| Title : [A case of carbamate poisoning in which GCMS was useful to identify causal substance and to decide the appropriate treatment] - Kinoshita_2001_Chudoku.Kenkyu_14_343 |
| Author(s) : Kinoshita H , Hirose Y , Tanaka T , Hori Y , Nakajima M , Fujisawa M , Oseki M |
| Ref : Chudoku Kenkyu , 14 :343 , 2001 |
|
Abstract :
We often have cases of insecticide poisoning where the patient is unconscious and the causal substances are unknown We report an 83-year-old unconscious man who had apparently ingested several agricultural chemicals possibly organophosphate or carbamate According to his family there were three kinds of containers of agricultural chemicals with their caps opened around him When he was transferred to our hospital he presented hypertension hypersalivation and muscle fasciculation His pupils were markedly miotic In order to identify the substances ingested we used a gas chromatographymass spectrometer GCMS using his gastric content Within 30 minutes we were able to identify the causal substance as methomyl one of the popular carbamates thereby eliminating the need to use pralidoxime PAM GCMS makes it possible to identify unknown substances quickly and accurately and is therefore extremely useful in deciding the appropriate treatment |
| PubMedSearch : Kinoshita_2001_Chudoku.Kenkyu_14_343 |
| PubMedID: 11806102 |
Kinoshita H, Hirose Y, Tanaka T, Hori Y, Nakajima M, Fujisawa M, Oseki M (2001)
[A case of carbamate poisoning in which GCMS was useful to identify causal substance and to decide the appropriate treatment]
Chudoku Kenkyu
14 :343
Kinoshita H, Hirose Y, Tanaka T, Hori Y, Nakajima M, Fujisawa M, Oseki M (2001)
Chudoku Kenkyu
14 :343