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Cyanide poisoning is highly significant owing to high mortality and the existence of antidotes. I present a 35-year-old man who was transported from a burning building and suffered severe metabolic acidosis despite no major bleeding as well as mild carbon monoxide poisoning. I suspected cyanide poisoning and administered the antidote; subsequently, the patient showed improvement. The next day, sudden airway obstruction developed, and emergency endotracheal intubation was performed. The inhalation damage was detected only in the lower airway tract and not in the upper airway. Physicians should be aware of cyanide poisoning and inhalation burn to avoid missing treatment opportunities.<\/jats:p>","DOI":"10.20408\/jti.2023.0060","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T07:58:35Z","timestamp":1701331115000},"page":"393-398","update-policy":"https:\/\/doi.org\/10.20408\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report"],"prefix":"10.20408","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2843-5597","authenticated-orcid":true,"given":"Hyung Il","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8308","reference":[{"key":"ref1","first-page":"519","volume-title":"The influence of potassium cyanide poisoning on the gamma-aminobutyric acid level in rat 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