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U.S. Department of Health and Human Services

FDA Poisonous Plant Database

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AUTHOR(S): Shragg, T. A.; Albertson, T. E.; Fisher, C. J. Jr
TITLE: Cyanide poisoning after bitter almond ingestion.
YEAR: 1982 CITATION: West J Med, 136(1), 65-69 [English]
FDA #: F05462
ABSTRACT: Conclusion: There does not appear to be an ideal antidote for cyanide poisoning. This case illustrates the successful early diagnosis and treatment of a severe cyanide intoxication associated with lactic acidosis and permeability pulmonary edema after the ingestion of lethal amount of bitter almonds. Aggressive supportive care and sodium nitrite followed by sodium thiosulfate was used. This case also demonstrates the need for frequent blood cyanide levels to document pharmacokinetics and any response to treatment. In addition to the need for further animal studies, a multicenter study is needed to better evaluate the various cyanide antidote treatments alone and in combination.
GRIN #: 29890 Exit Disclaimer
COMMON NAME: bitter almond
STANDARD PLANT NAMEPrunus dulcis (Mill.) D. A. Webb