Rodenticide poisoning leading to cerebral hemorrhage: A case report

Qian-Kun He1, Yuan-Hua Wu1, Xiao-Ying Lu2

  • 1Department of Neurology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.

Medicine
|February 16, 2024
PubMed
Abstract

Insights

Anticoagulant rodenticide poisoning can cause rare but serious cerebral hemorrhages. Prompt diagnosis and treatment with Vitamin K1 infusion are effective for recovery.

Area of Science:

  • Toxicology
  • Neurology
  • Internal Medicine

Background:

  • Anticoagulant rodenticides (ARs) are common murine poisons.
  • AR poisoning typically causes bleeding in various organs, but cerebral hemorrhage is seldom reported.
  • This case highlights a rare manifestation of AR intoxication.

Observation:

  • A 40-year-old male presented with neurological symptoms including dizziness, headache, and limb weakness, alongside coagulopathy.
  • The patient reported exposure to dead mice prior to symptom onset.
  • Initial symptoms were nonspecific, potentially leading to diagnostic challenges.

Findings:

  • The patient was diagnosed with rodenticide intoxication-induced cerebral hemorrhage.
  • Treatment involved Vitamin K1 infusion, management of intracranial pressure, and correction of metabolic imbalances.
  • Neurological symptoms resolved, and coagulation parameters normalized after 9 days of treatment.

Implications:

  • Rodenticide poisoning is a potential cause of intracerebral hemorrhage.
  • Early consideration of rodenticide poisoning in patients with nonspecific neurological symptoms and coagulopathy is crucial.
  • Vitamin K1 infusion is an effective treatment for rodenticide-induced cerebral hemorrhage, necessitating timely diagnosis through coagulation tests and neuroimaging.

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