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황산구리 중독에서 대안 해독제로의 succimer 사용 1례
Use of succimer as an alternative antidote in copper sulfate poisoning: A case report
한상균 ( Sang Kyoon Han ) , 박성욱 ( Sung Wook Park ) , 조영모 ( Young Mo Cho ) , 왕일재 ( Il Jae Wang ) , 배병관 ( Byung Kwan Bae ) , 염석란 ( Seok Ran Yeom ) , 박순창 ( Soon Chang Park )
UCI I410-ECN-0102-2022-000-000640137

Copper sulfate is widely used as a fungicide and pesticide. Acute copper sulfate poisoning is rare but potentially lethal in severe cases. Copper sulfate can lead to cellular damage of red blood cells, hepatocytes, and myocytes. Toxic effects include intravascular hemolysis, acute tubular necrosis and, rhabdomyolysis. A 76-year-old man presented with vomiting and epigastric pain. He had ingested a copper-containing fungicide (about 13.5 g of copper sulfate) while attempting suicide 2 hours prior to presentation. From day 3 at the hospital, laboratory findings suggesting intravascular hemolysis were noted with increased serum creatinine level. He was treated with a chelating agent, dimercaptosuccinic acid (succimer). His anemia and acute kidney injury gradually resolved with a 19-day regimen of succimer. Our case suggests that succimer can be used for copper sulfate poisoning when other chelating agents are not available.

INTRODUCTION
CASE REPORT
DISCUSSION
CONCLUSION
ORCID
ACKNOWLEDGMENTS
REFERENCES
[자료제공 : 네이버학술정보]
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