Citation

Fidan H, Sivaci RG, Ellidokuz E, Erol D, Balci C. Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi 2004; 32(4): 319-322.

Copyright

(Copyright © 2004)

DOI

unavailable

PMID

unavailable

Abstract

Organophosphate and carbamate insecticides are the most common chemical agents that cause pesticide intoxication. Association of pulmoner edema, a serious pathology, with acute pancreatitis, a rare pathology, is also uncommon. Sixteen years old female admitted to our hospital after malathion ingestion to commit suicide. Hypotension developed within an hour and SpO2 dropped to 79% in spite of oxygen support. She hiperventilated and she began to spit pink bubbly phlegm. She was intubated and mechanical ventilation was started. The infusion of positive inotropic agents and atropine were begun. On the first day, serum amylase level was 984 U L-1. Serum amylase returned to normal level on the fourth day. Serum pseudocholinesterase level became normal on the fifth day. Biochemical parameters and clinical profile recovered dramatically with atropine infusion and PAM therapy in the patient who had experienced pulmonary edema and had laboratory data suggesting acute interstitial pancreatitis. It should be further studied if atropine therapy prevents the developement of acute pancreatitis in organophosphate intoxication of humans, and how it should be used.

Language: tr

Keywords

adolescent; human; female; Pulmonary edema; case report; suicide attempt; intoxication; Organophosphate; article; hypotension; artificial ventilation; atropine; lung edema; organophosphate insecticide; cholinesterase; enzyme blood level; pralidoxime; carbamate insecticide; hyperventilation; hemoptysis; acute pancreatitis; amylase; amylase blood level; Atropine; inotropic agent; malathion; malathion intoxication; organophosphate intoxication; oxygen saturation; oxygen therapy; Pancreatitis; pesticide poisoning; respiratory tract intubation