@article{ref1,
title="Clinical characteristics and treatment of mixed-pesticide poisoning in a patient:  reflections on a particular case",
journal="Journal of international medical research",
year="2020",
author="Tao, Yiming and Liu, Tingting and Han, Jie and Jian, Xiangdong and Kan, Baotian",
volume="48",
number="12",
pages="e300060520977392-e300060520977392",
abstract="Patients who commit suicide often deliberately hide their medical history. Given  that taking pesticides is one of the most common methods of suicide, other forms of  poisoning may be neglected in clinical practice. We report here a case of  mixed-pesticide poisoning. The patient was poisoned by oral administration of a  coumarin rodenticide in combination with an intramuscular injection of  organophosphorus (OP) pesticide. The patient was treated with vitamin K1,  cholinesterase reactivators, atropine, ventilator-assisted ventilation, and bedside  debridement. Her condition gradually stabilized and she eventually recovered and was  discharged. Assessment of the causes of delayed diagnosis and treatment suggests  that we need to improve early detection and treatment of acute poisoning. It is  especially important to ask about the patient's medical history, conduct a careful  physical examination, and track the clinical symptoms and differential diagnosis of  common poisoning. In addition to the three common routes of poisoning-oral,  inhalation, and cutaneous mucosal contact-intramuscular injection of OP can also  lead to severe poisoning, which manifests as respiratory failure.<p /> <p>Language: en</p>",
language="en",
issn="0300-0605",
doi="10.1177/0300060520977392",
url="http://dx.doi.org/10.1177/0300060520977392"
}