Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.

Introduction: Amygdaline, one of the most common cyanogenic glycosides, is present in the seeds and fruit pits of Prunus species. The excessive administration of this glycoside might lead to cyanide poisoning. Aim: The aim of the study is to depict the risk associated with apricot kernels ingestio...

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Main Authors: Justyna Drankowska, Michał Kos, Andrzej Kościuk, Michał Tchórz
Format: Article
Language:English
Published: Kazimierz Wielki University 2018-12-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/26394
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author Justyna Drankowska
Michał Kos
Andrzej Kościuk
Michał Tchórz
author_facet Justyna Drankowska
Michał Kos
Andrzej Kościuk
Michał Tchórz
author_sort Justyna Drankowska
collection DOAJ
description Introduction: Amygdaline, one of the most common cyanogenic glycosides, is present in the seeds and fruit pits of Prunus species. The excessive administration of this glycoside might lead to cyanide poisoning. Aim: The aim of the study is to depict the risk associated with apricot kernels ingestion on the base of the case report. Methods: The analysis of the patient’s medical history and the review of available literature. Results: 80- year- old female with the medical history of papillary thyroid cancer was admitted to the toxicology department due to accidental cyanide poisoning. The patient consumed extract consisted of milled apricot kernels, then suffered from dyspnea, vertigo and vomiting. After that, she lost consciousness. Lactic acidosis, highly specific for cyanide intoxication, was diagnosed during hospitalization. The patient was treated with fluid and steroid therapy, sodium bicarbonate and supplemental oxygen. On the 3rd day of stay, the patient was discharged with recommendation of control in toxicological clinic. Conclusions: Initial symptoms of cyanide poisoning are not specific, therefore it is worth taking this poisoning into account in differential diagnosis, especially in oncological patients or in children.
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spelling doaj.art-a6a8196886214ca7988e9a81444f63482022-12-22T02:35:12ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062018-12-01812Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.Justyna Drankowska0Michał Kos1Andrzej Kościuk2Michał Tchórz3Student's Research Group in the Department of Toxicology, Medical University of LublinStudent's Research Group in the Department of Toxicology, Medical University of LublinStudent's Research Group in the Department of Toxicology, Medical University of LublinDepartment of Toxicology, Medical University of LublinIntroduction: Amygdaline, one of the most common cyanogenic glycosides, is present in the seeds and fruit pits of Prunus species. The excessive administration of this glycoside might lead to cyanide poisoning. Aim: The aim of the study is to depict the risk associated with apricot kernels ingestion on the base of the case report. Methods: The analysis of the patient’s medical history and the review of available literature. Results: 80- year- old female with the medical history of papillary thyroid cancer was admitted to the toxicology department due to accidental cyanide poisoning. The patient consumed extract consisted of milled apricot kernels, then suffered from dyspnea, vertigo and vomiting. After that, she lost consciousness. Lactic acidosis, highly specific for cyanide intoxication, was diagnosed during hospitalization. The patient was treated with fluid and steroid therapy, sodium bicarbonate and supplemental oxygen. On the 3rd day of stay, the patient was discharged with recommendation of control in toxicological clinic. Conclusions: Initial symptoms of cyanide poisoning are not specific, therefore it is worth taking this poisoning into account in differential diagnosis, especially in oncological patients or in children.https://apcz.umk.pl/JEHS/article/view/26394cyanidealternative medicinepoisoningapricot kernels
spellingShingle Justyna Drankowska
Michał Kos
Andrzej Kościuk
Michał Tchórz
Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
Journal of Education, Health and Sport
cyanide
alternative medicine
poisoning
apricot kernels
title Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
title_full Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
title_fullStr Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
title_full_unstemmed Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
title_short Cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80-year-old female.
title_sort cyanide poisoning from an alternative medicine treatment with apricot kernels in a 80 year old female
topic cyanide
alternative medicine
poisoning
apricot kernels
url https://apcz.umk.pl/JEHS/article/view/26394
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AT michałkos cyanidepoisoningfromanalternativemedicinetreatmentwithapricotkernelsina80yearoldfemale
AT andrzejkosciuk cyanidepoisoningfromanalternativemedicinetreatmentwithapricotkernelsina80yearoldfemale
AT michałtchorz cyanidepoisoningfromanalternativemedicinetreatmentwithapricotkernelsina80yearoldfemale