Title : Amitraz: a mimicker of organophosphate poisoning - Dhooria_2015_BMJ.Case.Rep_2015_ |
Author(s) : Dhooria S , Behera D , Agarwal R |
Ref : BMJ Case Rep , 2015 : , 2015 |
Abstract :
Amitraz is used as an ectoparasiticide for dogs and cattle. Human poisoning due to amitraz may be misdiagnosed as organophosphate/carbamate (OPC) toxicity, since amitraz poisoning shares several clinical features (miosis, bradycardia and hypotension) encountered with OPC poisoning. A 19-year-old man with an alleged history of suicidal ingestion of a pesticide presented with drowsiness and was found to have constricted pupils, hypotension and bradycardia. He was diagnosed as a case of OPC poisoning and was treated with atropine and pralidoxime prior to presentation to our centre. Absence of a hypersecretory state, and the presence of hyperglycaemia and hypothermia along with a normal serum cholinesterase level suggested an alternate possibility. Retrieval of the poison container confirmed the diagnosis of amitraz poisoning. The patient made a rapid recovery with supportive management. Clinician awareness is key to successful management of this poisoning, which carries a good prognosis. |
PubMedSearch : Dhooria_2015_BMJ.Case.Rep_2015_ |
PubMedID: 26430228 |
Dhooria S, Behera D, Agarwal R (2015)
Amitraz: a mimicker of organophosphate poisoning
BMJ Case Rep
2015 :
Dhooria S, Behera D, Agarwal R (2015)
BMJ Case Rep
2015 :