A case of acute poisoning with thiamethoxam.
10.3760/cma.j.cn121094-20211013-00499
- Author:
Xiao Hua LOU
1
;
Bing Wen ZHANG
1
;
Xu Can MA
1
Author Information
1. Department of Emergency, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China.
- Publication Type:Journal Article
- Keywords:
Penehyclidine hydrochloride;
Poisoning;
Thiamethoxam
- MeSH:
Humans;
Thiamethoxam;
Hemoperfusion;
Hemofiltration;
Prognosis;
Pesticides;
Insecticides;
Neonicotinoids;
Poisoning/therapy*
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2022;40(10):779-782
- CountryChina
- Language:Chinese
-
Abstract:
Thiamethoxam belongs to the second generation of neonicotinoid insecticides, and case of acute poisoning with thiamethoxam had never reported in China. This paper reviewed a case of oral poisoning with thiamethoxam pesticides, the patient suffered vomiting, generalized convulsions, confusion, and decreased oxygen saturation. After treated with gastric lavage, ventilator support, and the use of propofol, midazolam, sodium phenobarbital, and sodium valproate, the convulsions could not be controlled. Untill treated with penehyclidine hydrochloride and hemoperfusion combined with hemofiltration, the patient finally recovered and was discharged from the hospital. We suggest that the main treatments for acute severe thiamethoxam poisoning are decontamination and symptomatic support, pentoxifylline hydrochloride and hemoperfusion combined with hemofiltration may improve the patients' prognosis.
