대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)
- 제9권1호
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- Pages.34-38
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- 2011
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- 1738-1320(pISSN)
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- 2508-6332(eISSN)
식이 식초 음독 후 발생한 부식성 손상
Corrosive Injury Due to Edible Vinegar
- 김도현 (고려대학교 의과대학 응급의학교실) ;
-
이성우
(고려대학교 의과대학 응급의학교실) ;
- 남궁인 (고려대학교 의과대학 응급의학교실) ;
- 박종학 (고려대학교 의과대학 응급의학교실) ;
-
김수진
(고려대학교 의과대학 응급의학교실) ;
- 홍윤식 (고려대학교 의과대학 응급의학교실)
- Kim, Do-Hyoun (Department of Emergency Medicine, College of Medicine Korea University) ;
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Lee, Sung-Woo
(Department of Emergency Medicine, College of Medicine Korea University) ;
- NamGung, In (Department of Emergency Medicine, College of Medicine Korea University) ;
- Park, Jong-Hak (Department of Emergency Medicine, College of Medicine Korea University) ;
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Kim, Su-Jin
(Department of Emergency Medicine, College of Medicine Korea University) ;
- Hong, Yun-Sik (Department of Emergency Medicine, College of Medicine Korea University)
- 투고 : 2011.05.27
- 심사 : 2011.06.01
- 발행 : 2011.06.16
초록
Vinegar is a very popular ingredient used in many cuisines. It is also known for its beneficial health, beauty and possible weight-loss properties. The authors report on a patient who presented to the emergency department with unstable vital signs complaining of generalized abdominal pain after ingestion of 450 ml of apple cider vinegar. We documented a case of corrosive gastrointestinal injury with persistent metabolic acidosis occurring after ingesting apple cider vinegar with an acetic acid concentration of 12~14%. Toxic damage to the liver and kidney were also observed, peaking on post-ingestion day 3. The patient received supportive care and hemoperfusion for three days without much clinical improvement and died in the seventh day of intensive care due to disseminated intravascular coagulation and multi organ failure. Edible vinegar, when taken in large amounts, is capable of inducing corrosive injuries of the GI tract as well as severe systemic toxicities, such as metabolic acidosis. Safety precautions regarding vinegar deserve more public attention and clinicians also should be astute enough to recognize the potential damage accompanying vinegar ingestion.