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Permanent URI for this collectionhttps://hdl.handle.net/11452/20668

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Browsing by Department "Acil Servis Ana Bilim Dalı"

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    Acute arsenic self-poisoning for suicidal purpose in a dentist: A case report
    (Sage Publications, 2009-01) Yılmaz, Yusuf; Armağan, Erol; Ölmez, Ömer Fatih; Esen, Mehmet; Alkış, Nihan; Dolar, Mahmut Enver; Tıp Fakültesi; Tıp Fakültesi; İç Hastalıkları Ana Bilim Dalı; İç Hastalıkları Ana Bilim Dalı; Acil Servis Ana Bilim Dalı; Gastroenteroloji Ana Bilim Dalı; 0000-0003-4518-5283; AAH-8846-2021; K-6651-2012; AAG-9177-2021; 22936014300; 6506464232; 26435400000; 56567890200; 26533912000; 6602075084
    Arsenic is a classical poison that has been historically used since ancient times for homicidal purposes. More recently, episodes of deliberate or unintentional arsenic self-poisoning have been increasingly reported. We describe here a case of a 77-year old male patient with a history of major depression, who attempted suicide by ingestion of 4 g of arsenic trioxide. The man, a dentist by profession, used arsenic preparations for pulp devitalization. The patient was admitted to our hospital 5 h after arsenic ingestion with nausea and vomiting. Plain radiograph of the abdomen showed radio-opaque material in the stomach and small intestine. Nasogastric lavage, activated charcoal, and chelators; were used to remove arsenic. On day 3, endoscopy disclosed the presence of gastritis and superficial ulcers. The patient developed significant anemia (Hb: 8.7 g/dL on day 7) without significant signs of hemolysis. He gradually recovered from anemia within 5 months. The patient did not suffer any adverse outcome in spite of having ingesting 4 g of arsenic, approximately 20 times the lethal dose.