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On-line Access: 2024-12-30

Received: 2024-06-11

Revision Accepted: 2024-08-11

Crosschecked: 2024-12-30

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Citations:  Bibtex RefMan EndNote GB/T7714

 ORCID:

Yuan-qiang Lu

https://orcid.org/0000-0002-9057-4344

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Journal of Zhejiang University SCIENCE B 2024 Vol.25 No.12 P.1120-1124

http://doi.org/10.1631/jzus.B2400305


Residual hyperglycemia after successful treatment of a patient with severe copper sulfate poisoning


Author(s):  Ting LI, Yuan-qiang LU

Affiliation(s):  Department of Emergency Medicine, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou310003, China; more

Corresponding email(s):   luyuanqiang@zju.edu.cn

Key Words:  Copper sulphate poisoning, Multiple organ dysfunction syndrome, Hyperglycemia


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Ting LI, Yuan-qiang LU. Residual hyperglycemia after successful treatment of a patient with severe copper sulfate poisoning[J]. Journal of Zhejiang University Science B, 2024, 25(12): 1120-1124.

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Abstract: 
Copper sulfate is a frequently used copper compound in laboratory settings, with instances of poisoning being uncommon. A study conducted by the American Association of Poison Control Centers National Poison Data System found that only 140 individuals were exposed to copper compounds over the course of a year, with five cases being intentional (Gummin et al., 2023). Severe poisoning from copper sulfate can result in isolated gastrointestinal injury (Galust et al., 2023), intravascular hemolysis (Adline et al., 2024), rhabdomyolysis (Richards et al., 2020), and other symptoms documented in the literature. However, there have been no reports of long-term uncontrolled hyperglycemia in patients with copper sulfate poisoning. This case study documents the treatment approach for a patient with unexplained, long-term, uncontrolled hyperglycemia, alongside multiple organ dysfunction resulting from intentional ingestion of a large dose of copper sulfate. This case report details the long-term complications in a patients recovery from acute copper sulfate, highlighting the significance of ongoing monitoring and intervention.

一例急性硫酸铜中毒患者成功救治后持续高血糖分析

李婷1,2,陆远强1,2
1浙江大学医学院附属第一医院急诊科, 中国杭州市, 310003
2我省理化与增龄损伤性疾病诊治研究重点实验室, 中国杭州市, 310003
摘要:硫酸铜中毒虽然比较罕见,但却能导致包括胃肠道损伤、溶血、高铁血红蛋白血症、横纹肌溶解,甚至多器官功能障碍在内的多种严重症状。目前的研究缺乏对硫酸铜毒性长期后遗症的探索。本病例报告介绍了一名17岁女性患者,在口服大量硫酸铜溶液后,先后出现了剧烈呕吐、腹部疼痛、溶血、高铁血红蛋白血症及多器官功能障碍的症状。主要的治疗措施包括洗胃、血浆置换、持续肾脏替代治疗以及支持性治疗。尽管经过及时抢救,该患者急性毒性反应得到有效控制,但患者出现了难以控制的高血糖,并需长期使用胰岛素治疗。本病例强调了对硫酸铜中毒患者长期并发症监测的重要性。

关键词:硫酸铜中毒;多器官功能障碍综合征;高血糖

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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