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Akut Semptomatik Amitraz Zehirlenmesi

Year 2022, Volume: 55 Issue: 2, 146 - 147, 31.08.2022
https://doi.org/10.20492/aeahtd.1033191

Abstract

Amitraz tarım ilacı olarak dünyada ve ülkemizde sıklıkla kullanılan bir insektisittir. Amitraz zehirlenmesi nadirdir ve genellikle pediatrik yaş gruplarında görülür. Zehirlenen hastalarda santral sinir sistemi ve solunum depresyonu, hipotansiyon, bradikardi ve hiperglisemi gözlenir. Özgül bir antidotu yoktur ve tedavi semptomatik önlemleri içerir. Biz de burada özkıyım amacıyla bir bardak Kenaz solüsyonu (yaklaşık 100 mL) içen ve hipotansiyon, kusma ve bradikardi ile acil servisimize başvuran 38 yaşında bir erkek hastayı sunuyoruz.

Supporting Institution

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Project Number

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Thanks

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References

  • 1.Avsarogullari L, Ikizceli I, Sungur M, Sözüer E, Akdur O, Yücel M. Acute amitraz poisoning in adults: clinical features, laboratory findings, and management. Clin Toxicol (Phila) 2006;44:19-23.
  • 2. Demirel Y, Yilmaz A, Gursoy S, Kaygusuz K, Mimaroglu C. Acute amitraz intoxication: retrospective analysis of 45 cases. Hum Exp Toxicol 2006;25:613-7.
  • 3. Elinav E, Shapira Y, Ofran Y, Hassin T, Ben-Dov IZ. Near-fatal amitraz intoxication: the overlooked pesticide. Basic Clin Pharmacol Toxicol 2005;97:185-7.
  • 4. Eizadi-Mood N, Sabzghabaee AM, Gheshlaghi F, Yaraghi A. Amitraz poisoning treatment: still supportive? Iran J Pharm Res 2011;10:155-8.
  • 5. Gursoy S, Kunt N, Kaygusuz K, Kafali H. Intravenous amitraz poisoning. Clin Toxicol 2005;43:113-16.
  • 6. Jorens PG, Zandijk E, Belmans L, Schepens PJ, Bossaert L. An unusual poisoning with the unusual pesticide amitraz. Hum Exp Toxicol 1997;16:600-601.
  • 7. Doganay Z, Aygun D, Altintop L, Guven H, Bildik F. Basic toxicological approach has been effective in two poisoned patients with amitraz ingestion: case reports. Hum Exp Toxicol 2002;21:55-57.
  • 8. Yaramis A, Soker M, Bilici M. Amitraz poisoning in children. Hum Exp Toxicol 2000;19: 431-33.
  • 9. Ertekin V, Alp H, Selimoglu MA, Karacan M. Amitraz poisoning in children: retrospective analysis of 21 cases. J Int Med Res 2002;30:203-205.
  • 10. Aydin K, Kurtoglu S, Poyrazoglu MH, Uzum K, Ustunbas HB, Hallac IK. Amitraz poisoning in children: clinical and laboratory findings of eight cases. Hum Exp Toxicol 1997;16:680-82.

Acute Symptomatic Amitraz Intoxication

Year 2022, Volume: 55 Issue: 2, 146 - 147, 31.08.2022
https://doi.org/10.20492/aeahtd.1033191

Abstract

Amitraz is an insecticide that is frequently used as a pesticide in the world and in our country. Amitraz poisoning is rare and usually occurs in pediatric age groups. Central nervous system and respiratory depression, hypotension, bradycardia and hyperglycemia are mainly observed in poisoned patients. There is no specific antidote and treatment includes symptomatic measures. Herein, we report a 38-year-old male patient who ingested a glass of Kenaz solution (about 100 mL) as a suicidal attempt and admitted to our emergency department with hypotension, vomiting, and bradycardia.

Project Number

yok

References

  • 1.Avsarogullari L, Ikizceli I, Sungur M, Sözüer E, Akdur O, Yücel M. Acute amitraz poisoning in adults: clinical features, laboratory findings, and management. Clin Toxicol (Phila) 2006;44:19-23.
  • 2. Demirel Y, Yilmaz A, Gursoy S, Kaygusuz K, Mimaroglu C. Acute amitraz intoxication: retrospective analysis of 45 cases. Hum Exp Toxicol 2006;25:613-7.
  • 3. Elinav E, Shapira Y, Ofran Y, Hassin T, Ben-Dov IZ. Near-fatal amitraz intoxication: the overlooked pesticide. Basic Clin Pharmacol Toxicol 2005;97:185-7.
  • 4. Eizadi-Mood N, Sabzghabaee AM, Gheshlaghi F, Yaraghi A. Amitraz poisoning treatment: still supportive? Iran J Pharm Res 2011;10:155-8.
  • 5. Gursoy S, Kunt N, Kaygusuz K, Kafali H. Intravenous amitraz poisoning. Clin Toxicol 2005;43:113-16.
  • 6. Jorens PG, Zandijk E, Belmans L, Schepens PJ, Bossaert L. An unusual poisoning with the unusual pesticide amitraz. Hum Exp Toxicol 1997;16:600-601.
  • 7. Doganay Z, Aygun D, Altintop L, Guven H, Bildik F. Basic toxicological approach has been effective in two poisoned patients with amitraz ingestion: case reports. Hum Exp Toxicol 2002;21:55-57.
  • 8. Yaramis A, Soker M, Bilici M. Amitraz poisoning in children. Hum Exp Toxicol 2000;19: 431-33.
  • 9. Ertekin V, Alp H, Selimoglu MA, Karacan M. Amitraz poisoning in children: retrospective analysis of 21 cases. J Int Med Res 2002;30:203-205.
  • 10. Aydin K, Kurtoglu S, Poyrazoglu MH, Uzum K, Ustunbas HB, Hallac IK. Amitraz poisoning in children: clinical and laboratory findings of eight cases. Hum Exp Toxicol 1997;16:680-82.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case report
Authors

Sertaç Güler 0000-0002-6266-6145

Dilber Üçöz Kocaşaban 0000-0002-7473-1434

Sinan Özdemir 0000-0001-7396-0529

Project Number yok
Publication Date August 31, 2022
Submission Date December 7, 2021
Published in Issue Year 2022 Volume: 55 Issue: 2

Cite

AMA Güler S, Üçöz Kocaşaban D, Özdemir S. Acute Symptomatic Amitraz Intoxication. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. August 2022;55(2):146-147. doi:10.20492/aeahtd.1033191