M A Sacco, S Gualtieri, M C Verrina, A P Tarallo, P Tarzia, P Ricci, I Aquila
{"title":"A rare case of suicide by ingestion of muriatic acid: analysis of the medico-legal evidences.","authors":"M A Sacco, S Gualtieri, M C Verrina, A P Tarallo, P Tarzia, P Ricci, I Aquila","doi":"10.7417/CT.2025.5181","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Caustic substances are highly corrosive and dangerous, causing protein denaturation and tissue necrosis by altering pH upon contact. Common examples include muriatic acid, caustic soda, and ammonia. This case study details a 44-year-old man who ingested muriatic acid in a suicide attempt, leading to widespread esophageal and gastric ulcerations, tissue necrosis, pulmonary consolidations, and blood-stream infections (Klebsiella Pneumoniae, Acinetobacter Baumanii complex). Despite medical interventions, the patient died. An autopsy was performed and it revealed extensive multi-organ hemorrhages and systemic damage. The findings highlight the rapid and fatal systemic effects of caustic ingestion, underscoring the importance of immediate emergency care, including esophagogastroduodenoscopy and gastric lavage, to mitigate absorption and systemic impact.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"176 Suppl 1(2)","pages":"24-28"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinica Terapeutica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7417/CT.2025.5181","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Caustic substances are highly corrosive and dangerous, causing protein denaturation and tissue necrosis by altering pH upon contact. Common examples include muriatic acid, caustic soda, and ammonia. This case study details a 44-year-old man who ingested muriatic acid in a suicide attempt, leading to widespread esophageal and gastric ulcerations, tissue necrosis, pulmonary consolidations, and blood-stream infections (Klebsiella Pneumoniae, Acinetobacter Baumanii complex). Despite medical interventions, the patient died. An autopsy was performed and it revealed extensive multi-organ hemorrhages and systemic damage. The findings highlight the rapid and fatal systemic effects of caustic ingestion, underscoring the importance of immediate emergency care, including esophagogastroduodenoscopy and gastric lavage, to mitigate absorption and systemic impact.
期刊介绍:
La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.