Latest information about the health of the husband who was poisoned by his wife and lover in Phu Tho with rat poison

The patient is a victim of the case that his wife and lover in Thanh Ba, Phu Tho mixed rat poison into milk to poison. Fortunately, with the efforts of the doctors and nurses, the patient was saved.

Quat Van B patient (born in 1985) in Thanh Ba – Phu Tho was admitted to the Emergency Department – Phu Tho Provincial General Hospital in the state of: awake, urinating bright red blood.

Quat Van B. patient has passed the critical period

Through taking the history, the history is known about a week before admission, the patient appeared bright red blood in the urine and stools accompanied by bleeding gums and bleeding wounds that are difficult to stop and bruises. scattered under the skin.

The patient’s family took the patient to the district health center for treatment, but his condition did not improve, so he was transferred to the provincial level.

At the Emergency Department, after reviewing the patient’s condition, the doctors oriented to the patient with a severe blood clotting disorder, possibly due to poisoning with vitamin K antagonists or vitamin K-resistant rat poison.

Patients are assigned to do diagnostic tests. Laboratory results showed that the patient had severe coagulopathy, PT index less than 10%, INR > 10, factor IX severely reduced, factors V and VIII normal, platelets normal.

Based on the test results, the doctors diagnosed the patient with a severe blood clotting disorder caused by poisoning with vitamin K-resistant rat poison. The patient was treated in the direction of poisoning with vitamin K-resistant rat poison. by high-dose vitamin K plasma infusion.

After one week of treatment, the patient’s blood clotting status was stable, and the laboratory parameters were normal. The patient was discharged from the hospital and took oral vitamin K for 2 months and was scheduled for a follow-up examination.

According to TS.BS Nguyen Trung Nguyen – Director of the Poison Control Center, Bach Mai Hospital, in recent years, the Center has received and treated many emergency cases of patients being poisoned with a new generation of rat poison.

If the old generation rat poisons 10-20 years ago, mostly smuggled from China, causing convulsions, coma, and cardiac arrhythmias, were banned and rarely re-appeared. New generation causes bleeding due to vitamin K resistance.

These substances cause toxicity silently and in the first 3 days, the appearance is normal, but after this point, signs of bleeding appear in the teeth, nose, skin, digestive system…

There are people who only bleed heavily after trauma, impact, after percutaneous procedures when going for medical examination and treatment (injection, poking, lithotripsy, …).

Dr. Dr. Trung Nguyen emphasized, the new generation rat poisons are very rich, diverse in form, type and color: There are blue, pink, red, white candy-like tablets; come in the form of a syrup-like solution or a powder…

People can easily buy these rat poisons at pesticide shops or street vendors. Anyone can buy rat poison anywhere. buying from street vendors to buying at counters selling household items, veterinary medicine, gardening supplies, etc. Unsafe, rampant, abusive, suicidal, etc. use is very easy to cause poisoning.

There are many rat poisons in the vitamin K (bleeding) class of rodenticides, with the classic being warfarin (short-acting, usually taking only a few weeks to work), now newer chemicals called superwarfarins (such as bromadiolone) , flocoumafen, brodifacoum, diphacinone,…).

These chemicals are often referred to under the very gentle name “biological rat poison”. In fact, all are still new generation chemicals with much higher toxicity, even very high.

When these substances enter the body, they are metabolized and eliminated very slowly. In the first 72 hours, there may be no symptoms, but only by monitoring the daily blood clotting test, the effects are also very long, the toxicity is prolonged. often months, up to years.

Usually, after receiving emergency treatment, using an antidote, the drug is stable, it is necessary to maintain the prescription and make repeated appointments, sometimes for a whole year, the poisoning will gradually get better and go away.

However, patients are often subjective or busy with life, so when they run out of medicine, they don’t go to the doctor to get a prescription while the poison is still in their body, resulting in bleeding and going to the emergency room again.

The Poison Control Center recommends that people be very careful with current rat poisons and poisoning consequences:

Regarding the detection and treatment of poisoning with rat-killing chemicals that cause bleeding:

– When detecting someone drinking chemical rat poison:

+ Need to get to a medical facility as soon as possible.

+ At the hospital, doctors will give first aid, especially after taking it within 6 hours, it is necessary to give the patient activated charcoal, which is very safe and effective, reducing the long-term toxicity for the patient.

+ After drinking chemicals to kill rats without showing any symptoms, do not be subjective, still need to be monitored and treated at the hospital for at least 72 hours, the doctor will re-test and decide whether to discharge or continue treatment.

+ When the patient is determined to be poisoned, he must not self-medicate but must strictly comply with the prescription and re-examine according to the instructions. The doctor is the one who makes the adjustments and decides when the poisoning treatment is complete (which often takes many months).

– With medical facilities: be wary of patients with blood clotting disorders, bleeding, especially when the causes are not clear.

N. Huyen