明了Rabdomyolysis.
- 摄入后一天,肌酸激酶水平达到11,219 U/L的峰值.
- 其他指标,如热素和肌素,保持在正常范围内.
- 通过支持性治疗,患者完全康复.
结论:
- 非尼拉胺酸中毒可能是拉布多米解的潜在原因.
- 这一案例凸显了承认拉布多米解症是抗组胺药物过量服用的可能并发症的重要性.
- 早期诊断和管理对于有利的结果至关重要.
相关概念视频
Anticholinesterase Agents: Poisoning and Treatment
2.0K
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
2.0K
Drug Toxicity: Risk factors
229
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
229
Drug toxicity: Idiosyncratic Reactions
220
Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
220
Toxidromes: Clinical Features
175
Toxidromes are specific patterns of symptoms resulting from toxic substance exposure. They help in the identification and treatment of poisoning. The symptoms of each toxidrome group indicate poisoning by a certain class of chemicals or drugs.1. Sympathomimetic: Stimulates the sympathetic nervous system. Symptoms include agitation, increased heart rate (HR), blood pressure (BP), respiratory rate (RR), temperature, and pupil size. Drugs like cocaine and amphetamines, along with tremors and...
175
Nephrotic Syndrome I : Introduction
1.2K
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
1.2K
Nephrotic Syndrome II : Assessment and Medical Management
409
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
409


