Clinical Case Report of Acute Heart Injury and Acute Rhabdomyolysis Due to Cyanide Poisoning

Cyanide poisoning is one of the most dangerous poisonings, and it can be absorbed into the body through the mouth, inhalation and through the skin. A 32-year-old female patient was admitted to our poison control center because of high fever, severe vomiting, and seizures. Physical examination found that the patient was drowsy, had a high fever of 40 degrees Celsius, pulse of 140 beats/minute, and increased tendon and bone reflexes. Exploiting the patient’s information, it was discovered that the patient bought Cyanide to drink with the intention of committing suicide. The patient was quickly treated with gastric lavage and activated charcoal. Echocardiography recorded EF: 35%, reduced movement of the entire myocardium. CK blood test: 4562 U/L. The patient’s condition rapidly deteriorated and the patient was made ECMO, IHD and CVVHDF. After 3 days of treatment, the patient’s condition did not improve, so the family asked for the patient to go home. This article aims to describe the rapidly progressing and severe damage to the heart and muscles of patients with cyanide poisoning.

Modeling of an Automatic Optimization System of Cyanide Concentration in Carbon in Leach for Optimal Ore Processing in a Mining Company

The optimization system, which was the subject of our study, is an autonomous chain for the automatic management of cyanide consumption. It is in the phase of industrial automation which made it possible to use the machines in order to reduce the workload of the worker while keeping a high productivity and a quality in great demand. Furthermore, the use of cyanide in leaching tanks is a necessity in the gold recovery process. This consumption of cyanide must be optimal in these tanks in order to have a good recovery while controlling the concentration of cyanide. Cyanide is one of the most expensive products for mining companies. On a completely different note, we see huge variations during the addition of cyanide. Following a recommendation from the metallurgical and operations teams, the control team carried out an analysis of the problem while proposing a solution to reduce the variability around plus or minus 10% of the addition setpoint through automation. It should be noted that this automatic optimization by monitoring the concentration of cyanide, made use of industrial automation which is a technique which ensures the operation of the ore processing chain without human intervention. In other words, it made it possible to substitute a machine for man. So, this leads us to conduct a study on concentration levels in the real world. The results show that the analysis of the modeling of the cyanide consumption optimization system is an appropriate solution to eradicate failures in the mineral processing chain. The trend curves demonstrate this resolution perfectly.

Impact of Selected Processing Methods of High-Level Cyanide in Cassava on Optic Neuropathy in Wistar Albino Rats—An Experimental Study

Background: Cassava tuber crop is a staple food rich in carbohydrates and utilized in various forms by millions of Nigerians. The storage root of the cassava contains linamarin, a cyanogenic glycoside that is easily hydrolyzed to release cyanide salt compounds which is toxic to the nervous system especially the optic nerve, sometimes leading to optic neuropathy and visual impairment. Aim: The aim of this study is to find out the impact of selected processing methods of high-level cyanide in cassava on optic neuropathy in Wistar albino rats. Methodology: Twenty-four Wistar albino rats were fed with different concentration and duration of predetermined high-cyanide content cassava root cultivar which was processed using different processing methods adopted by various communities in Rivers State, Nigeria (for human consumption). A control group of 3 Wistar albino rats was fed with normal “Growth Mesh” meals. The pre and post weights of the animals and the fundoscopic optic nerve status of the rats were evaluated after 30 and 60 days. SPSS Version 25 was employed for descriptive and inferential statistical analyses. A p-value of ≤0.05 was considered statistically significant. Results: The Cassava species available in Rivers State have high cyanide content (2336.79 mg CN-/kg dry weight of cassava). There was statistically significant reduction in the cyanide content (p = 0.000) depending on the various common processing methods (into garri for human consumption): 24 hours, 48 hours, fermentation;with and without red palm oil additive. The individual weights as well as the mean weight of the 24 rats in the experimental group increased gradually from the first week to the 9th week with a slight weight reduction on the third and fourth weeks which was not statistically significant (p = 0.092). However, there was a steady increase in the weights of the animals in the control group throughout the 9 weeks. Varying degrees of optic neuropathy occurred, worse with the rats that had 24-hour fermented cassava twice daily for 60 days. The intra and inter group differences in the optic disc changes was statistically significant (p = 0.000). Conclusion: Longer duration of processing cassava roots into garri for human consumption reduces its cyanide content and minimizes the adverse impact on the optic nerve.

Application of ferrate(VI) in the treatment of industrial wastes containing metal-complexed cyanides : A green treatment

Ferrate（VI） was employed for the oxidation of cyanide （CN） and simultaneous removal of copper or nickel in the mixed/complexed systems of CN-Cu, CN-Ni, or CN-Cu-Ni. The degradation of CN （1.00 mmol/L） and removal of Cu （0.095 mmol/L） were investigated as a function of Fe（Ⅵ） doses from 0.3-2.00 mmol/L at pH 10.0. It was found that Fe（Ⅵ） could readily oxidize CN and the reduction of Fe（Ⅵ） into Fe（Ⅲ） might serve efficiently for the removal of free copper ions. The increase in Fe（Ⅵ） dose apparently favoured the CN oxidation as well as Cu removal. Moreover, the pH dependence study （pH 10.0-13.0） revealed that the oxidation of CN was almost unaffected in the studied pH range （10.0-13.0）, however, the maximum removal efficiency of Cu was obtained at pH 13.0. Similarly, treatment was carded out for CN-Ni system having the initial Ni concentration of 0.170 mmol/L and CN concentration of 1.00 mmol with Fe（Ⅵ） dose 2.00 mmol at various pH values （10.0-12.0）. Results showed a partial oxidation of CN and partial removal of Ni. It can be observed that Fe（Ⅵ） can partially degrade the CN-Ni complex in this pH range. Further, Fe（Ⅵ） was applied for the treatment of simulated industrial waste/effluent waters treatment containing CN, Cu, and Ni.

Granular activated carbons from palm nut shells for gold di-cyanide adsorption

Granular activated carbons were produced from palm nut shells by physical activation with steam. The proximate analysis of palm nut shells was investigated by thermogravimetric analysis, and the adsorption capacity of the activated carbons, produced as a result of shell pyrolysis at 600℃ followed by steam activation at 900℃ in varying activation times, was evaluated using nitrogen adsorption at 77 K. Applicability of the activated carbons for gold dicyanide adsorption was also investigated. Increasing the activation hold time with the attendant increase in the degree of carbon burn-off results in a progressive increase in the surface area of the activated carbons, reaching a value of 903.1 m2/g after activation for 6 h. The volumes of total pores, mieropores, and mesopores in the activated carbons also increase progressively with the increasing degree of carbon burn-off, resulting from increasing the activation hold time. The gold di-cyanide adsorption of the activated carbons increases with the rise of pore volume of the activated carbons. The gold di-cyanide adsorption of palm nut shell activated carbon obtained after 6-h activation at 900℃ is superior to that of a commercial activated carbon used for gold di-cyanide adsorption.

Study on Gold (Ⅰ) Solvent Extraction from Alkaline Cyanide Solution by TBP with Addition of Surfactant

The new solvent extraction system for gold() from alkaline cyanide solution by TBP with addition of surfactant in aqueous phase was studied. The effect of various factors, such as equilibrium pH, constitution of organic phase, molar ratio of CPBAu(CN)2-, extraction time, aqueous/organic phase ratio, different initial gold concentration, equilibrium temperature, different diluent, different types of extractants and surfactants etc., was inspected. The results show that gold() can be extracted quantitatively by controlling the quantity of surfactant (CPB); both the equilibrium pH and diluent hardly influence percent extraction. Gold() percent extraction reaches more than 98% under the optimal experimental conditions. 30% vol TBP diluted by sulphonating kerosene can load gold() to rather high levels. Loading capacity is in excess of 38 g/L. The extraction mechanism is discussed and the overall extraction reaction is deduced.

Effect of Pre-treatment of α-Ketoglutarate on Cyanide-induced Toxicity and Alterations in Various Physiological Variables in Rodents

Objective To investigate the effects of pre-treatment of α-ketoglutarate （α-KG） on cyanide-induced lethality and changes in various physiological parameters in rodents. Methods The LD50 of potassium cyanide （KCN） given orally （po）, intraperitoneally （ip）, subcutaneously （sc） or intravenously （iv） was determined in male mice, in the presence or absence α-KG given po, ip or iv. α-KG was administered 10, 20 or 40 min prior to KCN at 0.50, 1.0 or 2.0 g/kg by po or ip route, and at 0.10, 0.20 or 0.40 g/kg by iv route. Protection index （PI） was calculated as the ratio of LD50 of KCN in the presence of α-KG （protected animals） and LD50 of KCN in the absence of α-KG （unprotected animals）. In a separate experiment, several physiological variables viz. mean arterial pressure （MAP）, heart rate （HR）, respiratory rate （RR）, neuromuscular transmission （NMT） and rectal temperature （RT） were measured in anesthetized female rats pre-treated （-10 rain） with po （2.0 g/kg） or iv （0.125 g/kg） α-KG and then administered sub-lethal （0.75 LD50） or lethal （2.0, 4.0 or 8.0 LD50） doses of KCN （po）. Results PI of 4.52, 6.40 and 7.60 at -10 min, 3.20, 5.40 and 6.40 at -20 min, and 1.40, 3.20 and 5.40 at -40 min of po administration with α-KG was observed for 0.50, 1.0 and 2.0 g/kg doses, respectively, against KCN given by po route. When KCN was given ip, a PI of 3.38, 4.79 and 5.70 was observed for 0.50, 1.0 and 2.0 g/kg α-KG given ip （-10 min）, respectively. A lower PI of 3.37, 2.83 and 2.38 was observed when KCN given sc was challenged by 2.0 g/kg α-KG given ip at -10, -20 or -40 min, respectively. Similarly, a PI of 3.37, 2.83 and 2.0 was noted when KCN given sc was antagonized by 2.0 g/kg α-KG given po at -10, -20 or -40 rain, respectively. No appreciable protection was observed when lower doses of α-KG （ip or po） challenged KCN given by sc route. Pre-treatment of iv or po administration of α-KG did not afford any protection against KCN given po or iv route. Oral treatment of 0.75 LD50 KCN caused significant decrease in MAP and HR after 15 min, RR after 30 min and NMT after 60 min. There was no effect on RT. No reduction in MAP, HR, RR and RT was observed when rats received 2.0 or 4.0 LD50 KCN after pre-treatment of α-KG （po; 2.0 g/kg）. However, no protection was observed on NMT. Protective efficacy of α-KG was not observed on MAP, HR, RR, and NMT decreased by 8.0 LD50 KCN. Decrease in MAP and NMT caused by 2.0 LD50 KCN （po） was resolved by iv administration of α-KG Conclusions Cyanide antagonism by α-KG is best exhibited when both α-KG and KCN are given by po route. The protective effect of α-KG on cyanide-induced changes in several physiological parameters also indicates a promising role of α-KG as an alternative cyanide antidote.

Greener approach towards the facile synthesis of 1,4-dihydropyrano[2,3-c]pyrazol-5-y1 cyanide derivatives at room temperature

This report describes triethylammonium acetate （TEAA） ionic liquid catalyzed one pot synthesis of 6-amino-4-aryl-5-cyano-3- methyl-1-phenyl-1,4-dihydropyrano [2,3-c]pyrazoles by the reaction of aromatic aldehyde, malononitrile and 3-methyl-1-phenyl-2- pyrazolin-5-one at room temperature. TEAA plays dual role as reaction media and catalyst. It can also be easily recovered and reused in several runs. TEAA provides greener reaction protocol to present methodology which obviates the need of organic solvents, expensive and toxic catalyst.

Highly active double metal cyanide complexes: Effect of central metal and ligand on reaction of epoxide/CO2

Various novel double metal cyanide （DMC） catalysts were successfully prepared by modifying the central metal （M） and one of cyanide ion （CN-） in Zna[M（CN）b]c complex. Such modifications have significant impact on the catalytic efficiency as well as the polymer selectivity for the reaction of PO/CO2. Zn-Ni（Ⅱ） DMC is a potential catalyst for alternating copolymerization of PO/CO2,and DMC catalysts based on Zn3[Co（CN）5X]2 （X = Br^- and N3^-） exhibit moderate efficiency for the production of polycarbonates.This research presents the preliminary exploration of novel DMC complex via chemical modification of its central metal and ligand.

RANDOM COPOLYMER OF PROPYLENE OXIDE AND ETHYLENE OXIDE PREPARED BY DOUBLE METAL CYANIDE COMPLEX CATALYST

Copolymerization of propylene oxide (PO) and ethylene oxide (EO) using double metal cyanide (DMC) complex as the catalyst was carried out. The structure of random copolymers was confirmed by C-13-NMR and IR spectra. H-1-NMR analysis shows that the EO content in the copolymer is the same as that in the initial monomer feed. Moderate molecular weight copolymers with various EO content were obtained and their values of molecular weight distribution (MWD) fell in the range of 1.21-1.55. It was found that the molecular weight of copolymers is controlled by the mass ratio of EO+PO to initiator moles used, The reaction rate as well as polymer yield decrease with increasing EO content in the feed composition.

Bioavailability of cyanide in the different environmental compartments

Vascular plants possess an enzyme system that detoxifies cyanide by converting it to the amino acid asparagine. Hybrid willows （Salix matsudana Koidz×Salix alba L.） were exposed to cyanide to determine whether willows can transport and metabolize this compound. Pre-rooted trees were grown in different environmental compartments, spiked or irrigated with potassium cyanide at 24.0±0.5℃. Cyanide in compartments, in air and in tissues of plants was analyzed spectrophotometrically. Results from this study indicated that large amounts of applied cyanide was removed from the systems during the presence of willows. Growing compartments of plants have a strong influence on the removal rates of cyanide. Little or no initial cyanide was detected in plant materials. Volatilization of cyanide was not occurring. Mass balance studies showed that applied cyanide was significantly metabolized during transport through willows cuttings. However, there was a clear difference between the metabolism rates of cyanide by willows exposed to different environmental compartments. The highest cyanide metabolism rate was found at the treatment with willows growing in hydroponic solution with a metabolism rate of 2.44 mgCN/（kg, d）, followed by willows growing in sand with a value of 1.02 mgCN/（kg·d）. The lowest metabolism rate had the willows growing in soils（0.43 mgCN/（kg·d）. In conclusion, transport and metabolism of cyanide in plants is likely and phytoremediation of cyanide is a feasible option for cleaning soils and water contaminated with cyanide.

Detection of Cyanide in Pollution-free Livestock Product Breeding Water by Ion Chromatography

In order to verify the accuracy of ion chromatography for cyanide detection,optimization conditions were studied,and comparison was made for the detection results of cyanide between titration and isonicotinic acid pyrazolone spectrophotometry. The results showed that ion chromatography has good linearity and reproducibility,with the recovery rate of 95%-105% and the limit of detection of 0. 001 mg/L. This method is simple,rapid,safe,selective,and suitable for the determination of cyanide in pollution-free livestock product breeding water.

Enrichment of copper and recycling of cyanide from copper–cyanide waste by solvent extraction

The enrichment of copper from copper–cyanide wastewater by solvent extraction was investigated using a quaternary ammonium salt as an extractant. The influences of important parameters, e.g., organic-phase components, aqueous pH values, temperature, inorganic anion impurities, CN/Cu molar ratio, and stripping reagents, were examined systematically, and the optimal conditions were determined. The results indicated that copper was effectively concentrated from low-concentration solutions using Aliquat 336 and that the extraction efficiency increased linearly with increasing temperature. The aqueous pH value and concentrations of inorganic anion impurities only weakly affected the extraction process when varied in appropriate ranges. The CN/Cu molar ratio affected the extraction efficiency by changing the distribution of copper–cyanide complexes. The difference in gold leaching efficiency between using raffinate and fresh water was negligible.

Influence of copper minerals on cyanide leaching of gold

The paper thermodynamically examined the behavior of various copper minerals in cyanide solu tions and investigated the influence of copper minerals on cyanide leaching of gold. In elucidating the influence of copper minerals on cyanide leaching of gold, copper minerals were classified into two types according to their solubility in cyanide solutions by proposing two concepts, cyaniding easily soluble copper (E Cu ) and cyaniding insoluble copper. The former involves copper occurrence in metal, oxides and secondary sulfides, and the latter refers mainly to primary sulfides. Experimental results show that not all the total copper in an ore affected cyanide leaching of gold, while cyaniding easily soluble copper turns out to be the decisive factor that interferes with gold cyanidation by causing decrease in gold cyanidation recovery and increase in cyanide consumption. When cyaniding easily soluble copper content ( w E(Cu) ) lies in the range of 0 0.25%, it linearly affects gold cyanidation recovery ( R ) as well as cyanide consumption ( m c). The regression equations have been worked out to be R (%)=94.177 5-142.735 7 w E(Cu) with a correlation coefficient of -0.902 and m c=5.590 7+33.572 9 w E(Cu) with a correlation coefficient of 0.945, respectively.

Past,present and future of cyanide antagonism research:From the early remedies to the current therapies

This paper reviews milestones in antidotal therapies for cyanide(CN) spanning early remedies,current antidotal systems and research towards next generation therapies.CN has been a part of plant defense mechanisms for millions of years.It became industrially important in the nineteenth century with the advent of CN assisted gold mining and the use of CN as a pest control agent.The biochemical basis of CN poisoning was actively studied and key mechanisms were understood as early as 1929.These fundamental studies led to a variety of antidotes,including indirect CN binders that generate methemoglobin,direct CN binders such as hydroxocobalamin,and sulfur donors that convert CN to the less toxic thiocyanate.Research on blood gases at the end of the twentieth century shed new light on the role of nitric oxide(NO) in the body.The discovery of NO's ability to compete with CN for enzymatic binding sites provided a previously missed explanation for the rapid efficacy of NO generating antidotes such as the nitrites.Presently used CN therapies include:methemoglobin/NO generators(e.g.,sodium nitrite,amyl nitrite,and dimethyl aminophenol),sulfur donors(e.g.,sodium thiosulfate and glutathione),and direct binding agents [(e.g.,hydroxocobalamin and dicobalt salt of ethylenediaminetetraacetic acid(dicobalt edetate)].A strong effort is being made to explore novel antidotal systems and to formulate them for rapid administration at the point of intoxication in mass casualty scenarios.New antidotes,formulations,and delivery systems are enhancing bioavailability and efficacy and hold promise for a new generation of improved CN countermeasures.

Application of a simple calorimetric data analysis on the binding study of cyanide ions by Jack bean urease

Cyanide ion was studied as an effector of Jack bean urease(JBU) at 300 K in 30 mmol/LTris buffer,pH 7 by isothermal titration calorimetry(ITC).The simple novel model was used for CN^- + JBU interaction over the whole range of CN^- concentrations.The binding parameters recovered from the simple novel model were attributed to the cyanide ion interaction.It was found that cyanide ion acted as a noncooperative inhibitor of JBU,and there is a set of 12 identical and independent binding sites for CN^- ions.The di...

Acute cyanide poisoning due to apricot kernel ingestion

Cyanide is a toxin and one of the most rapidly acting fatal poisons that human being is aware. If it is not treated promptly, encountering to cyanide poison will lead to die in minutes. Cyanide avoids cellular oxygen usage by inactivating mitochondrial cytochrome oxidase thus inhibits cellular respiration. In this case, we represent a case report describing uncommon cyanide intoxication owing to consumption of a few portion of apricot kernels and its rapid treatment with dicobalt edetate after suspection of cyanide poisoning.

Quantitative Estimation of Hydrogen Cyanide in Fresh and Cooked Tuber Parenchyma (Pulp) of Three Cultivars of Sweet Cassava Cultivars Grown in Some Parts of Benue State, Nigeria

The amount of cyanide in fresh and cooked tuber parenchyma (pulp) of three cultivars of sweet cassava from two local government areas (LGA) of Benue state was studied. Cassava tubers were collected and carefully peeled to obtain the pulp. The fresh and boiled samples were adequately processed and treated with ninhydrin, Na2CO3 and NaOH and the absorbance of the reaction product measured using UV-Visible spectrometer after construction of a calibration graph using standard cyanide solutions. The amount of cyanide in the fresh pulp varied with differences in cultivars ranging from White Dan-Warri Cultivar: (19.87 to 28.81) mg/kg;Obasanjo cultivar: (17.23 to 28.81) mg/kg and Red Dan-Warri Cultivar (8.23 to 19.31) mg/kg. Also, the cyanide content of cultivars from Oju LGA was generally higher than that of the cultivars from Gwer-east LGA. Cyanide content varied with the period of the day harvested in the order: Afternoon > Evening > Morning for all cultivars. Furthermore, cooking greatly reduced the cyanide content of all the sweet cassava cultivars but boiling was more effective than roasting with the cyanide removal increasing with increase in cooking time. The cyanide content of the tuber parenchyma of the sweet cassava cultivars was very low (<30 mg/kg) which is in agreement with reported values for sweet cassava. However, cooking at a reasonable time interval will further reduce their cyanide levels to further safe limits.

LC-MS/MS analysis of 2-aminothiazoline-4-carboxylic acid as a forensic biomarker for cyanide poisoning

AIM: To demonstrate the potential of using 2-aminothiazoline-4-carboxylic acid(ATCA) as a novel biomarker/forensic biomarker for cyanide poisoning. METHODS: A sensitive method was developed and employed for the identification and quantification of ATCA in biological samples, where the sample extraction and clean up were achieved by solid phase extraction(SPE). After optimization of SPE procedures, ATCA was analyzed by high performance liquid chromatographytandem mass spectrometry. ATCA levels following the administration of different doses of potassium cyanide(KCN) to mice were measured and compared to endogenous ATCA levels in order to study the significance of using ATCA as a biomarker for cyanide poisoning.RESULTS: A custom made analytical method was established for a new(mice) model when animals were exposed to increasing KCN doses. The application of this method provided important new information on ATCA as a potential cyanide biomarker. ATCA concentration in mice plasma samples were increased from 189 ± 28 ng/mL(n = 3) to 413 ± 66 ng/mL(n = 3) following a 10 mg/kg body weight dose of KCN introduced subcutaneously. The sensitivity of this analytical method proved to be a tool for measuring endogenous level of ATCA in mice organs as follows: 1.2 ± 0.1 μg/g for kidney samples, 1.6 ± 0.1 μg/g for brain samples, 1.8 ± 0.2 μg/g for lung samples, 2.9 ± 0.1 μg/g for heart samples, and 3.6 ± 0.9 μg/g for liver samples. CONCLUSION: This finding suggests that ATCA has the potential to serve as a plasma biomarker / forensic biomarker for cyanide poisoning.

Adsorption studies of cyanide onto activated carbon and γ-alumina impregnated with cooper ions

In this research, adsorption of cyanide onto cata- lyst synthesized with activated carbon and γ- alumina used supported and cooper has been studied by means of batch technique. Percentage adsorption was determined for this catalyst in function of pH, adsorbate concentration and temperature. Adsorption data has been interpret- ed in terms of Freundlich and Langmuir equa-tions. Thermodynamics parameters for the ad-sorption system have been determined at three different temperatures.