ACUTE POISONING WITH SODIUM NITRATE IN NEUROLOGICAL PRACTICE

Abstract

This article describes a clinical case of a patient with acute cerebrovascular accident, acute respiratory failure and acute coronary syndrome. The ischemic lesion was associated with sodium nitrate, poisoning and its metabolite nitrite which resulted in increased methemoglobin concentration in blood and manifested as reversible discirculatory encephalopathy, respiratory disorder and myocardial damage. The article shows figures, reflecting changes in the biochemical composition of blood and changes in the electrocardiogram. The purpose of this study is to demonstrate clinical features of acute poisoning with sodium nitrate.

Keywords

• poisoning with nitrate
• ischemic stroke
• respiratory disorder
• methemoglobin
• cyanosis
• discirculatory encephalopathy
• myocardial infarction