담뱃잎농부병으로 진단된 고령 환자 1례

• Published in: 대한임상독성학회지 Vol. 17; no. 2; pp. 132 - 134
• Main Authors: 정동길, Dong Kil Jeong, 김도의, Doh-eui Kim
• Format: Journal Article
• Language: Korean
• Published: 대한임상독성학회 30.12.2019
• Subjects: Green tobacco sickness; Nicotine; Poisoning; 응급의학; Green tobacco sickness; Poisoning; Nicotine
• ISSN: 1738-1320; 2508-6332
• DOI: 10.22537/jksct.2019.17.2.132

Green tobacco sickness is an illness caused by dermal exposure to nicotine. The common symptoms of the disease include dizziness, headache, nausea, vomiting, severe general weakness, fluctuations of blood pressure or heartbeat, abdominal cramping, chills, increased sweating, salivation, and difficulty breathing. A 79-year-old female arrived at the emergency room for an evaluation of sudden onset dizziness. Magnetic resonance imaging and angiography of the brain did not show any relevant abnormal findings. Four days later, with supportive care, she said that she had harvested green tobacco for six hours on the day of admission and the tobacco harvest was the first time in her life. She sweated excessively during the hot and humid weather and the tobacco leaves were wet from rain the night before. The serum cotinine tested at five days of admission was 16ng/ml. She was diagnosed with acute nicotine poisoning by her clinical symptoms and the half-life of cotinine in the blood.