Peripheral neuropathy in three family members after acute carbon monoxide poisoning: A case report
DOI:
https://doi.org/10.28957/rcmfr.v30n1a8Keywords:
Peripheral neuropathy, carbon monoxide, intoxicationAbstract
Peripheral neuropathy is an infrequent but known complication of carbon monoxide poisoning. We present the case of 3 family members with signs and symptoms of peripheral nerve lesion after a fire exposure. The clinical presentation varied between the siblings, and included lower extremity weakness, numbness and burning pain. Electrodiagnostic studies performed 14 days after the event demonstrated non-specific changes. One of the patients continued follow-up and the studies at 12 months confirmed demyelinating and axonal injury. The history of fire exposure in the presence of signs and symptoms of peripheral neuropathy should raise a high clinical suspicion for carbon monoxide poisoning, even in the absence of specific electrodiagnostic features.References
1. Téllez J. Toxicidad por exposición a monóxido de carbono. En: Patología forense: un enfoque centrado en Derechos Humanos, tomo II. Bogotá: Editorial Universidad Nacional de Colombia; 2014. p. 288-300.
2. Choi IS. Peripheral neuropathy following acute carbon monoxide poisoning. Muscle Nerve. 1986;9(3):265-267. Disponible en: https://doi.org/10.1002/mus.880090312.
3. Bleecker ML. Carbon monoxide intoxication. En: Lotti M, Bleecker ML, editors. Handbook of Clinical Neurology - Occupational Neurology. Volume 131. London: Elsevier; 2015. p. 191-203.
4. Weaver LK. Carbon monoxide poisoning. N Eng J Med. 2009;360(12):1217-1225. Disponible en: https://doi.org/10.1056/nejmcp0808891.
5. Snyder RD. Carbon monoxide intoxication with peripheral neuropathy. Neurology. 1970;20(2):177. Disponible en: https://doi.org/10.1212/WNL.20.2.177.
6. Park GY, Kwon DR, Jung WB. Unilateral brachial plexus injur y following carbon monoxide intoxication: A case repor t. Medicine (Baltimore). 2018;97(30):e11699. Disponible en: https://dx.doi.org/10.1097%2FMD.0000000000011699.
7. Simmons IG, Good PA. Carbon monoxide poisoning causes optic neuropathy. Eye (Lond). 1988;12(pt5):809814. Disponible en: https://doi.org/10.1038/eye.1998.209.
8. Goto I, Miyoshi T, Ooya Y. Deafness and Peripheral Neuropathy following Carbon Monoxide Intoxication–Report of a case–. Psychiatry Clin Neurosci. 1972;26(1):35-38. Disponible en: https://doi.org/10.1111/j.1440-1819.1972.tb01109.x.
9. Kelafant, GA. Encephalopathy and peripheral neuropathy following carbon monoxide poisoning from a propane?fueled vehicle. American Journal of Industrial Medicine. 1996;30(6):765-768. Disponible en: https://doi.org/10.1002/(SICI)1097-0274(199612)30:6<765::AID-AJIM14>3.0.CO;2-0.
10. Choi IS. A Clinical Study of Peripheral Neuropathy in Carbon Monoxide Intoxication. Yonsei Med J. 1982;23(2):174-177. Disponible en: https://doi.org/10.3349/ymj.1982.23.2.174.
2. Choi IS. Peripheral neuropathy following acute carbon monoxide poisoning. Muscle Nerve. 1986;9(3):265-267. Disponible en: https://doi.org/10.1002/mus.880090312.
3. Bleecker ML. Carbon monoxide intoxication. En: Lotti M, Bleecker ML, editors. Handbook of Clinical Neurology - Occupational Neurology. Volume 131. London: Elsevier; 2015. p. 191-203.
4. Weaver LK. Carbon monoxide poisoning. N Eng J Med. 2009;360(12):1217-1225. Disponible en: https://doi.org/10.1056/nejmcp0808891.
5. Snyder RD. Carbon monoxide intoxication with peripheral neuropathy. Neurology. 1970;20(2):177. Disponible en: https://doi.org/10.1212/WNL.20.2.177.
6. Park GY, Kwon DR, Jung WB. Unilateral brachial plexus injur y following carbon monoxide intoxication: A case repor t. Medicine (Baltimore). 2018;97(30):e11699. Disponible en: https://dx.doi.org/10.1097%2FMD.0000000000011699.
7. Simmons IG, Good PA. Carbon monoxide poisoning causes optic neuropathy. Eye (Lond). 1988;12(pt5):809814. Disponible en: https://doi.org/10.1038/eye.1998.209.
8. Goto I, Miyoshi T, Ooya Y. Deafness and Peripheral Neuropathy following Carbon Monoxide Intoxication–Report of a case–. Psychiatry Clin Neurosci. 1972;26(1):35-38. Disponible en: https://doi.org/10.1111/j.1440-1819.1972.tb01109.x.
9. Kelafant, GA. Encephalopathy and peripheral neuropathy following carbon monoxide poisoning from a propane?fueled vehicle. American Journal of Industrial Medicine. 1996;30(6):765-768. Disponible en: https://doi.org/10.1002/(SICI)1097-0274(199612)30:6<765::AID-AJIM14>3.0.CO;2-0.
10. Choi IS. A Clinical Study of Peripheral Neuropathy in Carbon Monoxide Intoxication. Yonsei Med J. 1982;23(2):174-177. Disponible en: https://doi.org/10.3349/ymj.1982.23.2.174.
How to Cite
1.
Zuluaga ME, Escobar JF, Gallego DF. Peripheral neuropathy in three family members after acute carbon monoxide poisoning: A case report. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2020 Sep. 9 [cited 2024 May 18];30(1):78-81. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/271
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Published
2020-09-09
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