[Extreme hyperkalemia in a patient with a new glyphosate potassium herbicide poisoning: report of a case].

Hiroki Bando, Yoshinori Murao, U. Aoyagi, Akihiko Hirakawa, Masaaki Iwase, Toshio Nakatani

研究成果: ジャーナルへの寄稿学術論文査読

6 被引用数 (Scopus)

抄録

CASE REPORT: A 65-year-old female was transferred to our emergency and critical care center after taking two kinds of commercially available glyphosate herbicide products. On admission, her conscious level was depressed to Glasgow Coma Scale E3, V2, and M6. Vital signs were as follows ; blood pressure 83/33mmHg, pulse 59/min, and respiratory rate was 24/min. Arterial blood gas analysis showed metabolic acidosis and an extreme hyperkalemia of 9.22 mEq/L. Electrocardiogram showed absence of P wave and a tall, tapering T wave. On admission, gastric lavage was followed by an intragastric administration of activated charcoal together with cathartic. Immediately after recognition of hyperkalemia, sodium bicarbonate, glucose plus insulin, and calcium gluconate were also administered intravenously. Five hours later, plasma concentration of potassium decreased to 4.31 mEq/L, and the patient discharged on day 10. Later, it was disclosed that the new Roundup Maxload contains high concentration of glyphosate potassium. CONCLUSION: In case of Roundup poisoning, we have to take it consideration that the poisoning may results in a hyperkalemia.

本文言語英語
ページ(範囲)246-249
ページ数4
ジャーナルChūdoku kenkyū : Chūdoku Kenkyūkai jun kikanshi = The Japanese journal of toxicology
23
3
出版ステータス出版済み - 09-2010

All Science Journal Classification (ASJC) codes

  • 医学一般

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