60. Overdose-Induced Boiled Lobster Skin

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Heather A. Borek MD1 and
  2. Christopher P. Holstege MD2,3,4

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch60

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Borek, H. A. and Holstege, C. P. (2011) Overdose-Induced Boiled Lobster Skin, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch60

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Division of Medical Toxicology, Department of Emergency Medicine, Charlottesville, VA, USA

  2. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

SEARCH

Keywords:

  • Case 60, overdose - inducing a boiled lobster skin;
  • 56-year-old alcoholic male, with decreased level - of responsiveness, and diffuse rash;
  • patient, mixing a roach killer with water - threatening to kill himself;
  • patient, noting an episode of blue–green emesis - later in the day;
  • vital signs, for pulse 129 beats per minute - respiration 30 breaths per minute;
  • physical examination, for a comatose male - with full body erythema and desquamation;
  • substance, likely to be responsible for signs and symptoms