Citation

Wong OF, Tsang PHK, Ng HL, Lee HM, Koo CK, Lam SK. Hong Kong J. Emerg. Med. 2011; 18(6): 441-445.

Copyright

(Copyright © 2011, Medcom Limited)

DOI

10.1177/102490791101800613

PMID

unavailable

Abstract

We report a 65-year-old male with chemical necrotising fasciitis after self-injection of permethrin insecticide.The patient also developed persistent hypoglycemia secondary to massive insulin overdose. There was noevidence of systemic toxicities from the insecticide poisoning. Multiple debridement and skin grafting wereperformed over his right forearm due to extensive tissue damage. He eventually recovered with impairmentof his right hand function. The clinical features and the management of this uncommon route of insecticidepoisoning are discussed.

Language: en

Keywords

human; Suicide; male; Poisoning; aged; case report; drug overdose; intoxication; article; clinical feature; Insecticides; hypoglycemia; insulin; self injection; debridement; tissue injury; permethrin; skin graft; forearm; Pyrethrins; necrotizing fasciitis; hand function; Necrotizing fasciitis