Volume : IX, Issue : V, May - 2020

CARBON MONOXIDE POISONING WITH INTRA UTERINE DEATH

Dr Jerry Jacob, Dr Karthik Reddy C H, Dr Shakunthala Murty

Abstract :

Carbon monoxide is a colourless, odourless toxic gas produced as a by–product of incomplete combustion. The symptoms of carbon monoxide poisoning are nonspecific; therefore high index of suspicion is required for diagnosis. Here we present a case of 25 year old female presented to ED with an obstetric score of G2P1L1 at 6 months of gestation with a history of being found in semiconscious state at home by neighbours. On examination she was tachycardic with a BP of 140/70 mmHg and was hypoxic. Patient was drowsy,bilateral diffuse crackles present on auscultation and absent foetal heart sounds. Bedside USG revealed bilateral B lines and ECHO showed left ventricular systolic dysfunction with EF of 30%. Arterial blood gases with co–oximetry revealed carboxyhaemoglobinemia with COHb of 14%. The bedside USG showed no fetal cardiac activity. A final diagnosis of Carbon monoxide poisoning with IUD was made. The husband and son also presented with altered mental status and respiratory distress with elevated COHb levels. On repeated history taking it was revealed that they procured LPG (liquid petroleum gas) from a local vendor and that incomplete combustion of the cheap LPG lead to the carbon monoxide poisoning.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

CARBON MONOXIDE POISONING WITH INTRA UTERINE DEATH, Dr Jerry Jacob, Dr Karthik Reddy C H, Dr Shakunthala Murty INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-5 | May-2020

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