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Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review

A 59-year-old male was found unconscious in a car filled with smoke. On arrival, he was in a semi-comatose state with hemorrhagic shock due to deep lacerations on his wrist. His carboxyhemoglobin level was 16.6%. Electrocardiography showed ST segment elevation at the precordial leads with troponin T...

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Detalles Bibliográficos
Autores principales: Takeuchi, Ikuto, Yanagawa, Youichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10671588/
https://www.ncbi.nlm.nih.gov/pubmed/38021665
http://dx.doi.org/10.7759/cureus.47669
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author Takeuchi, Ikuto
Yanagawa, Youichi
author_facet Takeuchi, Ikuto
Yanagawa, Youichi
author_sort Takeuchi, Ikuto
collection PubMed
description A 59-year-old male was found unconscious in a car filled with smoke. On arrival, he was in a semi-comatose state with hemorrhagic shock due to deep lacerations on his wrist. His carboxyhemoglobin level was 16.6%. Electrocardiography showed ST segment elevation at the precordial leads with troponin T positivity. Magnetic resonance imaging showed spotty ischemic lesions in his brain. He was treated with 100% oxygen by mechanical ventilation; however, he also developed acute respiratory distress syndrome due to an inhalation injury. His condition was complicated by bloody stools, which were judged to have been caused by ischemic colitis based on computed tomography and were managed by observation. After regaining consciousness and the improvement of the heart, lung, and bowel conditions, the patient was transported to a psychiatric hospital due to concerns regarding self-harm. Due to the small number of reported cases, the accumulation of similar cases of ischemic colitis after carbon monoxide (CO) poisoning is needed to clarify the characteristics of ischemic colitis after carbon monoxide poisoning.
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spelling pubmed-106715882023-10-25 Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review Takeuchi, Ikuto Yanagawa, Youichi Cureus Other A 59-year-old male was found unconscious in a car filled with smoke. On arrival, he was in a semi-comatose state with hemorrhagic shock due to deep lacerations on his wrist. His carboxyhemoglobin level was 16.6%. Electrocardiography showed ST segment elevation at the precordial leads with troponin T positivity. Magnetic resonance imaging showed spotty ischemic lesions in his brain. He was treated with 100% oxygen by mechanical ventilation; however, he also developed acute respiratory distress syndrome due to an inhalation injury. His condition was complicated by bloody stools, which were judged to have been caused by ischemic colitis based on computed tomography and were managed by observation. After regaining consciousness and the improvement of the heart, lung, and bowel conditions, the patient was transported to a psychiatric hospital due to concerns regarding self-harm. Due to the small number of reported cases, the accumulation of similar cases of ischemic colitis after carbon monoxide (CO) poisoning is needed to clarify the characteristics of ischemic colitis after carbon monoxide poisoning. Cureus 2023-10-25 /pmc/articles/PMC10671588/ /pubmed/38021665 http://dx.doi.org/10.7759/cureus.47669 Text en Copyright © 2023, Takeuchi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Other
Takeuchi, Ikuto
Yanagawa, Youichi
Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title_full Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title_fullStr Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title_full_unstemmed Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title_short Carbon Monoxide Poisoning Complicated by Ischemic Colitis: A Case Report and Literature Review
title_sort carbon monoxide poisoning complicated by ischemic colitis: a case report and literature review
topic Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10671588/
https://www.ncbi.nlm.nih.gov/pubmed/38021665
http://dx.doi.org/10.7759/cureus.47669
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