Case Report
Copyright ©The Author(s) 2023.
World J Clin Cases. Sep 26, 2023; 11(27): 6565-6572
Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6565
Table 1 Laboratory investigations
Item
On admission
20 h post-admission
WBC count (4-10 × 109/L)23.6724.2
Urea (2.6-7.5 mmol/L)5.45.7
Creatinine (57-97 μmol/L)92140.3
ALT (7-40 U/L)11.72084.9
AST (13-35 U/L)10.12633
Lac (0.5-1.7 mmol/L)4.09.4
PTA (70%-130%)115.118.9
INR (0.8-1.2)0.893.63
Myoglobin (28-72 ng/mL)77.479703
Creatine kinase (50-310 U/L)604> 22000
Table 2 Literature case summary
Case
Gender
Age
Dose (g)
Organ function damage
Measures of treatment
Prognosis
Outcome
Duration
1[3]Male2120AKI, liver dysfunction, epilepsy, brain stem infarction, leukocytosisGastric lavage, HP + CVVH, MV, glucocorticoidsDeath96.0 h
2[3]Female2610AKI, liver dysfunction, epilepsy, mental and behavioral abnormalities, leukocytosisGastric lavage, HP + CVVH, glucocorticoidsAlive-
3[4]Female2460AKI, liver dysfunction, epilepsy, rhabdomyolysis, leukocytosis, myocardial injuryGastric lavage, HP + CVVHDeath17.8 h
4[5]Female274Gastrointestinal SymptomsGastric lavage, HP + CVVHAlive-
5[5]Female304Gastrointestinal symptoms, leukocytosisGastric lavage, HPAlive-
6[5]Female6810AKI, liver dysfunction, toxic encephalopathy, leukocytosis, lung injuryGastric lavage, HPDeathUnknown
7[5]Male2410AKI, leukocytosis, myocardial InjuryGastric lavage, HP + CVVHAlive-
8[5]Male3320AKI, liver dysfunction, leukocytosis, lung injury, myocardial injuryGastric lavage, HP + CVVHDeathUnknown
9[5]Male6240AKI, toxic encephalopathy, lung injury, myocardial injury, leukocytosisGastric lavage, HP + CVVHDeathUnknown
10[6]Female328AKI, liver dysfunction, epilepsy, leukocytosis, shockGastric lavage, HP + CVVH, MV, glucocorticoidsDeath68.5 h
11[7]Male2950AKI, liver dysfunction, leukocytosisGastric lavage, HP + CVVH, MV, glucocorticoidsDeath480.0 h
12[8]Female4140AKI, liver dysfunction, leukocytosis, rhabdomyolysisGastric lavage, HP, glucocorticoidsDeath46.0 h
13[9]Male1740AKI, liver dysfunction, paralytic ileus, coma, myocardial injury, leukocytosis, rhabdomyolysis, shockGastric lavage, HP + CVVH, MV, glucocorticoidsDeath40.5 h
14[9]Female1840AKI, liver dysfunction, paralytic ileus, coma, leukocytosis, rhabdomyolysis, arrhythmiaGastric lavage, HP + CVVH, glucocorticoidsDeath29.0 h
15[10]Male2120AKI, liver dysfunction, Pontine demyelination, Lung injury, leukocytosisGastric lavage, HP + CVVH, glucocorticoidsDeath360.0 h
16[11]Female366AKI, liver dysfunction, leukocytosis, lung injury, rhabdomyolysisGastric lavage, HP + CVVH, glucocorticoidsAlive-
17[12]Male3032AKI, liver dysfunction, respiratory failure, leukocytosisGastric lavage, HP + CVVH, MVDeath312.0 h
18[13]Male2032AKI, liver dysfunction, central pontine myelinolysis, leukocytosisGastric lavage, HP + CVVH, MV, glucocorticoidsAlive-