Eteiwi Suzan M, Al-Eyadah Abdallah A, Al-Sarihin Khaldon K, Al-Omari Ahmad A, Al-Asaad Rania A, Haddad Fares H
Endocrine and Diabetes Department, King Hussein Medical Center, Amman, Jordan.
Oman Med J. 2015 Jul;30(4):291-4. doi: 10.5001/omj.2015.57.
Acute poisoning by potassium permanganate is a rare condition with high morbidity and mortality. Diagnosis of the condition relies on a history of exposure or ingestion and a high degree of clinical suspicion. Oxygen desaturation and the presence of methemoglobin are also helpful indicators. Since no specific antidote is available, treatment is mainly supportive. Few cases have been reported in the literature following potassium permanganate ingestion, whether intentional or accidental, and most of the patients in these cases had unfavorable outcomes, which was not the case in our patient. Our patient, a 73-year-old male, purchased potassium permanganate over the counter mistaking it for magnesium salt, which he frequently used as a laxative. Several hours after he ingested it, he was admitted to the endocrine department at King Hussein Medical Center, Jordan, with acute rapidly evolving shortness of breath. During hospitalization, his liver function tests deteriorated. Since he was diagnosed early and managed promptly he had a favorable outcome.
高锰酸钾急性中毒是一种罕见病症，发病率和死亡率都很高。该病症的诊断依赖于接触或摄入史以及高度的临床怀疑。氧饱和度降低和高铁血红蛋白的存在也是有用的指标。由于没有特效解毒剂，治疗主要是支持性的。文献中报道的高锰酸钾摄入病例很少，无论是故意还是意外摄入，这些病例中的大多数患者预后不佳，但我们的患者并非如此。我们的患者是一名73岁男性，他误将高锰酸钾当作镁盐在柜台购买，他经常将镁盐用作泻药。摄入数小时后，他因急性快速进展的呼吸急促被收治到约旦侯赛因国王医疗中心内分泌科。住院期间，他的肝功能检查结果恶化。由于他得到了早期诊断并得到及时治疗，所以预后良好。
