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Organophosphate acetylcholine esterase inhibitor poisoning from a home-made shampoo

Yair Sadaka1, Arnon Broides, Raffi Lev Tzion

  • 1Department of Pediatric Emergency, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.

Journal of Emergencies, Trauma, and Shock
|September 3, 2011
PubMed

Insights

Organophosphate poisoning in children can occur from homemade shampoos. Promptly rinsing skin and scalp is crucial if poisoning is suspected from unclear sources.

Area of Science:

  • Toxicology
  • Pediatric Intensive Care

Background:

  • Organophosphate acetylcholine esterase inhibitor (AChEI) poisoning is a significant pediatric health concern.
  • AChEI poisoning can lead to severe neurological and physiological effects in children.

Observation:

  • Two children presented with AChEI poisoning after using a homemade shampoo for head lice treatment.
  • The source of poisoning was initially unclear, delaying diagnosis in one child.

Findings:

  • Homemade shampoos can be an unusual source of organophosphate AChEI poisoning in children.
  • Both affected children recovered fully without complications.

Implications:

  • Clinicians should inquire about homemade shampoo use in cases of unexplained AChEI poisoning.
  • Immediate and thorough rinsing of skin and scalp is recommended upon suspected exposure to prevent absorption.

Keywords:
Childrenorganophosphate acetylcholine esterasepoisoningshampoo

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