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KMID : 0368820130520060463
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Journal of the Korean Neuropsychiatr Association
2013 Volume.52 No. 6 p.463 ~ p.467
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A Case of Delayed Encephalopathy of Carbon Monoxide Intoxication
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Park Hyung-Keun
Joo Suk-Hyun
Choi Jung-Won
Park Han-Son
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Abstract
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Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes (anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan)has shown a rapid increase over the past five years with relevance to imitated suicide. Acute carbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and other major organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makes clinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguous with premorbid psychiatric problems, such as mood disorder, psychotic disorder, or other substance dependence. We report on a case of delayed encephalopathy of carbon monoxide intoxication and discuss its diagnosis and management.
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KEYWORD
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Carbon monoxide, Encephalopathy, Suicide, Addiction, Briquette, Anthracite
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