Amitraz intoxication in children in the rural Black Sea region: analysis of                 forty-three patients

Kalyoncu, Mukaddes; Dilber, Embiya; Ökten, Ayşenur

doi:10.1191/0960327102ht241oa

Cited by 42 publications

(44 citation statements)

References 12 publications

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“…La mayoría de reportes apuntan a que la frecuencia es grande, en especial en países como Turquía y en población pediátrica [1][2][3][4][5][6] . En Latinoamérica específicamente no se han realizado estudios para identificar la frecuencia de esta intoxicación y suele ser baja la calidad de la evidencia de los artículos hallados en la literatura, con un predominio de reportes de casos y unas pocas series de caso [7][8][9] .…”

Section: Discussionunclassified

Reporte de caso de intoxicación por amitraz

Rosas¹,

Mejía²

2017

MedUPB

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RESUMENLa intoxicación por amitraz es poco frecuente en Colombia. Los objetivos de este reporte de caso son evidenciar una presentación atípica de la intoxicación en un paciente de edad avanzada y resaltar aspectos toxico-cinéticos y toxico-dinámicos asociados. La literatura consiste, principalmente, en reportes de caso y series de casos y en Norteamérica. Existe la necesidad de que el personal de salud involucrado en el manejo de estos pacientes reconozca aspectos clave de su fisiopatología y tratamiento. El caso reportado es de un paciente masculino de 73 años, intoxicado por amitraz, que se presenta inicialmente sin alteraciones, y luego de 33 horas, presenta alteraciones del sensorio y compromiso respiratorio, por lo que requiere una disposición en Unidad de Cuidados Especiales (UCE). El paciente tiene evolución satisfactoria. Palabras clave: insecticidas; envenenamiento; fisiopatología. ABSTRACTAmitraz poisoning is not frequent in Colombia. The objectives of this case report are to consider the atypical poisoning in an elderly patient and to emphasize the associated toxic-kinetic and toxic-dynamic aspects. The literature mainly consists of case reports and case series in North America. There is a need for the health personnel involved in the treatment of these patients to recognize key aspects of its physiopathology and treatment. The case reported involves a male patient aged 73 with amitraz poisoning, initially without alterations after 33 hours, presenting sensory alterations and respiratory compromise requiring attention in the Special Care Unit (SCU). The patient recovered satisfactorily. Keywords: insecticides; poisoning; physiopathology. RESUMOA intoxicação por Amitraze é pouco frequente na Colômbia. Os objetivos deste relato de caso são evidenciar uma apresentação atípica da intoxicação num paciente de idade avançada e ressaltar aspectos toxico-cinéticos e toxico-dinâmicos associados. A literatura consiste, principalmente, em relato de caso e séries de casos e na América do Norte. Existe a necessidade de que o pessoal da saúde envolvido no manejo destes pacientes reconheça aspectos chave da sua fisiopatologia e tratamento. O caso reportado é de um paciente masculino de 73 anos, intoxicado por amitraz, que se apresenta inicialmente sem alterações, e logo de 33 horas, apresenta alterações do sensório e compromisso respiratório, pelo qual requere uma disposição em Unidade de Cuidados Especiais (UCE). O paciente tem evolução satisfatória.

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Section: Discussionunclassified

Reporte de caso de intoxicación por amitraz

Rosas¹,

Mejía²

2017

MedUPB

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“…2,[11][12][13][14][15][16][17][18] Yapılan bir çalışmada 12 ise 5 dakika-6 saat, cilt yoluyla alımda 5 dakika-24 saat olarak bildirmiştir. Damar içi yolla alımı takiben bilinç kaybı 1-2 dakika olarak bildirilmiştir.…”

Section: Discussionunclassified

“…Böbrek işlev testlerinin amitraz zehirlenmesinde değişmediği bir çok çalışmada belirtilmiştir. 2,3,[11][12][13]21 Ancak yapılan bir ça-lışmada 20 sıçanlara değişik yol ve dozda amitraz verilmiş ve bizim çalışmamıza benzer şekilde hepatonefrotoksisite ile birlikte miyozit bulunmuştur. Amitrazın antidiüretik hormon sekresyonunu azaltıcı etkisi de birlikte düşünül-düğü takdirde kreatinin değerinin takip edilmesi gerekmektedir.…”

Section: Kaynaklarunclassified

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Comparison of Clinical, Hematologic, Biochemical Findings in Amitraz Poisoning and the Effect of Naloxone to the Treatment: Experimental Study

Topal¹,

Yılmaz²,

Satar³

et al. 2015

Turk J Ped Em Int Care Med

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“…Other arrhythmias developing in association with mad honey intoxication are non-specific bradyarrhythmia, nodal rhythm, complete atrioventricular (AV) block and 2 nd degree AV blocks. [7][8][9][10] Only one case of asystole has been reported. Clinical findings in patients who present to hospital are generally nausea, vomiting, bradycardia and hypotension.…”

Section: Clinical Datamentioning

confidence: 99%

The Black Sea’s poison; Mad Honey

Tatlı¹

2017

J Anal Res Clin Med

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Honey and honey production have been an important source of revenue among the peoples of Anatolia throughout the course of history. Beekeeping is possible everywhere in Turkey thanks to its ecological and geographical features. The best known of these is the type popularly known as 'mad honey', the name of which appears in ancient texts, because of its effects on human beings. Its toxic effects are caused by the substance known as grayanotoxin in the flowers of "Rhododendron ponticum", known among the local inhabitants as the forest rose, which grows in high-altitude forested areas in the Black sea region of Turkey. Like other cholinergic toxidromes, treatment with intravenous atropine and normal saline infusion, can be life-saving in this poisoning.Citation: Tatli O. The Black sea's poison; Mad honey.

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Amitraz intoxication in children in the rural Black Sea region: analysis of forty-three patients

Cited by 42 publications

References 12 publications

Reporte de caso de intoxicación por amitraz

Reporte de caso de intoxicación por amitraz

Comparison of Clinical, Hematologic, Biochemical Findings in Amitraz Poisoning and the Effect of Naloxone to the Treatment: Experimental Study

The Black Sea’s poison; Mad Honey

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