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Comparison of two suicide attempts with long-acting insulin – The rare way to commit suicide

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Agnieszka Radzka A., Krystian Ciechański K., Jędrzej Tkaczyk J., Klaudia Brożyna K., Michał Tchórz M.

European Journal of Clinical and Experimental Medicine

2018

issue 2

151-154

Introduction. In previous years, the number of suicide attempts has increased in Europe. Intoxication with hypoglycemic drugs, including insulin is a rare a tool for attempting suicide that may lead to a severe patient status. Aim. The aim of the study was to assess the severity of insulin poisoning with examples of two patients. Methods. The analysis of clinical history of patients and review of available literature. Results. A 22-year-old patient was hospitalized in the Department of Toxicology and Cardiology due to a suicide attempt in the way of insulin poisoning; time of poisoning was unknown, and the level of glucose was indeterminable. The patient was treated with intensive specific pharmacotherapy. After hospitalization, which lasted 5 months, the patient’s condition had been stabilized but with no verbal contact and quadriplegic paralysis. Another patient was a 41-year-old woman hospitalized two times in the Department of Toxicology and Cardiology due to the insulin poisonings. In each case of hospitalization of this woman, severe recurrent hypoglycemia was observed up to 25 mg% until the fifth day of hospitalization and the treatment used improved the patient’s condition and there was no development of serious complications. Conclusion. Normally effective treatment at the right time can recover the patient completely

Investigation of focal necrotizing pneumonia after diesel fuel ingestion

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Krystian Ciechański K., Agnieszka Radzka A., Klaudia Brożyna K., Jędrzej Tkaczyk J., Aleksandra Kędziora A., Michał Tchórz M.

European Journal of Clinical and Experimental Medicine

2018

issue 2

159-162

Introduction. Diesel oil is a mixture of hydrocarbons. These compounds are widely used in everyday life. Oral exposures are most often accidental and affect mainly children, but they also happen in adults. Oral ingestion may lead to aspiration of pulmonary alveoli which may cause necrotizing pneumonia. Aim. The aim of the study is to assess te severity of diesel oil intoxication on an example of a presented case. Methods. The analysis of the clinical patient history and review of available literature. Results. A 27 year old patient was admitted to the toxicology department due to accidental diesel poisoning. Patient drank a small amount diesel oil, then suffered nausea and vomiting, which resulted in aspiration of diesel to respiratory system. During hospitalization focal necrotizing pneumonia was diagnosed. Patient was treated with intensive specific pharmacotherapy. On the 11th day of stay, the patient was discharged with recommendation of control in the pulmonological and toxicological clinic and chest x-ray examination in order to diagnose the suspicious oval change discovered in the right lobe during hospitalization. Conclusion. First toxicity symptoms are non-specific, so well collected anamnesis is crucial. Complications of hydrocarbon ingestion can be a threat to patient’s life. Due to rarity of the problem, there are no clearly defined treatment guidelines

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2 European Journal of Clinical and Experimental Medicine

2 2018

2 Agnieszka Radzka A.

2 Jędrzej Tkaczyk J.

2 Klaudia Brożyna K.

2 Krystian Ciechański K.

2 Michał Tchórz M.

1 Aleksandra Kędziora A.

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Comparison of two suicide attempts with long-acting insulin – The rare way to commit suicide

Investigation of focal necrotizing pneumonia after diesel fuel ingestion