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Aldicarb poisoning.

C Ragoucy-Sengler1, A Tracqui, A Chavonnet

  • 1Biochemistry-Pharmacology-Toxicology, Centre Hospitalier Universitaire, Pointe à Pitre, Guadeloupe, French West Indies , France.

Human & Experimental Toxicology
|April 9, 2001
PubMed
Summary
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Aldicarb poisoning, often from illicit use, causes severe cholinergic symptoms and low serum cholinesterase. Oxime treatment is safe and recommended, especially when the pesticide is unknown.

Area of Science:

  • Toxicology
  • Environmental Health
  • Clinical Medicine

Background:

  • Aldicarb (Temik) is a highly toxic carbamate pesticide.
  • Illicit use as a household rodenticide poses significant poisoning risks.
  • Previous reviews lack comprehensive clinical and analytical data on aldicarb poisoning.

Purpose of the Study:

  • To review aldicarb poisoning circumstances, clinical and analytical findings.
  • To discuss the efficacy and safety of oxime treatment for aldicarb intoxication.
  • To highlight the dangers of illicit aldicarb use and recommend control measures.

Main Methods:

  • Retrospective review of 18 patients and 2 deceased individuals with suspected aldicarb poisoning.
  • Clinical assessment of cholinergic symptoms (muscarinic, nicotinic, CNS).

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  • Laboratory analysis including serum cholinesterase activity and aldicarb identification via liquid chromatography.
  • Main Results:

    • All patients exhibited severe cholinergic symptoms, with serum cholinesterase <30% of normal.
    • Common symptoms included diarrhea, fasciculations, and central nervous system depression (GCS < 8).
    • Four patients had conduction abnormalities; two died, indicating high mortality.

    Conclusions:

    • Aldicarb intoxication is consistently severe and life-threatening.
    • Oxime treatment showed no adverse effects and is advisable for unknown pesticide poisonings.
    • Stricter measures are needed to eliminate the illegal use of aldicarb.