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一例罕见的蓖麻油中毒合并急性胰腺炎和急性肾小管坏死病例。

A rare case of cade oil poisoning complicated by acute pancreatitis and acute tubular necrosis.

作者信息

Azizi Mohammed, El Kaouini Abderrahim, Lafkih Mohammed Amine, Bouayed Mohamed Zakaria, Bkiyar Houssam, Housni Brahim

机构信息

Anesthesia, Intensive Care and Resuscitation Department, MOHAMMED VI University Hospital Center, Oujda, Morocco.

Simulation Center, Faculty of Medicine and Pharmacy, Oujda, Morocco.

出版信息

Ann Med Surg (Lond). 2022 Apr 4;76:103562. doi: 10.1016/j.amsu.2022.103562. eCollection 2022 Apr.

Abstract

INTRODUCTION

Cade oil is often used in traditional medicinal practices despite of its toxic effects, hence the occurrence of intoxication incidents often requiring intensive care.

CASE PRESENTATION

We present the case of a young patient with no prior medical history who was exposed to significant doses of Cade oil both on skin and ingested, and who subsequently developed an apyretic consciousness disorder warranting an admission to our ICU department for specialized management.

DISCUSSION

in this chapter we discuss the place of cade oil within Morocco's unsupervised medicinal practices. We also detail the spectrum of cade oil poisoning which is rarely reported in the literature, before discussing the therapeutic options.

CONCLUSION

The phenol derivatives of Cade oil, which is still used frequently and widely, are responsible of an acute intoxication, mainly impairing the cardiovascular, respiratory and renal functions. A pancreatic involvement is rarely reported.

摘要

引言

尽管杜松油具有毒性作用,但它仍常用于传统医学实践中,因此中毒事件时有发生,往往需要重症监护。

病例报告

我们报告一例既往无病史的年轻患者,其皮肤接触并摄入了大量杜松油,随后出现无热意识障碍,需入住我们的重症监护病房进行专科治疗。

讨论

在本章中,我们讨论了杜松油在摩洛哥无监管的医学实践中的地位。在讨论治疗选择之前,我们还详细介绍了文献中很少报道的杜松油中毒的范围。

结论

仍被频繁广泛使用的杜松油酚衍生物会导致急性中毒,主要损害心血管、呼吸和肾功能。胰腺受累情况很少见报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5078/9052284/1ea08e344a8f/gr1.jpg

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