Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture
The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrilla...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Polish Society of Forensic Medicine and Criminology (PTMSiK)
2014-08-01
|
| Series: | Archives of Forensic Medicine and Criminology |
| Subjects: | |
| Online Access: | http://www.termedia.pl/Accidental-intoxication-with-hydrochloric-acid-and-hydrofluoric-acid-mixture,82,23307,1,1.html |
| _version_ | 1827840910066450432 |
|---|---|
| author | Anna Smędra-Kaźmirska Maciej Kędzierski Maciej Barzdo Agnieszka P. Jurczyk Stefan Szram Jarosław Berent |
| author_facet | Anna Smędra-Kaźmirska Maciej Kędzierski Maciej Barzdo Agnieszka P. Jurczyk Stefan Szram Jarosław Berent |
| author_sort | Anna Smędra-Kaźmirska |
| collection | DOAJ |
| description | The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died.
Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations.
Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death. |
| first_indexed | 2024-03-12T07:42:23Z |
| format | Article |
| id | doaj.art-403f17ee4b2549c390f50bcc8e97094c |
| institution | Directory Open Access Journal |
| issn | 0324-8267 1689-1716 |
| language | English |
| last_indexed | 2024-03-12T07:42:23Z |
| publishDate | 2014-08-01 |
| publisher | Polish Society of Forensic Medicine and Criminology (PTMSiK) |
| record_format | Article |
| series | Archives of Forensic Medicine and Criminology |
| spelling | doaj.art-403f17ee4b2549c390f50bcc8e97094c2023-09-02T21:11:15ZengPolish Society of Forensic Medicine and Criminology (PTMSiK)Archives of Forensic Medicine and Criminology0324-82671689-17162014-08-01641505810.5114/amsik.2014.4459023307Accidental intoxication with hydrochloric acid and hydrofluoric acid mixtureAnna Smędra-KaźmirskaMaciej KędzierskiMaciej BarzdoAgnieszka P. JurczykStefan SzramJarosław BerentThe paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.http://www.termedia.pl/Accidental-intoxication-with-hydrochloric-acid-and-hydrofluoric-acid-mixture,82,23307,1,1.htmlhydrochloric acid hydrofluoric acid accidental intoxication |
| spellingShingle | Anna Smędra-Kaźmirska Maciej Kędzierski Maciej Barzdo Agnieszka P. Jurczyk Stefan Szram Jarosław Berent Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture Archives of Forensic Medicine and Criminology hydrochloric acid hydrofluoric acid accidental intoxication |
| title | Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| title_full | Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| title_fullStr | Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| title_full_unstemmed | Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| title_short | Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| title_sort | accidental intoxication with hydrochloric acid and hydrofluoric acid mixture |
| topic | hydrochloric acid hydrofluoric acid accidental intoxication |
| url | http://www.termedia.pl/Accidental-intoxication-with-hydrochloric-acid-and-hydrofluoric-acid-mixture,82,23307,1,1.html |
| work_keys_str_mv | AT annasmedrakazmirska accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture AT maciejkedzierski accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture AT maciejbarzdo accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture AT agnieszkapjurczyk accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture AT stefanszram accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture AT jarosławberent accidentalintoxicationwithhydrochloricacidandhydrofluoricacidmixture |