• Journal of The Korean Society of Clinical Toxicology
• /
• v.7 no.2
• /
• pp.176-179
• /
• 2009

A 38-year-old woman was admitted to our hospital due to agitation, nausea, chest discomfort, tachycardia and hypertension 6h after ingesting approximately 60 capsules of sibutramine. The woman developed the clinical features of acute psychosis, including auditory hallucination, agitation and paranoid ideation, on day 2. No relevant changes were detected on the laboratory examinations or on the electrocardiogram throughout the period of hospitalization. She was treated with risperidone and benzodiazepine. The symptoms subsequently resolved completely with cessation of the provoking agent. The patient was discharged on day 7 and the follow-up revealed no sequelae for 5 months.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.5 no.2
• /
• pp.138-141
• /
• 2007

Because of the ready availability of aspirin, salicylate poisoning remains a common problem in many countries. Another potential source of salicylate poisoning is medicated oil containing methyl salicylate (oil of wintergreen). Methyl salicylate poses a much greater safety threat than aspirin tablets because of its liquid, concentrated form and high lipid solubility. Because of this danger, the toxic potential of medicated oil containing methyl salicylate should be fully appreciated both by physicians and by the general public. We encountered two cases of salicylate poisoning resulting from accidental ingestion of Chinese medicated oil. We report these cases along with a review of the literature.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.2 no.1
• /
• pp.37-40
• /
• 2004

In emergency department, the clinicians occasionally meet some patients with toxicity caused by ingestion of unknown wild edible greens or herbal agents. Due to there was few quantitative or qualitative studies about the mechanism or clinical features of these materials, it' s hard to approach to the patients and start the initial management in emergency department. Authors experienced the case of poisoning by Scopolia Japonica ingestion. We report this case with review of Scopolia Japonica.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.2 no.1
• /
• pp.27-30
• /
• 2004

Phytolaccaceae had been used as a pharmaceutical drugs or food in Korea. Nowadays, it is rarely used due to its toxicity, and then, case reports as to poisoning also are rare. Recently, Authors experienced a case of an occurrence in a group intoxication after ingestion of roots of phytolacca american a misidentifying as arrowroot. We report this case with review of phytolacca radix poisoning.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.6 no.2
• /
• pp.142-145
• /
• 2008

Lamotrigine is a newer anti-epileptic drug for adjunctive treatment of refractory epilepsy, partial seizures, generalized tonic-clonic seizures, and bipolar disorder. Lamotrigine overdose causes serious central nervous and cardiovascular problems, but reports are uncommon. Few lamotrigine overdoses have been described because anti-epileptic drug use is limited and usually used with combination of other anti-epileptic drugs. In addition, most patients visit emergency departments with multi-drug overdoses, so few cases of lamotrigine poisoning alone exist. We had a female patient visit our emergency department a couple of hours after a lamotrigine overdose treated with intravenous hydration and urine alkalization by NaHCO3. She recovered successfully without any evidence of renal injury. However, she developed profound rhabdomyolysis, a previously unreported complication of this medication. We suggest that serial creatine kinase levels should be measured after lamotrigine poisoning.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.6 no.2
• /
• pp.123-129
• /
• 2008

A 36-year-old female was transferred to our emergency medical center with decreased mental status after a 6.0 g propafenone overdose because of domestic disturbance. She had no previous history of epilepsy, diabetes mellitus, hypertension or psychiatric illness. Before presenting to our center, gastrointestinal decontamination, charcoal administration, and endotracheal intubation due to bradycardia and generalized seizure had been performed. Soon after hospital arrival, at 5 h after ingestion, she collapsed into shock and fatal arrhythmia. We successfully resuscitated the patient with amiodarone, sodium bicarbonate, a large volume of normal saline, calcium, and ventilator care. At 23 h after ingestion, she was fully recovered and had no subjective signs or symptoms. To our knowledge, this is the first case report of intentional propafenone overdose in Korea, which we report with reviews of the previous literature.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.19 no.1
• /
• pp.55-58
• /
• 2021

Ciguatera is the commonest syndrome of marine poisoning that is caused by the ingestion of ciguatoxins that accumulate in certain tropical and subtropical finfish. It is endemic throughout the subtropical and tropical regions of the Indo-Pacific and Caribbean and has been rarely reported in Korea. With the expansion of travel, tourism, and the import of fish from the tropics, ciguatera poisoning now affects a diverse population. We report a case of ciguatera in a 70-year-old woman, presenting with general paralysis and coma, which developed after consuming codfish and mackerel in Korea.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2016.05a
• /
• pp.520-520
• /
• 2016

석유 화학공장에서 발생하는 spent sulfidic caustic (SSC) 폐수는 액화석유가스(LPG)나 천연가스(NG)의 정제과정에서 발생되는 것으로 고농도의 sulfide와 cresylic, phenolic 그리고 mercaptan 등이 포함된 독성과 냄새를 유발하는 물질이다. 이러한 물질들은 LPG나 NG의 정제과정에서 높은 산도를 가진 휘발성 황화합 물질들을 제거하기 위해 사용된 NaOH가 $H_2S$와 반응하여 발생하는 것이다. 진한 갈색 또는 검은색을 띄는 SSC 폐수는 12 이상의 높은 pH를 가지고 있으며 5~12 wt%의 높은 염분도를 가지고 있다. 또한 강한 부식성과 독성을 가진 황화합물의 농도가 1~4 wt%이며, 방향족 탄화수소 물질 (i.e. methanethiol, benzene, tolune and phenol)들도 다량 함유되어 있다. 따라서 이러한 유해 물질들은 기존의 하수처리 공정으로 방류하기 전에 완벽하게 처리해야만 하수처리 공정의 오염 부하량을 줄일 수 있다. 습식산화공정은 SSC 폐수를 처리하기 위해 흔히 사용되고 있는 물리-화학적 처리 공정이지만 고비용, 고에너지가 필요하며, 고온 및 고압에서만 작동되어 안전상의 문제점을 갖고 있다. 또한 습식산화공정을 거친 폐수는 배출허용기준을 만족하기 위해 생물학적 2차 처리가 반드시 필요하다. 철-과산화수소를 이용하는 펜톤산화 공정, 그리고 sulfide를 sulfate로 전환시키는 생물학적 처리 공정은 황화합물의 완전한 무기물화가 힘들며, 현장 적용 시 기술적 경제적 부담이 크다. 이러한 단점을 극복하고, SSC 폐수를 효과적으로 처리하기 위해 본 연구는, 높은 흡착력과 광산화력을 가진 흡착광산화 반응 시스템(Adsorption Photocatalysis System, APS)을 개발하였다. APS는 SSC 폐수를 시스템 내부로 유입하여 수중의 오염물질을 흡착광산화제로 구성된 반응구조체가 흡착하고, 흡착된 오염물질을 UV에너지와 이산화티타늄 광촉매의 광화학반응에 의해 최종적으로 무해한 물질로 환원시키는 폐수처리시스템이다. APS의 반응구조체는 태양에너지 및 인공에너지원에 의해 활용 가능하며, 난분해성 유기화합물질을 물과 이산화탄소로 분해할 수 있는 친환경적이고 경제적인 소재로서 널리 쓰이고 있는 이산화티타늄 광촉매와 화력발전소의 높은 소성온도에 의해 연소된 후 발생되는 bottom ash를 이산화티타늄의 지지체로 사용하여 높은 흡착력과 광촉매 산화력을 가진 복합물이다. 개발된 APS에 의해 SSC 폐수를 처리한 결과, COD 86.1%, 탁도 98.4%, sulfide 99.9%의 높은 처리효율을 보여주고 있다. 따라서 본 연구를 통해 개발된 APS는 강한 부식성과 독성 그리고 높은 농도를 가지고 있는 SSC 폐수를 효과적으로 처리할 수 있다.

• Journal of the Korean Institute of Gas
• /
• v.17 no.6
• /
• pp.58-66
• /
• 2013

Among the risks which can be faced with fire, combustion toxicity is a significant influence on the survival. Fire toxicity researches have been limited generally on the lethal aspects. In this study, HF gas which can be generated from fire, and also found in general industrial site was used for analysis. Blood analysis and biochemistry analysis performed to find internal demage of experimental animals which were used for measuring average activity stopping time from Animal test(KS F2271: Gas hazard test). In addition, Using the malondialdehyde analysis, indicators of oxidative damage, we had quantitative analysis to target lymphocyte for measuring the oxidative damage caused by toxic substances.

• Fire Science and Engineering
• /
• v.30 no.2
• /
• pp.7-18
• /
• 2016

This study evaluated the toxicity of the burning gas from the synthetic wood products used in housings or warehouses. The combustion products of five materials, viz. impregnated laminated board, MDF, Douglas fir plywood, core plywood, and Lauan retardant, were analyzed using SEM, FTIR and a Cone Calorimeter. For the Lauan retardant, 256,965 ppm of carbon dioxide ($CO_2$) and 1,475 ppm of sulfur dioxide ($SO_2$) were measured, which are 2.5 times and 3.6 times as high as their lethal concentrations of 100,000 ppm and 400 ppm, respectively. For the impregnated laminated board, 1,569 ppm of nitrogen dioxide ($NO_2$) was measured, which is 6 times as high as its lethal concentration of 250 ppm. For MDF, 795 ppm of ammonia ($NH_3$) was measured, which is higher than its lethal concentration of 750 ppm. As a result, most internal-finishes generated toxic combustion products at levels higher than their lethal concentrations, which underlines the importance of the selection and manufacturing of internal-finish materials.