Death from Ingestion of beta-fluoroethyl Acetate Rodenticide.
- Author:
Seon Hee WOO
1
;
Si Kyoung JEONG
;
Woon Jeoung LEE
;
Won Jae LEE
;
Se Kyung KIM
Author Information
1. Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sikyoung@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
beta-fluoroethyl acetate;
Rodenticide;
Poisoning
- MeSH:
Eating*;
Emergency Service, Hospital;
Female;
Humans;
Metabolism;
Poisoning;
Seizures;
Sodium;
Ventricular Fibrillation
- From:Journal of the Korean Society of Emergency Medicine
2004;15(3):205-207
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The highly toxic sodium monofluoroacetate (SMFA) was banned as a rodenticide in this country in the 1980s. The fluoroacetate metabolite, fluorocitric acid blocks cellular metabolism by inhibiting the Klebs cycle, producing widespread clinical effects including respiratory, neurologic, cardiologic, and fluid-electrolyte abnormalities. We report the case of intentional ingestion of a derivative product, beta-fluoroethyl acetate. A 79-yr-old female was brought to the emergency room without any problem. At 2hours post ingestion, she had a generalized tonic-clonic seizure and then, was unresponsive to painful stimuli. At 6hours post ingestion, she died from refractory ventricular fibrillation. We report this patient to increase awareness of beta-fluoroethylacetate toxicity.
