On May 25.5, Doctor Truong Thi Ngoc Phu, Children's Hospital 2, said that the hospital's pharmacy has received and preserved 3 bottles of botulinum antidote on the evening of May 24.5.
“The three bottles of medicine above were distributed to the hospital because there are 3 pediatric patients being treated here. Currently, 3 case is stable, while 1 are on ventilators. The use of BAT antidote will require consultation with experts at Cho Ray Hospital. However, usually the antidote to BAT needs to be infused early to neutralize the toxin and prevent the synapse with neuromuscular points, "said Dr. Phu.
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Dr. Huynh Van An, Head of the Intensive Care Unit against Poisons, Gia Dinh People's Hospital, said that the best botulinum antidote is used as soon as possible to prevent the disease from progressing.
According to Doctor An, if the patient is doing well without the antidote for BAT, the doctor will consider whether to use it or not because this is a rare drug. If the patient still has a chance to progress, the sooner the drug is used, the better.
Also on May 25.5, according to a representative of Cho Ray Hospital, this unit received 2 bottles of BAT antidote. However, the time has passed for 2 patients, so these drugs have not been used.
According to Dr. Dr. Le Quoc Hung, Head of Tropical Diseases Department, Cho Ray Hospital, a case of botulinum poisoning with early use of BAT drug, within 48 to 72 hours, the patient is able to get rid of paralysis, and does not have to be put on a ventilator.
45-year-old patient died before receiving antidote
In the morning of May 25.5, information from Gia Dinh People's Hospital said that a 45-year-old man (living in Thu Duc City, Ho Chi Minh City), one of 6 botulinum poisoning patients being treated in Ho Chi Minh City, died on the evening of May 24.5.
The patient confirmed the diagnosis of botulinum poisoning with type A as one of the very severe types, and consulted with toxicologists to determine the high risk of death.
At 20pm on May 24.5, Gia Dinh People's Hospital received the botulinum toxin antidote for patients from the World Health Organization (WHO). But before that, patients with respiratory failure required mechanical ventilation, drooping eyelids, weak extremities, respiratory muscles, persistent high fever that did not respond to antipyretic drugs, with rapid pulse and gradual drop in blood pressure. This is a serious complication because the toxin has affected the autonomic nervous system, the patient was intensively resuscitated, but did not respond to treatment and died.
This is one of three cases of botulinum poisoning along with two siblings being treated at Cho Ray Hospital.