Abstract
We report a suicidal attempt by intracardiac injection of T-61, a veterinary euthanasia drug containing embutramide, mebezonium and tetracaine in dimethylformamide. The main complications were reversible acute renal failure and pericardial effusion. There was a delayed abnormality of the liver function tests possibly related to the dimethylformamide solvent. A liver biopsy on day 16 showed a normal hepatic architecture with lipid-containing lysosomes and prominent vesicular endoplasmic reticulum noted on electron microscopy.
MeSH terms
-
Acute Kidney Injury / chemically induced
-
Adult
-
Amides / administration & dosage
-
Amides / poisoning*
-
Drug Combinations
-
Endoplasmic Reticulum, Rough / drug effects
-
Endoplasmic Reticulum, Rough / ultrastructure
-
Humans
-
Injections
-
Liver / drug effects
-
Liver / pathology
-
Liver / ultrastructure
-
Liver Function Tests
-
Lysosomes / drug effects
-
Lysosomes / ultrastructure
-
Pericardial Effusion / chemically induced
-
Quaternary Ammonium Compounds / administration & dosage
-
Quaternary Ammonium Compounds / poisoning*
-
Suicide, Attempted*
-
Tetracaine / administration & dosage
-
Tetracaine / poisoning*
-
Time Factors
Substances
-
Amides
-
Drug Combinations
-
Quaternary Ammonium Compounds
-
Tetracaine
-
T 61