Emamectin Benzoate (EB, also known as MK-0244) is the 4′-deoxy-4′-epi-methyl-amino benzoate salt of avermectin B1 (avermectin family of 16-membered macrocyclic lactones), which is similar structurally to natural fermentation products of Streptomyces avermitilis. 1,2 Streptomyces avermitilis is a naturally occurring soil actinomycete. 3 This EB stimulates high-affinity GABA (Gamma Amino Butyric Acid) receptors and increases membrane chlorideion permeability. 1,2 Used as insecticides and pesticides, it is efficacious against many organisms like armyworm species, diamondback moth (Plutellaxylostella), cabbage looper (Trichoplusiani [Hubner]), beet armyworm (Spodopteraexigua (Hubner), etc.. 2 To the best our knowledge, there has been few available literatures regarding EB poisoning in human, and that too lacks specific recommendations to tackle cases of EB poisoning.Here, we report a case of EB poisoning in child resulting in gastrointestinal distress and confusion, which was managed with vigorous lavage, fluids, and supportive treatments.
| CASE PRESENTATIONA six-year-old girl was brought to the Emergency Department (ED) of Kalaiya District Hospital, Bara, Nepal, with complaints of nausea, vomiting, and abdominal pain at 3:30 pm. It was accompanied by her parents who had noted her of being alert and playful after returning from school on the same day. The mother while doing
We described a case of neural tube defect (NTDs) viz., occipital
encephalomeningocele born to a mother with folic acid supplementation. A
wide interplay of genetic and environmental factors exists in its
causation. The folic acid confers advantage but the relationship with
causation of NTDs is still not clear.
We described a case of neural tube defects (NTDs), specifically occipital encephalomeningocele, in a child born to a mother who received folic acid supplementation. A wide interplay of genetic and environmental factors exists in its causation.Although folic acid confers advantage, the relationship with the causation of NTDs still remains unclear.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.