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ACUTE POISONING WITH SODIUM NITRATE IN NEUROLOGICAL PRACTICE

https://doi.org/10.23934/2223-9022-2017-6-2-158-161

Abstract

This article describes a clinical case of a patient with acute cerebrovascular accident, acute respiratory failure and acute coronary syndrome. The ischemic lesion was associated with sodium nitrate, poisoning and its metabolite nitrite which resulted in increased methemoglobin concentration in blood and manifested as reversible discirculatory encephalopathy, respiratory disorder and myocardial damage. The article shows figures, reflecting changes in the biochemical composition of blood and changes in the electrocardiogram. The purpose of this study is to demonstrate clinical features of acute poisoning with sodium nitrate.

About the Authors

O. N. Zhadan
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation

neurologist of the Neurology Department,

Krasnodar



L. V. Timchenko
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation
Krasnodar


P. V. Katayev
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation
Krasnodar


Z. Yu. Davidyan
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation
Krasnodar


A. N. Torgashova
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation
Krasnodar


Y. E. Kasyаnenko
SBHI “Scientific Research Institute – Regional Clinical Hospital No.1 named after Prof. S.V. Ochapovsky” of the Krasnodar Territory Ministry of Health
Russian Federation
Krasnodar


References

1. Zakrevskiy V.V. Safety of food and biological active food additives. Saint Petersburg: GIORD Publ., 2004. 280 p. (In Russian).

2. Subbotin F.N. Nitrates of water and food as a new hygienic problem in the light of experimental study and generalization of the literature on methemoglobinemia in children and adults, as well as in farm animals. Dr. Med. Sci. Diss. Synopsis. Leningrad., 1962. 28 p. (In Russian).

3. Buldakov A.S. Nutritional supplements. Saint Petersburg: Ut Publ., 1996. 240 p. (In Russian).

4. Luzhnikov E.A. Kostomarova L.G. Acute poisonings. Moscow: Meditsina Publ., 2000. 434 p. (In Russian).

5. Suslina Z.A., Piradov M.A., ed. Stroke: diagnostics, treatment, prophylaxis. Moscow: MEDpress-inform Publ., 2009. 288p. (In Russian).

6. Skvortsova V.I. Mechanisms of the damaging effect of cerebral ischemia and neuroprotection. Selected lectures on neurology. Saint Petersburg, 2006. 624 p. (In Russian).


Review

For citations:


Zhadan O.N., Timchenko L.V., Katayev P.V., Davidyan Z.Yu., Torgashova A.N., Kasyаnenko Y.E. ACUTE POISONING WITH SODIUM NITRATE IN NEUROLOGICAL PRACTICE. Russian Sklifosovsky Journal "Emergency Medical Care". 2017;6(2):158-161. (In Russ.) https://doi.org/10.23934/2223-9022-2017-6-2-158-161

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)