Carboxyhemoglobin Toxicity
- PMID: 32491811
- Bookshelf ID: NBK557888
Carboxyhemoglobin Toxicity
Excerpt
Carbon monoxide is a tasteless, odorless, colorless, and non-irritating gas formed with the combustion of hydrocarbons (fossil fuels). It binds to hemoglobin with a much greater affinity than oxygen to form carboxyhemoglobin, subsequently reducing oxygen-carrying capacity and oxygen utilization. Hypoxia ensues, and toxicity can lead to cerebrovascular ischemia and myocardial infarction. By acting as a direct toxin on the cellular level, carboxyhemoglobin disrupts cellular processes. It inhibits aerobic metabolism, precipitating an inflammatory cascade that causes catastrophic damage to the central nervous system. Acute toxicity can be fatal, and carbon monoxide toxicity causes many deaths due to both inadvertent exposure and suicidal poisonings.
Copyright © 2025, StatPearls Publishing LLC.
Conflict of interest statement
Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- Toxicokinetics
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
-
- Ernst A, Zibrak JD. Carbon monoxide poisoning. N Engl J Med. 1998 Nov 26;339(22):1603-8. - PubMed
-
- Henry CR, Satran D, Lindgren B, Adkinson C, Nicholson CI, Henry TD. Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. JAMA. 2006 Jan 25;295(4):398-402. - PubMed
Publication types
LinkOut - more resources
Full Text Sources