Amitraz (Acaricide) Poisoning: A Study of this Unusual Emerging Poison
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Background: Amitraz is a pharmaceutical, veterinary, and agricultural product which is used worldwide under numerous generic names as an acaricide and insecticide. Because of its widespread use, Amitraz has emerged as one of the common poisoning in rural areas. Aims and Methods: To report the clinical features, laboratory findings and the management instituted for the patients with acute Amitraz Poisoning and review the previously reported cases. Results: Total sixteen (Ten male and six female) patients aged between17 to 48years were admitted to our department. The ingested amount was ranging from 15 ml to 30 ml.The initial signs and symptoms were impaired consciousness, drowsiness, vomiting,disorientation, miosis, mydriasis, hypotension, hypertension, tachycardia, bradycardia, tachypnea, bradypnoea, and hypothermia. Six patients required mechanical ventilation. CNS depression resolved spontaneously within 8–48 hours in all. The length of hospital stay was three to sevendays; all the patientsrecovered Conclusion: Amitraz is a deadly poison with mainly central nervous system and respiratory system depression, without any antidote. Early and aggressive management helps in excellent patient outcome in the form ofcomplete recovery. Public awareness isrequired to prevent poisoning by such compound, especially among the illiterate farmers.
Authors and Affiliations
Surendra E. M.
Acute Illicit Alcohol Poisoning: A Systematic Approach to Diagnosis and Management
Introduction: Illicit alcohol is spiked with various substances e.g. methanol, solvents, pesticides, sedatives and plant extracts. Patient with poisoning due to illicit alcohol are usually brought to the hospital in ineb...
To Determine Severity and Prognostic Factors of Patients Admitted in Emergency with Community Acquired Pneumonia
Aim: The aim of the study is to determine systematically the performance of existing clinical prediction score (SMART_COP, CURB_65, PSI, ATS/ IDSA, SCAP Score) to risk stratify the Emergency department patients with Comm...
Relevance of Pseudo Cholinesterase Level to Clinical Profile as Prognostic Marker on Organophosphorus Compound Poisoning
Background: Organophosphorus poisoning has a high mortality rate. Various factors decide prognosis of organophosphate poisoning. This study is carried out to analyze the significance of estimation of serum pseudo choline...
A Case of Aortic Dissection Presenting as CVA with Pulmonary Embolism
Aortic dissection is a life threatening condition of the aorta. Early diagnosis and management can reduce the patient’s morbidity and mortality; hence one should have a high index of suspicion for this condition. This ca...
Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima
Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is characterized by recurrent episodes of symptomatic hypoglycemia occurring within 4 hour after a high carbohydrate meal. The frequent sampling of postpra...