Marçal Ana Luísa, Coelho Daniela, Araújo Rui
Serviço de Medicina Interna. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos. Portugal.
Serviço de Medicina Intensiva. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos. Portugal.
Acta Med Port. 2020 Feb 3;33(2):147-148. doi: 10.20344/amp.11386.
Carbon monoxide and cyanide are toxins that induce cellular hypoxia; both can be produced in the context of domestic fires and may have a synergistic effect. We present the case of a man, victim of a house fire, who was initially diagnosed as having carbon monoxide poisoning, but that afterwards also presented signs and symptoms compatible with cyanide poisoning. He was successfully treated with an antidote. We want to highlight this relatively frequent association of poisonings and the need for urgent empirical treatment.
一氧化碳和氰化物是可导致细胞缺氧的毒素；二者均可在家庭火灾中产生，且可能具有协同作用。我们报告一例房屋火灾受害者，该男子最初被诊断为一氧化碳中毒，但随后也出现了与氰化物中毒相符的体征和症状。他通过使用解毒剂成功治愈。我们想强调这种中毒相对常见的关联以及紧急经验性治疗的必要性。
