He was conscious when he was initially arrested by the police following a 2 hour standoff at his home. Case presentationĪn otherwise healthy 35-year-old man was brought to the emergency department (ED) by sheriff deputies following development of depressed level of consciousness after he was booked into custody three hours prior. Concomitant cyanide poisoning may also occur in fire victims with smoke inhalation. Some plants, particularly pitted fruits from the Prunus species (apricots, cherry, peaches), contain the cyanogenic glycoside, amygdalin, which is converted to cyanide and other substances following ingestion. Organic compounds such as acetonitrile (methyl cyanide), found in artificial nail remover, have a cyano group bonded to alkyl moieties. Potassium and sodium cyanide salts are common laboratory reagents and chemists are frequent victims of accidental exposures. Various inorganic cyanide salts are used industries including metallurgy, photography, plastic manufacturing, and fumigation. ![]() Acute cyanide exposure is an uncommon exposure the majority of which are unintentional but often results in cardiovascular embarrassment when it occurs.
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