Cardiogenic shock in a patient with glyphosate-surfactant poisoning

Chi Mo Lin, Cha Po Lai, Te Chao Fang, Chin Lon Lin

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

We present a case of glyphosate-induced cardiogenic shock in a young man. The patient a 26-year-old man, presented with nausea and vomiting 4 hours after attempting suicide by drinking 150 mL of glyphosate surfactant. Cardiogenic shock with accelerated idio-ventricular rhythm on electrocardiography developed after admission. Intravenous injection of epinephrine, atropine, and calcium failed to improve the condition. Over the next 16 hours, the QRS complex gradually narrowed, sinus rhythm returned, and the hemodynamic status improved. Echocardiograms revealed diffuse left ventricular hypokinesis with markedly reduced ejection fraction while the patient was in shock; normal left ventricular function resumed the next day. In this case, the glyphosate surfactant poisoning-induced shock may have been due to transient suppression of the cardiac conduction system and contractility, rather than intravascular hypovolemia.

Original languageEnglish
Pages (from-to)698-700
Number of pages3
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume98
Issue number10
Publication statusPublished - Oct 1999
Externally publishedYes

Keywords

  • Cardiogenic shock
  • Cardiovascular suppression
  • Glyphosate-surfactant poisoning
  • Hypovolemic shock

ASJC Scopus subject areas

  • Medicine(all)

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