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Acute Niclofolan Intoxication Led to Stillbirth: A Case Report
Rui Feng Li1, Liang Fen Wang1,2, Hai Ying Zhang3
1Department of Clinical Pharmacy, Sichuan Provincial Women's and Children's Hospital/The Affiliated Women's and Children's Hospital of Chengdu Medical College, Chengdu, People's Republic of China.
This case study details acute niclofolan intoxication in a pregnant woman, highlighting its reproductive toxicity and potential to cause stillbirth even at therapeutic doses. Prompt medical intervention led to a positive patient outcome.
Area of Science:
- Veterinary Pharmacology
- Toxicology
- Reproductive Medicine
Background:
- Niclofolan is a widely used veterinary anthelmintic.
- Accidental or intentional exposure can lead to human intoxication.
- Reproductive toxicity in humans has not been previously documented.
Observation:
- A pregnant woman presented with acute niclofolan intoxication.
- Symptoms included nausea, vomiting, asthenia, blurred vision, and abnormal blood work.
- Stillbirth occurred, representing a novel finding in human niclofolan toxicity.
Findings:
- The patient's symptoms were consistent with niclofolan poisoning.
- A therapeutic oral dosage, as per veterinary literature, was implicated in the stillbirth.
- Aggressive treatment, including critical care and plasma exchange, resulted in patient recovery.
Implications:
- This case underscores the potential human reproductive toxicity of niclofolan.
- It emphasizes the need for increased awareness of veterinary drug risks in pregnant individuals.
- Highlights the importance of recognizing and managing niclofolan intoxication, and addresses concerns of veterinary drug misuse.
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