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Powell D, Hassall L, Scholes D, Al-Jubouri M. False acute kidney injury alert due to model car fuel ingestion. BMJ Case Rep 2017; 2017:bcr-2017-221134. [PMID: 28963385 PMCID: PMC5652402 DOI: 10.1136/bcr-2017-221134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2017] [Indexed: 11/04/2022] Open
Abstract
We report a case of accidental ingestion of model car fuel (Optifuel) resulting in an apparent elevation of serum creatinine of 274 µmol/L (3.1 mg/dL) as measured by the Jaffe (alkaline picrate) reaction, which resulted in an acute kidney injury (AKI) stage 3 alert being reported. Optifuel contains nitromethane, which has been reported to interfere in the Jaffe reaction causing falsely high creatinine measurements. The laboratory staff were vigilant about this potential interfering substance so repeated the analysis of the creatinine using an enzymatic method that showed a markedly lower result of 47 µmol/L (0.5 mg/dL). This report highlights the ability of nitromethane to potentially mimic AKI and the importance of being aware of the limitations of biochemical tests to avoid misinterpretation of results and instigating inappropriate treatment.
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Affiliation(s)
- Darren Powell
- Department of Clinical Biochemistry, St. Helens & Knowsley Teaching Hospitals NHS Trust, Prescot, UK
| | - Louise Hassall
- Department of Clinical Biochemistry, St. Helens & Knowsley Teaching Hospitals NHS Trust, Prescot, UK
| | - David Scholes
- Department of Acute Medicine, St. Helens & Knowsley Teaching Hospitals NHS Trust, Prescot, UK
| | - Mohammad Al-Jubouri
- Department of Clinical Biochemistry, St. Helens & Knowsley Teaching Hospitals NHS Trust, Prescot, UK
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Laffon B, Aguilera F, Ríos-Vázquez J, Valdiglesias V, Pásaro E. Follow-up study of genotoxic effects in individuals exposed to oil from the tanker Prestige, seven years after the accident. Mutat Res Genet Toxicol Environ Mutagen 2013; 760:10-6. [PMID: 24370900 DOI: 10.1016/j.mrgentox.2013.09.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2013] [Revised: 07/17/2013] [Accepted: 09/28/2013] [Indexed: 01/15/2023]
Abstract
The accident with the oil tanker Prestige in November 2002 resulted in a major spill of about 63,000 tons of heavy fuel oil. More than 300,000 people participated in the clean-up activities, which lasted for up to 10 months. Previous studies reported increases in genotoxicity endpoints in individuals exposed to Prestige oil, both at the moment of exposure [DNA breakage, micronuclei (MN), sister chromatid exchange] and two years later (chromosomal aberrations). In this work we carried out for the first time the follow-up of genotoxic effects in subjects exposed to an oil spill seven years after the exposure. The main objective was to determine the possible persistence of genotoxic damage in individuals exposed to Prestige oil seven years after the accident. The exposed group was composed of 54 residents of Galician villages in Spain that were heavily affected by the spill. This group was involved in clean-up labor for at least two months in the period November 2002-September 2003. They were compared with 50 matched controls. Primary DNA damage was evaluated by the comet assay, mutagenicity by the T-cell receptor (TCR) mutation assay, and MN frequency was determined both by the cytokinesis-block test and by flow cytometry. The results obtained showed no significant differences between the exposed and the controls in the comet assay, the TCR mutation assay and the cytokinesis-block MN test. An unexpected and significant decrease was observed in the exposed group for the results of the MN test evaluated by flow cytometry, probably influenced by modifying factors - other than age, sex and smoking - not considered in this study. Our results show no evidence of the persistence of genotoxic damage in individuals exposed to Prestige oil seven years later. Nevertheless, the need to plan biomonitoring studies on people participating in clean-up activities in case a new oil spill occurs should be established.
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Affiliation(s)
- Blanca Laffon
- Toxicology Unit, Department of Psychobiology, University of A Coruña, Edificio de Servicios Centrales de Investigación, Campus Elviña s/n, 15071-A Coruña, Spain.
| | - Francisco Aguilera
- Toxicology Unit, Department of Psychobiology, University of A Coruña, Edificio de Servicios Centrales de Investigación, Campus Elviña s/n, 15071-A Coruña, Spain; Medical Technology, Faculty of Medicine, University of Valparaíso, Blanco 1911, Valparaíso, Chile
| | - Julia Ríos-Vázquez
- Toxicology Unit, Department of Psychobiology, University of A Coruña, Edificio de Servicios Centrales de Investigación, Campus Elviña s/n, 15071-A Coruña, Spain
| | - Vanessa Valdiglesias
- Toxicology Unit, Department of Psychobiology, University of A Coruña, Edificio de Servicios Centrales de Investigación, Campus Elviña s/n, 15071-A Coruña, Spain
| | - Eduardo Pásaro
- Toxicology Unit, Department of Psychobiology, University of A Coruña, Edificio de Servicios Centrales de Investigación, Campus Elviña s/n, 15071-A Coruña, Spain
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Gonullu H, Karadas S, Oncü MR, Dulger AC, Keskin S. The analysis of the cases of aspired fuel oil and gasoline through siphonage method. J PAK MED ASSOC 2013; 63:383-384. [PMID: 23914644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Accidental aspiration of petroleum products in children can also be witnessed in adults working with petroleum products by siphonage or swallowing fire for demonstration purposes. Ten cases admitted to Yuzuncu Yil University Emergency Service due to fuel oil and gasoline aspiration in a three-year period were retrospectively analysed. All cases were males and their average age was determined as 32,4 +/- 7.83 years. Three of the patients aspirated gasoline and 7 fuel oil. Blood gas values in all patients were at normal levels and their average white blood cell values were 16,590. The most frequent symptom for referral to our service was shortness of breath. Infiltration was confirmed in the chest X-ray of 2 patients with aspirated fuel oil and all cases of gasoline aspiration. All patients received methylprednisolone and IV proton-pump inhibitors for treatment. Eight patients were given antibiotics. All victims were discharged from the hospital after recovery. Aspiration of petroleum products which is normally rarely seen is witnessed more frequently in under developed countries. Since the findings determined by screening methods are often nonspecific, history is important for making a diagnosis.
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Affiliation(s)
- Hayriye Gonullu
- Department of Emergency Medicine, Yuzuncu Yil University, Turkey.
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Bille AB, Pedersen KD, Hertel S. [Extracorporeal membrane oxygenation of a child with severe chemical pneumonia]. Ugeskr Laeger 2011; 173:3115-3116. [PMID: 22118656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This case presents a thirteen months old child with severe acute respiratory distress syndrome after ingestion of lamp oil (hydrocarbon). Mechanical ventilation including high-frequency oscillation could not stabilise the course, and the child developed pneumothorax and emphysema. Treatment was changed to veno-arterial extracorporeal membrane oxygenation (ECMO) on the third day. After nine days of ECMO and further two days of conventional ventilatory treatment he was extubated, and four months later the child presented with normal X-ray of the lungs and without any signs of disease.
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Alsuwaida A. Jet fuel intoxication and acute renal failure. Saudi J Kidney Dis Transpl 2010; 21:150-152. [PMID: 20061712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
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Carls MG, Harris PM, Rice SD. Restoration of oiled mussel beds in Prince William Sound, Alaska. Mar Environ Res 2004; 57:359-376. [PMID: 14967519 DOI: 10.1016/j.marenvres.2003.11.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2003] [Revised: 10/01/2003] [Accepted: 11/07/2003] [Indexed: 05/24/2023]
Abstract
Natural loss of hydrocarbons was often low from mussel (Mytilus trossulus) beds (which were typically not cleaned after the Exxon Valdez oil spill), thus this habitat remained a long-term source of oil. Consequently, experimental restoration of nine contaminated beds was attempted in 1994; mussels were removed, contaminated surface sediment was replaced (33 metric tons), and original mussels were returned. Hydrocarbon concentrations and mussel populations were monitored for 5 years thereafter. Post-restoration mussel population fluctuations were indistinguishable from regional changes. Increased short-term oil loss was apparent, but long-term (5 year) improvement was equivocal and difficult to distinguish from natural losses. By 1999, oil concentrations in mussels were typically at baseline levels in restored and oiled reference beds; concentrations in replaced sediment were elevated in one third of restored beds, indicating recontamination from underlying or surrounding sediment. Our results suggest mussel relocation is feasible but suggest oil might more effectively be removed from sediment mechanically or chemically than manually.
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Affiliation(s)
- Mark G Carls
- US National Marine Fisheries Service, Alaska Fisheries Science Center, Auke Bay Laboratory, 11305 Glacier Hwy, Juneau, AK 99801, USA.
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Abstract
Methods were developed to estimate the potential impacts and natural resource damages resulting from oil spills using probabilistic modeling techniques. The oil fates model uses wind data, current data, and transport and weathering algorithms to calculate mass balance of fuel components in various environmental compartments (water surface, shoreline, water column, atmosphere, sediments, etc.), oil pathway over time (trajectory), surface distribution, shoreline oiling, and concentrations of the fuel components in water and sediments. Exposure of aquatic habitats and organisms to whole oil and toxic components is estimated in the biological model, followed by estimation of resulting acute mortality and ecological losses. Natural resource damages are based on estimated costs to restore equivalent resources and/or ecological services, using Habitat Equivalency Analysis (HEA) and Resource Equivalency Analysis (REA) methods. Oil spill modeling was performed for two spill sites in central San Francisco Bay, three spill sizes (20th, 50th, and 95th percentile volumes from tankers and larger freight vessels, based on an analysis of likely spill volumes given a spill has occurred) and four oil types (gasoline, diesel, heavy fuel oil, and crude oil). The scenarios were run in stochastic mode to determine the frequency distribution, mean and standard deviation of fates, impacts, and damages. This work is significant as it demonstrates a statistically quantifiable method for estimating potential impacts and financial consequences that may be used in ecological risk assessment and cost-benefit analyses. The statistically-defined spill volumes and consequences provide an objective measure of the magnitude, range and variability of impacts to wildlife, aquatic organisms and shorelines for potential spills of four oil/fuel types, each having distinct environmental fates and effects.
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Abstract
Deliberate self-harm is a major problem in the developing world, responsible for around 600 000 deaths in 1990. The toxicity of available poisons and paucity of medical services ensure that mortality from self-poisoning is far greater in the tropics than in the industrialized world. Few data are available on the poisons most commonly used for self-harm in different parts of the world. This paper reviews the literature on poisoning, to identify the important poisons used for self-harm in these regions. Pesticides are the most important poison throughout the tropics, being both common and associated with a high mortality rate. In some regions, particular pesticides have become the most popular method of self-harm, gaining a notoriety amongst both health-care workers and public. Self-poisoning with medicines such as benzodiazepines and antidepressants is common in urban areas, but associated with few deaths. The antimalarial chloroquine appears the most significant medicine, self-poisoning being common in both Africa and the Pacific region, and often fatal. Paracetamol (acetaminophen) is used in many countries but in few has it reached the popularity typical of the UK. Domestic and industrial chemicals are responsible for significant numbers of deaths and long-term disabilities world-wide. Self-poisoning with plant parts, although uncommon globally, is locally popular in some regions. Few of these poisons have specific antidotes. This emphasizes the importance of determining whether interventions aimed at reducing poison absorption actually produce a clinical benefit, reducing death and complication rates. Future research to improve medical management and find effective ways of reducing the incidence of self-harm, together with more widespread provision of interventions proven to be effective, could rapidly reduce the number of deaths from self-poisoning in the developing world.
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Affiliation(s)
- M Eddleston
- Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.
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Federmann G, Föhlinger J, Kurtz V. [When necrosis smells of heating oil... what damage fuels can do]. MMW Fortschr Med 2000; 142:39-40. [PMID: 10715938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
The subcutaneous injection of heating oil or other crude oil distillates are rare injuries. In the present case, a 26-year-old man injected heating oil subcutaneously into the left cubital region. He then developed massive swelling, pain, local necrosis and abscess, accompanied by fever and leukocytosis. Radical surgical debridement and open wound treatment successfully stopped the necrotic process. Subsequently, a mesh-graft was applied to the wound, which healed with no residual defects. The course of the present case, and the results of a review of the literature on similar occurrences involving mineral oil suggest early extensive debridement of such injuries.
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Affiliation(s)
- G Federmann
- Abteilung für Allgemein- und Unfallchirurgie, St. Josefs-Hospital, Wiesbaden.
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10
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Abstract
Acute renal failure after exposure to toxic doses of hydrocarbon has been uniformly associated with multiorgan failure. We report a case of isolated acute renal failure in a patient after immersion in seawater polluted by diesel oil. The sites of absorption were likely to be skin, gastrointestinal tract, and lung. Investigations showed renal impairment as the only consequence from the exposure. The patient recovered uneventfully and did not require dialysis. This case highlighted the unusual consequence of isolated renal involvement resulting from hydrocarbon toxicity.
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Affiliation(s)
- F K Li
- Departments of Medicine and Pathology, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
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11
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Abstract
A 2 years 9 month-old-boy who ingested model aviation fuel was found to have an elevated serum creatinine concentration of 0.53 mmol/L (normal range 0.02-0.05 mmol/L) by the Jaffe (alkaline picrate) reaction. However, when the creatinine concentration was measured using a specific enzymatic assay, it was within the normal range. It was shown that nitromethane, a constituent of aviation fuel, interferes with the Jaffe reaction, leading to a falsely elevated creatinine reading. This phenomenon has been reported only once previously and, despite its potential clinical importance, nitromethane does not appear in published lists of substances that interfere with the Jaffe reaction.
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Affiliation(s)
- C Booth
- Department of Nephrology, Sydney Children's Hospital, Randwick, New South Wales, Australia
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12
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Centers for Disease Control and Prevention (CDC). Near fatal ingestion of household lamp oil--Ohio, August 1997. MMWR Morb Mortal Wkly Rep 1998; 47:880-2. [PMID: 9810011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Unintentional poisoning from liquid fuels accounts for approximately 2.5% of all unintentional poisoning exposures among children aged <6 years. The risk for unintentional poisoning increases when fuel is transferred from its original container, often with required child-resistant packaging, to other containers (e.g., fuel lamps) without special packaging requirements. This report describes the poisonings of four children who were admitted to a regional referral medical center in Columbus, Ohio, during a 2-week period in August 1997; these children developed serious pulmonary complications after ingesting household lamp oil.
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Shoumad AE, Mohamed MR, Abd El-Karem AH, El-Monairy WM. Health hazards among workers in power stations. Comparative study between natural gas and mazout stations. J Egypt Public Health Assoc 1998; 73:577-95. [PMID: 17217025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
This study was done on 65 workers working in power station I (Shoubra El-Kheima) where they are exposed to natural gas and mazout, 74 workers in power station II (El-Gharb) where there is mazout exposure only and 74 individuals acting as controls. All these individuals were admitted to a questionnaire, examined clinically and they were investigated to assess their respiratory, liver and kidney function tests. This is in addition to a complete blood picture. Air pollution inside these stations was assessed. The study aimed at determining the pollutants inside and outside the stations and to investigate the health hazards of the workers exposed to these pollutants. It aimed also to see if it is important and urgent to replace the mazout by natural gas as a fuel in these power stations. The results showed that by-products of mazout have bad effect on the environment. When mazout is used alone as a fuel, it has an adverse effect on the respiratory system and the liver. There is a need for a prospective study to assess the causal relationship between mazout by-products and health hazards before taking the decision of replacing mazout by natural gas.
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Affiliation(s)
- A E Shoumad
- Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University
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Lee CH, Chiang YC, Lan RS, Tsai YH, Wang WJ. Aspiration pneumonia following diesel oil siphonage--analysis of 12 cases. Changgeng Yi Xue Za Zhi 1988; 11:180-4. [PMID: 3233548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Egge T, Bakke SJ, Kolmannskog F, Svendsen L. [Pulmonary changes in poisoning with petroleum derivatives]. Tidsskr Nor Laegeforen 1987; 107:1356-8. [PMID: 3603504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
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Odkvist LM, Arlinger SD, Edling C, Larsby B, Bergholtz LM. Audiological and vestibulo-oculomotor findings in workers exposed to solvents and jet fuel. Scand Audiol 1987; 16:75-81. [PMID: 3498206 DOI: 10.3109/01050398709042159] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Three groups of subjects with long-term (5-41 years) occupational exposure to industrial solvents have been evaluated with extensive audiological and vestibular test batteries. Group A comprised 16 subjects with a confirmed diagnosis of psycho-organic syndrome (POS), while group B consisted of 7 subjects with suspected POS. Both groups had been exposed to mixtures of aliphatic and aromatic solvents. Eight subjects with long-term exposure to jet fuel constituted group C. In the audiological test battery, discrimination of interrupted speech and evoked cortical potentials in response to frequency glides were the tests that yielded significantly abnormal results. In the vestibular test battery, considerable pathology was seen in electronystagmography, and in addition, visual suppression test and saccade test indicated CNS disturbance. In general, when a test yielded pathological results, the incidence of pathology was highest in group A and lowest in group C.
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Abstract
The impact of occupational exposure to jet fuel on antipyrine elimination was studied in 91 fuel-filing attendants. The mean antipyrine clearance was enhanced to 68.4 (SD 19.5) ml/min during exposure to jet fuel compared to 57.9 (SD 18.1) ml/min after an exposure-free period of two to four weeks. The corresponding values for 47 office workers (referents) were 62.7 (SD 22.2) ml/min and 56.4 (SD 22.3) ml/min. The median jet fuel concentration in the breathing zone of the fuel-filling attendants was 31 (range 1-1 020) mg/m3. No known inducing factor could be identified in the work environment of the office workers. No difference in the concentration of aspartate aminotransferase and alkaline phosphatase in serum was found either within or between the groups. Our study indicates that jet fuel, which is a mixture of aliphatic and aromatic organic solvents resembling gasoline and white spirit, is an inducer of hepatic drug metabolism in man.
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Abstract
Red blood cells from nestling herring gulls and Atlantic puffins that had ingested 10 ml or more of a Prudhoe Bay crude oil/kg body weight/day for four to five days were examined by light and electron microscopy. In stained smears, red blood cells from oil-dosed birds were characterized by anisocytosis, poikilocytosis, reticulocytosis, and Heinz body formation. In transmission electron micrographs, affected cells had intracytoplasmic and intranuclear Heinz bodies, a variety of abnormal cytoplasmic vesicles, degenerate mitochondria, absence of circumferential microtubules, abnormal shape, and crenulation of the plasma membrane. The latter two cell surface anomalies were evident in scanning electron micrographs. Identical lesions were present in red cells from gulls injected with phenylhydrazine. Reticulocytosis was the only change evident in blood from gulls made anemic by hemorrhage. These observations support the hypothesis that the toxicity of ingested Prudhoe Bay oil to red cells was exerted by oxidant chemical compounds.
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Lauer DM, Frink J, Dein FJ. Rehabilitation of ruddy ducks contaminated with oil. J Am Vet Med Assoc 1982; 181:1398-9. [PMID: 7174474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Eastin WC, Rattner BA. Effects of dispersant and crude oil ingestion on mallard ducklings (Anas platyrhynchos). Bull Environ Contam Toxicol 1982; 29:273-278. [PMID: 7126917 DOI: 10.1007/bf01706228] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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21
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Gerritsen J, Knol K. [Pneumonia caused by lamp oil]. Ned Tijdschr Geneeskd 1982; 126:229-32. [PMID: 7057949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Abstract
No. 2 fuel oil was fed to mallard (Anas platyrhynchos) ducklings in concentrations of 0.5 and 5.0% of the diet from hatching to 18 wk of age to assess the effects of chronic oil ingestion during early development. Five growth parameters (body weight, wing length, ninth primary length, tarsal length, and bill length) were depressed in birds receiving a diet containing 5% fuel oil. There was no oil-related mortality. The 5% fuel oil diet impaired avoidance behavior of 9-d-old mallard ducklings compared with controls or ducklings fed 0.5% oil. Open-field activity was greatly increased in 16-wk-old ducklings fed 5.0% oil. Liver hypertrophy and splenic atrophy were gross evidences of pathological effects in birds on the 5.0% oil diet. More subtle effects included biochemical lesions that resulted in the elevation of plasma alanine aminotransferase and ornithine carbamoyltransferase activity.
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Barrientos A, Ortuño MT, Morales JM, Tello FM, Rodicio JL. Acute renal failure after use of diesel fuel as shampoo. Arch Intern Med 1977; 137:1217. [PMID: 901091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
After washing his hair with diesel fuel a 28-year-old patient developed acute renal failure (ARF) and oliguria requiring hemodialysis. The patient recuperated completely. In the absence of other causal factors, we believe that the absorption of the diesel fuel components, either through the respiratory tract or through the skin can be considered to be the cause of the ARF. In spite of the extended everyday use of petroleum distillation products, cases of acute intoxication are infrequent. Even rarer are cases in which these products occasion ARF.
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József S, Máriá H, Mária B. [Gasoline, petroleum and diesel oil poisonings in children in clinical practice]. Orv Hetil 1975; 116:1209-12. [PMID: 1168887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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