Surviving a Massive Sodium Azide Poisoning with Toxic Cardiomyopathy


  • Pavel Overtchouk
  • Julien Poissy
  • Camille Thieffry
  • Jean Christophe Linke
  • Daniel Mathieu



Sodium azide poisoning toxic cardiomyopathy


Sodium azide is a highly toxic chemical agent, which effects are similar to cyanide, and its ingestion is almost constantly fatal when the dose is above 1g. We report the case of a 69-year-old woman who survived a massive sodium azide poisoning with an unsual clinical course and outcome. It caused severe toxic cardiomyopathy presenting like a silent myocardial infaction with systolic and diastolic impairment that lasted one month. There is no antidote. We present a review of the literature about this rare poisoning, its mechanisms and discuss treatment options.


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