{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T09:47:33Z","timestamp":1772272053335,"version":"3.50.1"},"reference-count":29,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Although the combustion of natural and synthetic products can yield cyanide, its toxic role in residential fires is unclear. This case concerns a woman aged over 50 years who presented comatose, pulseless and apnoeic after a domestic fire. Cardiopulmonary resuscitation and on-site administration of 2.5 g hydroxocobalamin as an antidote to cyanide resulted in a return of spontaneous circulation. On admission to the intensive care unit, the patient was treated with hyperbaric oxygen for suspected carbon monoxide poisoning. In a blood specimen collected at the scene before hydroxocobalamin administration, blood cyanide and carbon monoxide levels were 68 \u00b5mol\/l and 10.9%. On admission to hospital, plasma lactate was at 4.6 mmol\/l. Brain scans revealed lesions which were confirmed 2 months later, consistent with the haemorrhagic necrosis often seen after poisoning by cyanide. These data suggest that smoke inhalation in a residential fire may cause cyanide poisoning. This case provides clinical, biological, analytical and brain imaging data supporting the hypothesis of the toxic role of smoke-induced cyanide poisoning which may result in neurological sequelae.<\/jats:p>","DOI":"10.1136\/bcr.09.2011.4881","type":"journal-article","created":{"date-parts":[[2011,10,28]],"date-time":"2011-10-28T11:24:53Z","timestamp":1319801093000},"page":"bcr0920114881","source":"Crossref","is-referenced-by-count":8,"title":["Cyanide: an unreported cause of neurological complications following smoke inhalation: Figure 1"],"prefix":"10.1136","volume":"2011","author":[{"given":"Fr\u00e9d\u00e9ric","family":"Baud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique","family":"Boukobza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen W","family":"Borron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,10,28]]},"reference":[{"key":"2025082800381300000_2011.oct27_1.bcr0920114881.1","unstructured":"Ballantyne B . In: Ballantyne B Marrs T , eds. Hydrogen Cyanide as a Product of Combustion and a Fector in Morbidity and Mortality from Fires. 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