Oxidative storm in a patient with acute rotenone-containing plant poisoning
A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rote...
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| Published in | The American journal of emergency medicine Vol. 38; no. 6; pp. 1296.e1 - 1296.e3 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Inc
01.06.2020
Elsevier Limited |
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| Abstract | A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO. |
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| AbstractList | A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO. AbstractA 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO. A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO. A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO.A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent oxidative stress results in the formation of lipid peroxidation (LPO). Rotenone analysis via liquid chromatography mass spectrometry revealed the following: 31,590 ng/mL in cooked yam bean seed and 100 ng/mL in the blood. We attempted to use N-acetylcysteine to alleviate oxidative stress and documented the continuous decline in the plasma concentration of LPO. |
| Author | Huang, Chun-Fa Mu, Han-Wei Yu, Jiun-Hao Wang, Te-Hao Hung, Dong-Zong Pan, Chi-Syuan |
| Author_xml | – sequence: 1 givenname: Jiun-Hao orcidid: 0000-0002-2674-7159 surname: Yu fullname: Yu, Jiun-Hao email: flykingyu@gmail.com organization: Department of Emergency Medicine, China Medical University Hospital, Hsinchu, Taiwan – sequence: 2 givenname: Chun-Fa surname: Huang fullname: Huang, Chun-Fa organization: School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan – sequence: 3 givenname: Te-Hao surname: Wang fullname: Wang, Te-Hao organization: Department of Emergency Medicine, National Yang-Ming University Hospital, Taiwan – sequence: 4 givenname: Dong-Zong orcidid: 0000-0002-5131-8786 surname: Hung fullname: Hung, Dong-Zong organization: Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan – sequence: 5 givenname: Han-Wei surname: Mu fullname: Mu, Han-Wei organization: Department of Emergency Medicine, China Medical University Hospital, Taichung, Taiwan – sequence: 6 givenname: Chi-Syuan surname: Pan fullname: Pan, Chi-Syuan organization: Department of Emergency Medicine, China Medical University Hospital, Taichung, Taiwan |
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| Keywords | Yam bean seed poisoning Lipid peroxidation Reactive oxygen species Rotenone N-acetylcysteine |
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| References_xml | – volume: 278 start-page: 8516 year: 2003 end-page: 8525 ident: bb0030 article-title: Mitochondrial complex I inhibitor rotenone induces apoptosis through enhancing mitochondrial reactive oxygen species production publication-title: J Biol Chem – volume: 176 start-page: 188 year: 2008 end-page: 197 ident: bb0035 article-title: Neurotoxicological mechanism of methylmercury induced by low-dose and long-term exposure in mice: oxidative stress and down-regulated Na+/K(+)-ATPase involved publication-title: Toxicol Lett – volume: 59 start-page: 122 year: 2011 Aug end-page: 137 ident: bb0040 article-title: Role of oxidative stress in epileptic seizures publication-title: Neurochem Int – volume: 37 start-page: 130 year: 2007 end-page: 132 ident: bb0010 article-title: Yam bean seed poisoning mimicking cyanide intoxication publication-title: Intern Med J – volume: 47 start-page: 830 year: 2009 end-page: 833 ident: bb0015 article-title: Suicide attempt by ingestion of rotenone-containing plant extracts: one case report in French Guiana publication-title: Clin Toxicol (Phila) – volume: 9 start-page: R280 year: 2005 Jun end-page: R284 ident: bb0050 article-title: Fatality after deliberate ingestion of the pesticide rotenone: a case report publication-title: Crit Care – volume: 1187 start-page: 198 year: 1994 end-page: 202 ident: bb0020 article-title: The reaction sites of rotenone and ubiquinone with mitochondrial NADH dehydrogenase publication-title: Biochim Biophys Acta – volume: 1009 start-page: 9 year: 2004 end-page: 16 ident: bb0025 article-title: Neuroprotective effect of fraxetin and myricetin against rotenone-induced apoptosis in neuroblastoma cells publication-title: Brain Res – volume: 101 year: 2019 ident: bb0045 article-title: Reactive oxygen species in status epilepticus publication-title: Epilepsy Behav – volume: 88 start-page: 984 year: 2005 end-page: 987 ident: bb0005 article-title: The first fatal case of yam bean and rotenone toxicity in Thailand publication-title: J Med Assoc Thai – volume: 1009 start-page: 9 year: 2004 ident: 10.1016/j.ajem.2020.01.019_bb0025 article-title: Neuroprotective effect of fraxetin and myricetin against rotenone-induced apoptosis in neuroblastoma cells publication-title: Brain Res doi: 10.1016/j.brainres.2004.02.065 – volume: 278 start-page: 8516 issue: 10 year: 2003 ident: 10.1016/j.ajem.2020.01.019_bb0030 article-title: Mitochondrial complex I inhibitor rotenone induces apoptosis through enhancing mitochondrial reactive oxygen species production publication-title: J Biol Chem doi: 10.1074/jbc.M210432200 – volume: 9 start-page: R280 issue: 3 year: 2005 ident: 10.1016/j.ajem.2020.01.019_bb0050 article-title: Fatality after deliberate ingestion of the pesticide rotenone: a case report publication-title: Crit Care doi: 10.1186/cc3528 – volume: 47 start-page: 830 issue: 8 year: 2009 ident: 10.1016/j.ajem.2020.01.019_bb0015 article-title: Suicide attempt by ingestion of rotenone-containing plant extracts: one case report in French Guiana publication-title: Clin Toxicol (Phila) doi: 10.1080/15563650903146818 – volume: 176 start-page: 188 year: 2008 ident: 10.1016/j.ajem.2020.01.019_bb0035 article-title: Neurotoxicological mechanism of methylmercury induced by low-dose and long-term exposure in mice: oxidative stress and down-regulated Na+/K(+)-ATPase involved publication-title: Toxicol Lett doi: 10.1016/j.toxlet.2007.11.004 – volume: 37 start-page: 130 issue: 2 year: 2007 ident: 10.1016/j.ajem.2020.01.019_bb0010 article-title: Yam bean seed poisoning mimicking cyanide intoxication publication-title: Intern Med J doi: 10.1111/j.1445-5994.2007.01245.x – volume: 59 start-page: 122 issue: 2 year: 2011 ident: 10.1016/j.ajem.2020.01.019_bb0040 article-title: Role of oxidative stress in epileptic seizures publication-title: Neurochem Int doi: 10.1016/j.neuint.2011.03.025 – volume: 88 start-page: 984 issue: 7 year: 2005 ident: 10.1016/j.ajem.2020.01.019_bb0005 article-title: The first fatal case of yam bean and rotenone toxicity in Thailand publication-title: J Med Assoc Thai – volume: 1187 start-page: 198 issue: 2 year: 1994 ident: 10.1016/j.ajem.2020.01.019_bb0020 article-title: The reaction sites of rotenone and ubiquinone with mitochondrial NADH dehydrogenase publication-title: Biochim Biophys Acta doi: 10.1016/0005-2728(94)90110-4 – volume: 101 issue: Pt B year: 2019 ident: 10.1016/j.ajem.2020.01.019_bb0045 article-title: Reactive oxygen species in status epilepticus publication-title: Epilepsy Behav |
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| Snippet | A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia... AbstractA 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular... |
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| SubjectTerms | Acetylcysteine Acidosis Asphyxia Beans Blood pressure Coma Consciousness Convulsions & seizures Electron transport Emergency Emergency medical care Heart rate Lactic acidosis Lipid peroxidation Lipids Liquid chromatography Mass spectrometry Mass spectroscopy Mitochondria N-acetylcysteine Oxidative stress Oxygen saturation Peroxidation Poisoning Reactive oxygen species Rotenone Seeds Yam bean seed poisoning |
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| Title | Oxidative storm in a patient with acute rotenone-containing plant poisoning |
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