Benzoylureas are chemical compounds best known for their use as insecticides. Diflubenzuron is one of the more commonly used benzoylurea pesticides. Others include chlorfluazuron, flufenoxuron, hexaflumuron, and triflumuron. They act as insect growth regulators by inhibiting synthesis of chitin in the body of the insect. They have low toxicity in mammals because mammals have no chitin. Chlorfluazuron insecticides, which are mixed with solvent naphatha, are commonly used. Thus we assume that in the presented case mental change outcome of poisoning was connected with toxic effects of solvent naphtha rather than with chlorfluazuron action. Components of solvent naphtha, particularly trimethylbenzenes, exert strong irritant action on the gastric mucosa and are very well absorbed from the gastrointestinal tract. We report on a 67-year-old man with stuporous mentality after intentional ingestion of approximately 200 ml of liquid chlorfluazuron in a suicide attempt. He was discharged after conservative treatments including gastric irrigation, charcoal, mechanical ventilation, hydration, and antibiotics for aspiration pneumonia without complications.
Aged ; Anti-Bacterial Agents ; Charcoal ; Chitin ; Diflubenzuron ; Eating ; Gastric Lavage ; Gastric Mucosa ; Gastrointestinal Tract ; Humans ; Insecticides ; Insects ; Juvenile Hormones ; Mammals ; Pesticides ; Pneumonia, Aspiration ; Poisoning* ; Respiration, Artificial ; Stupor ; Suicide

Since the advent of various antibiotics and corticosteroids contributed very much the treatment of ocular inflammatory diseases, still not rare of uveitis patients in infancy tends to fall blindness because of inability to confirm the true cause of most uveitis by recent diagnostic and therapeutic methods. Incidence, clinical characteristics and modern therapeutic measures are briefly discussed. Toxoplasmosis, Sarcoidosis, juvenile rheumatoid arthritis and cytomegalic inclusion disease are reviewed.
Adrenal Cortex Hormones ; Anti-Bacterial Agents ; Arthritis, Juvenile ; Blindness ; Cytomegalovirus Infections ; Humans ; Incidence ; Sarcoidosis ; Toxoplasmosis ; Uveitis*

Adrenal Cortex Hormones ; administration & dosage ; therapeutic use ; Arthritis, Juvenile ; drug therapy ; Humans ; Injections, Intra-Articular

OBJECTIVE: This study examined the prevalence of low-bone mineral density (BMD) and its associated factors in Korean children and adolescents with juvenile idiopathic arthritis (JIA). METHODS: Thirty-nine patients with JIA were included in this cross-sectional study. The patients were examined for their bone age (BA) and bone mineral density (BMD). The BMD was measured using dual-energy X-ray absorptiometry on the lumbar spine. Each BMD value was converted to a Z-score by comparing the reference values of the healthy control group in terms of the age and sex of each patient, which was measured using the same device. A Z-score of less than −2.0 was defined as a low BMD. Laboratory tests were performed to detect the serum calcium, phosphorus, alkaline phosphatase, and 25-hydroxyvitamin D levels. RESULTS: The mean age at the time of the examination was 12.2±3.6 years, and the study comprised a total of 39 patients (16 males, 23 females). Patients with systemic JIA had a lower BMD, which was calculated based on the CA, BA, and HA, than those with non-systemic JIA (P=0.020, P=0.049, and P=0.024, respectively); the corticosteroid user group also showed a lower BMD, which had been calculated based on the CA, BA, and HA, than the corticosteroid non-user group (p=0.002, p=0.022, and p=0.188, respectively). CONCLUSION: This study suggests that JIA patients have a lower BMD than control subjects. Therefore, treatment, and education are warranted while treating patients with JIA, particularly those requiring oral corticosteroids or those with systemic JIA and appropriate laboratory tests.
Absorptiometry, Photon ; Adolescent* ; Adrenal Cortex Hormones ; Alkaline Phosphatase ; Arthritis, Juvenile* ; Bone Density* ; Calcium ; Child* ; Cross-Sectional Studies ; Education ; Humans ; Male ; Miners ; Phosphorus ; Prevalence* ; Reference Values ; Spine