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沙特阿拉伯吉达市因大量食用罐装沙丁鱼导致的砷中毒

Arsenic Poisoning due to High Consumption of Canned Sardines in Jeddah, Saudi Arabia.

作者信息

Othman Leen, Nafadi Abeer, Alkhalid Saleh H, Mazraani Nadia

机构信息

Medicine, King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard, Jeddah, SAU.

Family and Community Medicine, King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard, Jeddah, SAU.

出版信息

Cureus. 2021 Jan 19;13(1):e12780. doi: 10.7759/cureus.12780.

Abstract

Dietary consumption of arsenic is considered the largest source of toxicosis for nonoccupationally exposed individuals as it can be ingested through contaminated underground water, seafood, animal products, and crops irrigated with polluted water. We present a case of a 45-year-old Caucasian male who had headaches and peripheral neuropathy for more than two months. He suspected arsenic poisoning as he has a regular heavy consumption of seafood and canned sardines. Analysis of urinary arsenic concentration confirmed his intoxication with arsenic. Yet, since it was of an inorganic form, he was prescribed with symptomatic treatments only. A symmetrical sensory or motor polyneuropathy featuring more distal impairment is among the most common neurological findings induced by arsenic toxicosis. Hence, a presenting history of heavy seafood diet should raise the differential diagnosis of arsenic or heavy metal poisoning and to investigate accordingly. This case illustrates the importance of taking the dietary regime of any patient presenting with neuropathy. In addition, the authorities must impose further rigorous surveillance and strict safety measures on food products and staples to minimize any sources of contamination of any sorts.

摘要

饮食中摄入砷被认为是未从事相关职业的个体中毒的最大来源,因为砷可通过受污染的地下水、海鲜、动物产品以及用污水灌溉的农作物进入人体。我们报告一例45岁的白种男性病例,该患者头痛和周围神经病变超过两个月。由于他经常大量食用海鲜和罐装沙丁鱼,他怀疑自己砷中毒。尿砷浓度分析证实他砷中毒。然而,由于是无机砷中毒,他仅接受了对症治疗。以远端损害为主的对称性感觉或运动性多发性神经病变是砷中毒最常见的神经学表现之一。因此,有大量食用海鲜的病史应引起对砷或重金属中毒的鉴别诊断并进行相应调查。该病例说明了了解任何出现神经病变患者饮食情况的重要性。此外,当局必须对食品和主食实施更严格的监测和安全措施,以尽量减少任何形式的污染源。

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本文引用的文献

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A market basket survey of inorganic arsenic in food.食品中无机砷的市场篮子调查。
Food Chem Toxicol. 1999 Aug;37(8):839-46. doi: 10.1016/s0278-6915(99)00073-3.
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