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Báo cáo y học: "A new chinese restaurant syndrome: the ‘chinese fondue’ carbon monoxide mass intoxication"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: A new chinese restaurant syndrome: the ‘chinese fondue’ carbon monoxide mass intoxication. | Brief communication 55 A new Chinese restaurant syndrome the Chinese fondue carbon monoxide mass intoxication Bernard-Alex Gauzere Yasmina Djardem Arnaud Bourdé and Philippe Blanc Address Service de Réanimation CHD Félix Guyon 97405 SaintDenis Réunion France. Correspondence Dr bernard-Alex Gauzere Service de Réanimation CHD Félix Guyon 97405 Saint-Denis Réunion France. Tel 0262 90 56 90 fax 0262 90 77 36 e-mail bgauz@guetali.fr Keywords carbon monoxide intoxication chinese fondue Received 10 December 1997 Revisions requested 11 March 1998 Revisions received 4 June 1998 Accepted 16 February 1999 Published 15 March 1999 Crit Care 1999 3 55 The original version of this paper is the electronic version which can be seen on the Internet http ccforum.com . The electronic version may contain additional information to that appearing in the paper version. Current Science Ltd ISSN 1364-8535 In this paper we report a rare and original case of carbon monoxide CO mass intoxication. CO is produced in large amounts in industry as well as by gasoline engines home appliances and the incomplete combustion of wood natural gas and tobacco products. It is rapidly absorbed through the lungs and binds to hemoglobin forming carboxyhemoglobin COHb with an affinity 210 times that of oxygen. CO is a toxic gas that interferes with oxygen transport and utilization. It produces its adverse effects by reducing the amount of available oxyhemoglobin and by displacing the oxygen-hemoglobin dissociation curve to the left. The net effect is profund tissue hypoxemia 1 . A traditional component of the Reunion island gastronomy the chinese fondue attracts many people. On 17 August 1996 in the southern hemisphere winter several children and then adults among 100 customers in a chinese restaurant suddenly presented dyspnea nausea vomiting headache confusion and clumsiness. Neither loss of consciousness nor syncope were noted. The victims 17 children including an infant mean age 10 4 years and 36 adults .