DIAGNOSTICS AND TREATMENT OF POISONING WITH THALLIUM

Author:

Zavaliy L. B.1,Simonova A. Yu.2,Potskhveriya M. M.2,Ostapenko Yu. N.2,Gadzhieva M. G.1,Petrikov S. S.3

Affiliation:

1. N.V. Sklifosovsky Research Institute for Emergency Medicine, Healthcare Department of Moscow

2. N.V. Sklifosovsky Research Institute for Emergency Medicine, Healthcare Department of Moscow; Research and Applied Toxicology Center of the Federal Medical and Biological Agency

3. N.V. Sklifosovsky Research Institute for Emergency Medicine, Healthcare Department of Moscow; A.I. Evdokimov Moscow State University of Medicine and Dentistry

Abstract

Cases of thallium poisonings are regularly reported in media. In the present work, the world experience in diagnostics and treatment of victims with thallium poisoning has been compiled and summarized, search for clinical guidelines for the diagnostics, treatment and rehabilitation of patients has been carried out. The toxicokinetics and toxicodynamics, as well as pathophysiological mechanisms of thallium influence on the body are described in detail. Toxic and lethal concentrations of poison in biological media, as well as its tropicity to various tissues and body systems were determined. The clinical picture depending on the timing of poisoning and the dose of poison is described in detail. Difficulties of the differential diagnosis are defined. The most interesting cases of criminal and household poisonings with various terms of establishment of the diagnosis, doses of poisoning and outcomes are presented.

Publisher

Russian Register of Potentially Hazardous Chemical and Biological Substances

Reference43 articles.

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3. Rodrıguez-Mercado JJ, Altamirano-Lozano MA. Genetic toxicology of thallium: A review. Drug Chem Toxicol. 2013; 36(3): 369– 383.

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