Baksevice Deimante, Mankute-Use Aida, Bernotaite-Morkune Austeja, Zelbiene Egle
Department of Emergency Medicine, Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, Kaunas, LT-44307, Lithuania.
Int J Emerg Med. 2024 Dec 18;17(1):186. doi: 10.1186/s12245-024-00777-0.
Carbon monoxide (CO) poisoning is a serious yet frequently overlooked condition with diverse and nonspecific clinical presentations. The analysis of Lithuanian statistics reveals fluctuations in patient admissions and consultations through the poisoning center over a four-year period, with notable variations in fatality rates. Despite these trends, CO poisoning remains a significant public health concern due to its potential for severe long-term sequelae or death.
This case report focuses on two distinct presentations of CO poisoning in a young couple, illustrating the varied manifestations and outcomes of this toxic exposure. The first case describes a 23-year-old male presenting with altered consciousness and neurological symptoms, while the second case involves a 21-year-old pregnant female presenting with cardiovascular symptoms, including Takotsubo cardiomyopathy.
Highlights include the challenges in diagnosing CO poisoning; factors influencing the severity and symptoms of CO poisoning; potential complications; and considerations for hyperbaric oxygen therapy (HBO) in severe cases and pregnancy.
These cases illustrate the importance of recognizing CO poisoning, advocating for oxygen therapy as the first-line treatment, and calling for further research to improve understanding, treatment, and prevention of this potentially fatal condition.
一氧化碳（CO）中毒是一种严重但常被忽视的病症，临床表现多样且无特异性。对立陶宛统计数据的分析显示，四年间通过中毒中心收治的患者和会诊情况存在波动，死亡率也有显著差异。尽管有这些趋势，但由于CO中毒可能导致严重的长期后遗症或死亡，它仍是一个重大的公共卫生问题。
本病例报告聚焦于一对年轻夫妇中CO中毒的两种不同表现形式，展示了这种有毒暴露的多种表现和后果。第一个病例描述了一名23岁男性出现意识改变和神经症状，而第二个病例涉及一名21岁孕妇出现心血管症状，包括应激性心肌病。
重点包括诊断CO中毒的挑战；影响CO中毒严重程度和症状的因素；潜在并发症；以及重症病例和孕期高压氧治疗（HBO）的考量。
这些病例说明了认识CO中毒的重要性，倡导将氧疗作为一线治疗方法，并呼吁开展进一步研究以增进对这种潜在致命病症的理解、治疗和预防。
