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Published on: February 13, 2019
Amitraz poisoning in children: retrospective analysis of 21 cases
V Ertekin1, H Alp, M A Selimoğlu
1Department of Paediatrics, Atatürk University, Erzurum, Turkey. vdinar@turk.net
Insights
Amitraz poisoning in children causes drowsiness, loss of consciousness, and hypotension. All 21 pediatric patients recovered fully after hospitalization, highlighting the importance of prompt medical care for amitraz ingestion.
Area of Science:
- Toxicology
- Pediatric Emergency Medicine
Background:
- Amitraz is a common pesticide exposure in children.
- Understanding the clinical manifestations and outcomes of amitraz poisoning is crucial for effective management.
Purpose of the Study:
- To retrospectively evaluate the clinical and laboratory findings in children with amitraz poisoning.
- To identify common symptoms, complications, and recovery patterns.
Main Methods:
- Retrospective review of 21 pediatric cases of amitraz poisoning.
- Data collected included poisoning route, clinical signs, symptoms, hospitalization duration, and outcomes.
Main Results:
- Oral ingestion was the route in all cases, with symptom onset in 30-180 minutes.
- Common findings included drowsiness (100%), loss of consciousness (100%), vomiting (61.9%), hypotension (66.7%), and bradycardia (61.9%).
- Hyperglycemia (47.6%) and seizures (14.3%) were also noted; all patients recovered within 1.0-5.2 days.
Conclusions:
- Amitraz poisoning in children typically presents with central nervous system depression and cardiovascular effects.
- Prompt supportive care leads to complete recovery in pediatric amitraz poisoning cases.
Abstract:
The clinical and laboratory findings of 21 children with amitraz poisoning were evaluated retrospectively. Poisoning route, signs and symptoms of poisoning, duration of hospitalization and outcome were recorded. The mean age was 3.5 +/- 1.9 years and the ratio of males to females was 1.63. In all cases poisoning was via the oral route. The time from ingestion to onset of symptoms was 30-180 min. Drowsiness (100%) and loss of consciousness (100%) were the most common clinical findings, followed by vomiting (61.9%). Hypotension was observed in 66.7% of cases, bradycardia in 61.9%, respiratory depression in 42.9%, hypothermia in 9.3%, and 14.3% had generalized seizures responsive to diazepam. Hyperglycaemia and glycosuria were detected in 47.6% and 38.1% of cases, respectively. Minimally elevated transaminases and alkaline phosphatase levels were detected in 23.8% of cases. All patients recovered completely and were discharged within 1.0-5.2 days (mean, 2.1 +/- 1.1).
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