Citation

Wong OF, Tsang PH, Ng HL, Lee HM, Koo CK, Lam SK. Hong Kong J. Emerg. Med. 2012; 19(1): 441-445.

Copyright

(Copyright © 2012, Medcom Limited)

DOI

unavailable

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 no evidence of systemic toxicities from the insecticide poisoning. Multiple debridement and skin grafting were performed over his right forearm due to extensive tissue damage. He eventually recovered with impairment of his right hand function. The clinical features and the management of this uncommon route of insecticide poisoning are discussed.

Language: en

Keywords

human; Suicide; male; Poisoning; aged; case report; suicide attempt; drug overdose; intoxication; article; intensive care unit; paracetamol; drug blood level; follow up; Insecticides; glucose blood level; glucose; Glasgow coma scale; hypoglycemia; potassium; ampicillin; debridement; electrocardiography; isophane insulin; octreotide; echography; metformin; clindamycin; permethrin; hypokalemia; ceftriaxone; skin transplantation; gliclazide; Pyrethrins; necrotizing fasciitis; Necrotizing fasciitis; cloxacillin; hand disease; insecticide poisoning