{"title":"[A case of minoxidil intoxication].","authors":"Tetsuya Takahashi, Tetsuhiro Takei, Toshitaka Ito, Kazunari Sakamoto, Takeshi Nara, Keiichi Yagi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 26-year-old man was found unable to move after oral consumption of 120 mL of RiUP X5® (containing 5 g/100 mL minoxidil) as a suicidal attempt. The patient complaining of frequent vomiting and weakness was transferred to our hospital. Findings on arrival: GCS E4V5M6; respiratory rate 24/ min; blood pressure 83/43 mmHg; pulse 152/min, regular; SpO₂97% (oxygen by mask: 6 L/min); thus, the patient was in shock. The systolic blood pressure and the pulse rate improved to about 90 mmHg and to about 130/min, respectively, in response to rapid intravenous infusion of 2,000 mL of lactated Ringer's solution. His circulatory condition tended to improve with parenteral fluid infusion alone. Forty hours after admission, however, heart failure developed due to excessive I.V. fluid infusion and abnormal body fluid distribution associated with delayed vascular smooth muscle relaxation; therefore, mechanical ventilation was initiated. Simultaneously, intravenous noradrenaline infusion was started because of a fall of the blood pressure. Subsequently, as the patient's respiratory and circulatory conditions gradually improved, he was weaned from mechanical ventilation, and the noradrenaline infusion was discontinued at 108 hours after admission. The patient made favorable progress and was discharged home on the 9th hospital day. Minoxidil exerts adverse effects mainly on the cardiovascular system. Since minoxidil is an over-the-counter drug readily available to the public, and emergency physicians should be aware of its severe toxicity.</p>","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"208-12"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[A case of opsoclonus due to diphenhydramine overdose in which ECG change could be used to predict convulsion].","authors":"Takeshi Ueda","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"216-8"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Practical analysis of toxic substances useful for clinical toxicology (6) Strategy for the analytical and quantitative results based on instrumental analysis: The necessity of analytical validation].","authors":"Takeshi Saito","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"223-6"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Development of carbamate pesticide detection kit].","authors":"Tetsuya Ishiwata","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"205-7"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Circulatory management for intoxication].","authors":"Kazuya Kiyota","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"219-21"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Clinical evaluation of Triage DOA in the diagnosis of acute poisoning patients in emergency room].","authors":"Takao Chishiro","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 3","pages":"203-4"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Practical analysis of toxic substances useful for clinical toxicology (5). Introduction of a new simple analysis of acetaminophen; ZAP tox Acetaminophen Test].","authors":"Mayu Nozawa","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 1","pages":"54-7"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32255753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Hydroxocobalamin].","authors":"Rumiko Kondo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 1","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32255754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Poisoning by the use of Datura plants].","authors":"Tatsuo Fukuda","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 1","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32255827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dermatitis caused by primulas].","authors":"Yutaka Sashida","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10299,"journal":{"name":"Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology","volume":"27 1","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32255833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}