Citation

Cham EYK, Tse JCL, Chong YK, Chen ML, Wong OF, Fung HT. Hong Kong J. Emerg. Med. 2016; 23(2): 47-51.

Copyright

(Copyright © 2016, Medcom Limited)

DOI

10.1177/102490791602300207

PMID

unavailable

Abstract

We report an 89-year-old retired farmer with prolonged bradycardia and hypotension after pyrethroid insecticides ingestion in a suicidal attempt. This patient also had a clinical manifestation mimicking organophosphate poisoning, included confusion, lacrimation and salivation. He required intensive care support, atropine and inotrope infusions treatments. Only metabolites of synthetic pyrethroid insecticides (3-phenoxybenzoic acid and 3-phenoxybenzaldehyde) were detected in the urine sample. In the serum toxicology screening, specific analysis for organophosphate pesticides was negative. He eventually recovered without major sequela. © 2016, Medcom Limited. All rights reserved.

Language: en

Keywords

human; male; aged; case report; depression; suicide attempt; intoxication; quetiapine; morphine; activated carbon; albumin; hypersalivation; hypotension; atropine; Insecticides; heart rate; QT prolongation; creatine kinase; adrenalin; Glasgow coma scale; naphthalene; cholinesterase; midazolam; electrocardiography; pralidoxime; rocuronium; lactate dehydrogenase; bradycardia; Cardiotoxicity; delusional disorder; mass fragmentography; Article; single drug dose; trihexyphenidyl; sinus bradycardia; Bradycardia; lacrimation; organophosphate poisoning; etomidate; sinus rhythm; T wave inversion; very elderly; Pyrethrins; QRS interval; Cholinergic; pyrethroid poisoning