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Ethanol poisoning together with organophosphate exposure: a difficult clinical diagnosis because of physician anchoring.

作者信息

Li Yi, Yu Xuezhong, Wang Zhong, Wang Houli

机构信息

The Emergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Tsinghua University, Beijing 100730, China.

出版信息

Alcohol Alcohol. 2008 Nov-Dec;43(6):650-2. doi: 10.1093/alcalc/agn063. Epub 2008 Aug 1.

DOI:10.1093/alcalc/agn063
PMID:18676498
Abstract

AIMS

Organophosphorus pesticide poisoning occurs frequently in China and can be diagnosed easily based on the history of ingestion and the cholinergic toxic syndrome. Yet, when combined with other toxins, organophosphorus poisoning may appear different.

METHODS

Here, we present a case of acute ethanol poisoning together with a dermal organophosphorus exposure.

RESULTS

Based on the history and a misinterpretation of the physical examination, the patient was treated as an organophosphorus poisoning. Ultimately, serum analysis helped clarify the diagnosis.

CONCLUSIONS

Toxicologist should be aware of the error known as anchoring and take appropriate precautions to limit its occurrence.

摘要

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