A Case of Acute Prochloraz-Manganese Complex Intoxication Treated with Extracorporeal Elimination
- Authors
- Gil, Hyowook; Seok, Sujin; Hong, Jungrak; Jeong, Mihye; Hong, Saeyong
- Issue Date
- 2012
- Publisher
- S. Karger AG
- Keywords
- Acute manganese intoxication; Prochloraz; Hemoperfusion; Hemodialysis; Continuous venovenous hemodiafiltration
- Citation
- Blood Purification, v.34, no.3-4, pp 344 - 348
- Pages
- 5
- Journal Title
- Blood Purification
- Volume
- 34
- Number
- 3-4
- Start Page
- 344
- End Page
- 348
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15966
- DOI
- 10.1159/000345518
- ISSN
- 0253-5068
1421-9735
- Abstract
- Background/Aim: We treated a patient with critical manganese intoxication with vigorous extracorporeal elimination. In this article, we describe the clinical characteristics and treatment modalities of the patient. Patient: A 65-year-old man was brought to the emergency room (ER) 5.5 h after ingesting prochloraz-manganese complex. He experienced circulatory collapse and went into a coma without self-breathing on arrival at the ER. Mechanical ventilation was initiated and hemoperfusion, hemodialysis and continuous venovenous hemodiafiltration were performed with the help of norepinephrine. Measurement and Result: The manganese levels on the first, second and fourth hospital days were 34.1, 23.6 and 12.5 mu g/l, respectively. He recuperated from the shock state within 7 hospital days. After 4 critical weeks, the patient regained full consciousness. Conclusion: Rigorous extracorporeal elimination by hemoperfusion, hemodialysis and continuous venovenous hemodiafiltration was an effective treatment modality for patients with acute manganese intoxication. Copyright (C) 2013 S. Karger AG, Basel
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
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