儿童在使用抗乳液后发生全身有机酸中毒
Frédéric Aknouche1, Romain Magny2,3, Christophe Maruejouls1
1Laboratoire Barla, 6 rue Barla, Nice, 06000, France.
Journal of analytical toxicology
|October 23, 2025
概括
甲基 (OP) 中毒由迪亚辛洗发水引起的延迟诊断和中间综合征在一个孩子. 先进的质谱学证实了暴露,有助于治疗,并强调在不寻常的情况下需要考虑OP中毒.
科学领域:
- 毒理学 毒理学 毒理学
- 儿科 儿科 儿科
- 环境健康 环境健康
背景情况:
- 系统性有机中毒 (OP) 可能发生在家用产品中.
- 由于非特异性症状和通信障碍,对OP中毒的延迟诊断具有挑战性.
- 中间综合症是OP中毒的严重并发症.
研究的目的:
- 报告一名儿童因使用含有diazinon的家用洗发水中毒的OP病例.
- 突出诊断挑战和先进分析技术的实用性.
- 讨论延迟OP中毒的管理和后果.
主要方法:
- 临床病例介绍和详细的病史.
- 实验室分析包括胆酶活性,水平和非向高分辨率质谱 (LC-HR-MS/MS).
- 对家用洗发水进行毒理学确认的分析.
主要成果:
- 由于非特异性症状和语言障碍,OP中毒的诊断被推迟.
- 胆酶活性显著降低 (313 U/L).
- LC-HR-MS/MS在血和尿液中确定了迪亚津,其代谢物 (包括IMPY) 和新型化合物,证实了暴露.
- 晚期服用普拉利多克西姆甲基硫酸盐导致部分神经恢复,但持续的后果.
结论:
- 即使在异常呈现的情况下,也应该考虑OP中毒.
- 非向的HRMS对于诊断OP中毒非常有价值,当传统方法无法得出结论时.
- 延迟诊断和治疗可能会导致严重的并发症,如中间综合征和持续的神经缺陷.
相关概念视频
Anticholinesterase Agents: Poisoning and Treatment
1.5K
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
1.5K
Prevention of Further Absorption of Poison
1.2K
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.2K
Indirect-Acting Cholinergic Agonists: Pharmacokinetics
1.5K
Indirect-acting cholinergic agonists, or anticholinesterases, enhance the body's cholinergic activity by inhibiting acetylcholine's breakdown. They are categorized as reversible or irreversible agents based on their mechanism of action. They are further classified into short-acting, intermediate-acting, and long-acting agents based on their duration of action.
Reversible agents containing quaternary amines, such as neostigmine and edrophonium, are not easily absorbed orally because they...
Reversible agents containing quaternary amines, such as neostigmine and edrophonium, are not easily absorbed orally because they...
1.5K
Toxic Reactions: Overview
1.8K
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
1.8K
Local Anesthetics: Adverse Effects
751
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
751
Types of Toxins
3.1K
Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
3.1K


