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Accidental veterinary antibiotic injection into a farm worker.
Tennessee Medicine : Journal of the Tennessee Medical Association
|September 4, 1999
Summary
Accidental self-injection of tilmicosin, a bovine antibiotic, caused temporary pulmonary, gastrointestinal, and neuromuscular issues in a farm worker. Symptoms resolved, but persistent fatigue remained, highlighting antibiotic risks.
Area of Science:
- Veterinary Medicine
- Human Toxicology
- Occupational Health
Background:
- Tilmicosin is a macrolide antibiotic primarily used in veterinary medicine for cattle and swine.
- Accidental human exposure can occur during drug preparation or administration, posing potential health risks.
Observation:
- A 29-year-old male farm worker accidentally injected tilmicosin into his finger.
- The patient presented with acute symptoms affecting multiple organ systems.
Findings:
- The individual experienced transient pulmonary, gastrointestinal, and neuromuscular adverse effects following tilmicosin exposure.
- A persistent symptom of subjective asthenia (weakness or lack of energy) was noted post-exposure.
Implications:
- This case underscores the importance of safety protocols when handling veterinary antibiotics to prevent accidental human exposure.
- Understanding the toxicological profile of tilmicosin in humans is crucial for appropriate medical management of accidental exposures.
- Occupational health strategies should address the risks associated with handling potent animal pharmaceuticals in agricultural settings.