Potential and Natural Cyanide Poison for Children: Apricot Kernels
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2019, Vol 6, Issue 2
Abstract
Apricot kernels contain a significant amount of amygdaline, one of the cyanogenic glycosides. In Turkey, most cases of cyanide intoxication in children are related to ingestion of apricot kernels. In this manuscript, we present two pediatric cases of cyanide intoxication presenting with vomiting and loss of consciousness after ingestion of unknown amount of fresh apricot kernels. Two patients were discharged with cure after supportive treatment without the need for cyanide antidote administration. Our report of two cases aims to raise awareness amongst the general population and health workers of the potential risk of cyanide poisoning associated with the consumption of apricot kernels. Cyanide poisoning should be kept in mind for patients with sudden loss of consciousness, high anion gap metabolic acidosis and lactic acidosis.
Authors and Affiliations
Osman Yeşilbaş, Hanife Gül Balkı, Merve Bayrak, Nazan Ülgen Tekerek
A Case Report: İsolated Troponin I Elevation After Scorpion Sting
Scorpion stings are frequent events in warm climate regions, especially in the summer. Although most cases are harmless, many local or systemic symptoms of envenomation have been reported. Local symptoms usually include...
Severe Methemoglobinemia Due to Nitrite Intoxication in a Child Who was Misdiagnosed with Sepsis
We present here, a child with an extremely high methemoglobin level caused by inadvertently prepared sodium nitrite and potassium nitrite by a pharmacist. On physical examination, he had tachycardia and tachypnea. He had...
Accidental Poisoning of a Child by Dieffenbachia
Dieffenbachia is a tropical ornamental house plant. Accidental ingestion of the leaf or its seed can cause serious gastrointestinal and respiratory symptoms requiring emergency treatment. An eight-year-female child was a...
Severe Valproic Acid Intoxication Responding to Hemodialysis
Valproic acid is a commonly used antiepileptic drug which causes intoxication easily due to its narrow therapeutic window. Here, we present a child with valproic acid poisoning who responded to hemodialysis. A 14-year-ol...
Can Mean Platelet Volume be Used as a Marker in Children with Acute Appendicitis?
Introduction: The primary aim of this study was to investigate the diagnostic value of mean platelet volume (MPV) in the diagnosis of acute appendicitis and the effect of the presence of complication on MPV values in chi...