Conclusion
Cyanide poisoning can present with nonspecific symptoms which can
complicate the course of diagnosis and rapid therapy. The clinical
course can vary from mild to severe. Early recognition of cyanide
toxicity can help guide in treatment and improve outcomes. In our case,
due to the unavailability of cyanide antidote kits, we chose
plasmapheresis beside other supportive measures. Treatment guidance
based on a case report is not possible, however, plasmapheresis can be
done when standard treatment is not available or the patient is not
responding to such therapy.