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KMID : 1013220110090020113
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Jouranl of the Korean Society of Clinical Toxicology
2011 Volume.9 No. 2 p.113 ~ p.116
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A Case of Prolonged Coagulopathy in a Patient Intoxicated with Superwarfarin Rodenticide
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Park Chan-Woo
Cho Jun-Hwi
Bae Joon-Ho
Moon Joong-Bum
Chon Sung-Bin
Ahn Ki-Ohk
Lee Hui-Young
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Abstract
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Superwarfarin, such as brodifacoum, is a highly lethal vitamin K antagonist used as a rodenticide. Brodifacoum has a particularly long half-life in the body, which ranges to several months, and therefore requires prolonged treatment with antidotal vitamin K. We experienced a case whereby an 18-year-old male was presented to the hospital with a severe bleeding disorder. It was discovered that he had ingested brodifacoum rodenticide with intent to commit suicide. Despite continual treatment with vitamin K, the bleeding disorder persisted for several months before he recovered. We report this case with literature review.
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KEYWORD
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Anticoagulant, Coagulopathy, Poisoning, Rodenticide, Vitamin K
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