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급성 일산화탄소 중독 이후 지연성 뇌병증 증례

A Case of Delayed Encephalopathy of Carbon Monoxide Intoxication

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초록

Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes(anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan)has shown a rapid increase over the past five years with relevance to imitated suicide. Acutecarbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and othermajor organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makesclinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguouswith premorbid psychiatric problems, such as mood disorder, psychotic disorder, orother substance dependence. We report on a case of delayed encephalopathy of carbon monoxideintoxication and discuss its diagnosis and management.

Abstract

Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes (anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan)has shown a rapid increase over the past five years with relevance to imitated suicide. Acute carbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and other major organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makes clinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguous with premorbid psychiatric problems, such as mood disorder, psychotic disorder, or other substance dependence. We report on a case of delayed encephalopathy of carbon monoxide intoxication and discuss its diagnosis and management.

참고문헌 (22)

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