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Amitraz Poisoning: The (Un) Common Poisoning

Pesticide poisoning is always a clinical conundrum for the emergency physician (EP), the complexity of which increases when the pesticide has no antidote! Over the past decade, there has been a sharp increase in cases of Amitraz poisoning, a pesticide routinely used in veterinary medicine, available...

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Autores principales: Wilson, William, Murty, Shakuntala
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994853/
https://www.ncbi.nlm.nih.gov/pubmed/29937646
http://dx.doi.org/10.4103/JETS.JETS_33_17
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author Wilson, William
Murty, Shakuntala
author_facet Wilson, William
Murty, Shakuntala
author_sort Wilson, William
collection PubMed
description Pesticide poisoning is always a clinical conundrum for the emergency physician (EP), the complexity of which increases when the pesticide has no antidote! Over the past decade, there has been a sharp increase in cases of Amitraz poisoning, a pesticide routinely used in veterinary medicine, available without a prescription. The usual presentation includes bradycardia, hypotension, poor sensorium, and miosis. In the absence of accurate history, these clinical features can be confused with the cholinergic toxidrome of organophosphorus poisoning. There is a dearth of literature regarding the presentation and protocols for the management of Amitraz poisoning with data mostly based on animal studies and pediatric case reports. Currently, the available medical literature in the form of case reports and case series form an invaluable source of information to the EP to formulate a working diagnosis and methodical approach to this pesticide. Here, we present two case reports highlighting the characteristic clinical features and bringing to light how an organized approach to the toxin can give satisfactory results.
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spelling pubmed-59948532018-06-22 Amitraz Poisoning: The (Un) Common Poisoning Wilson, William Murty, Shakuntala J Emerg Trauma Shock Case Report Pesticide poisoning is always a clinical conundrum for the emergency physician (EP), the complexity of which increases when the pesticide has no antidote! Over the past decade, there has been a sharp increase in cases of Amitraz poisoning, a pesticide routinely used in veterinary medicine, available without a prescription. The usual presentation includes bradycardia, hypotension, poor sensorium, and miosis. In the absence of accurate history, these clinical features can be confused with the cholinergic toxidrome of organophosphorus poisoning. There is a dearth of literature regarding the presentation and protocols for the management of Amitraz poisoning with data mostly based on animal studies and pediatric case reports. Currently, the available medical literature in the form of case reports and case series form an invaluable source of information to the EP to formulate a working diagnosis and methodical approach to this pesticide. Here, we present two case reports highlighting the characteristic clinical features and bringing to light how an organized approach to the toxin can give satisfactory results. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5994853/ /pubmed/29937646 http://dx.doi.org/10.4103/JETS.JETS_33_17 Text en Copyright: © 2018 Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Wilson, William
Murty, Shakuntala
Amitraz Poisoning: The (Un) Common Poisoning
title Amitraz Poisoning: The (Un) Common Poisoning
title_full Amitraz Poisoning: The (Un) Common Poisoning
title_fullStr Amitraz Poisoning: The (Un) Common Poisoning
title_full_unstemmed Amitraz Poisoning: The (Un) Common Poisoning
title_short Amitraz Poisoning: The (Un) Common Poisoning
title_sort amitraz poisoning: the (un) common poisoning
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994853/
https://www.ncbi.nlm.nih.gov/pubmed/29937646
http://dx.doi.org/10.4103/JETS.JETS_33_17
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