BACKGROUND: Acute @entity1026 poisoning is an uncommon form of intoxication, characterized by severe tonic clonic seizures and tetanus-like contractions while the @entity1 is fully conscious. It can result in respiratory failure, leading to death. CASE DESCRIPTION: A 47-year-old @entity1 was admitted to the casualty department 2 hours after self-poisoning with @entity1026 . The clinical picture consisted of persistent seizures, which were treated with @entity1363 and @entity1875 . The @entity1 went into respiratory failure and asystole, so intubation and cardiac massage were initiated. Other complications were severe metabolic acidosis, hyperthermia and rhabdomyolysis with renal failure. The treatment consisted of cooling, hyperhydration and intravenous administration of @entity4388 . He was discharged to a mental care institution with no persistent symptoms 11 days later. CONCLUSION: Early aggressive treatment of a @entity1026 intoxication can be life-saving. Knowledge of the clinical picture and the right treatment is important. Treatment is primarily focussed on stopping the convulsions and securing the airway.

[ XXXX poisoning: uncommon, but does still happen].

@entity1026 :: ('MESH:D013331', 'Chemical') :: ['strychnine'] @entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity4388 :: ('MESH:D017693', 'Chemical') :: ['sodium bicarbonate'] @entity1875 :: ('MESH:D015742', 'Chemical') :: ['propofol'] @entity1363 :: ('MESH:D008874', 'Chemical') :: ['midazolam']
@entity1026 :: (MESH:D013331,Chemical) :: ['Strychnine']
