Abstract

Sodium hypochlorite as a strong oxidant- bleaching agent and benzalkonium chloride as a biocide is frequently used agents for cleaning and sterilization purposes, both in health care units and at home. Despite the injection of sodium hypochlorite into the venous system has been described many times before, to our knowledge self-administration of a mixture of sodium hypochlorite and benzalkonium chloride has not been reported by a way of suicide. Our patient was a health Professional who was running a sport and beauty center. The amount of total concentration intake that patient said prepared by himself (400 ml of sodium hypochlorite, 400 ml of benzalkonium chloride, and 1000 ml of isotonic liquid ) was unknown but it was known that >150–200 mL of hypochlorite in adults is enough for systemic poisoning. The cross effects of chemicals on human tissues and organs are unpredictable, our patient was discharged by recovering all systemic damages except permanent kidney damage. This study aims to present a rare suicide poisoning event and adverse clinical sequelae.

Highlights

  • Sodium hypochlorite is a strong oxidizing and chlorinating agent

  • It was learned that he was a health professional who was running a sport and beauty center. He injected in his vein for a suicide attempt by mixing 5 tea glasses (400 ml) of zefiran, 5 tea glasses (400ml) of bleach and 1000 cc of isotonic liquid

  • It was observed that 454/6412 (7.1%) of the cases aimed at self-suicide. 21/6412 (0.3%) of cases were poisoning due to liquid agents such as ethyl alcohol, methyl alcohol, and sodium hypochlorite. 13/6412 (0.2%) of poisoning cases were suicide with organophosphates [6]

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Summary

A Case of Intravenous Suicide

Serpil Soyudoğru1, Melike Mercan Başpınar2, Okcan Basat2, Mustafa Çalık1 1-University of Health Science Gaziosmanpaşa Training and Research Hospital Department of Emergency Medicine. 2-University of Health Science Gaziosmanpaşa Training and Research Hospital Department of Family Medicine

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