Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

Permethrin is a synthetic Type I pyrethroidal neurotoxic pesticide that has been responsible for accidental animal deaths. Despite its widespread use, there are no published case reports on pediatric intensive care unit admissions due to permethrin exposure. We report the unusual and varied presenta...

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Main Authors: Bonny Drago, Namrata S. Shah, Samir H. Shah
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Toxicology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214750014000882
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author Bonny Drago
Namrata S. Shah
Samir H. Shah
author_facet Bonny Drago
Namrata S. Shah
Samir H. Shah
author_sort Bonny Drago
collection DOAJ
description Permethrin is a synthetic Type I pyrethroidal neurotoxic pesticide that has been responsible for accidental animal deaths. Despite its widespread use, there are no published case reports on pediatric intensive care unit admissions due to permethrin exposure. We report the unusual and varied presentations of permethrin toxicity in three siblings presenting to a tertiary care pediatric intensive care unit (PICU). While there is no standard clinical diagnostic test for permethrin, accurate diagnosis was obtained by rapidly analyzing the offending agent. In the absence of a known antidote for permethrin, supportive management was initiated and resulted in a favorable outcome for all three siblings.
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spelling doaj.art-afc6532a14bd4b3185909e3277188c962022-12-22T03:54:28ZengElsevierToxicology Reports2214-75002014-01-011C1026102810.1016/j.toxrep.2014.09.007Acute permethrin neurotoxicity: Variable presentations, high index of suspicionBonny Drago0Namrata S. Shah1Samir H. Shah2Department of Pediatrics, State University of New York at Stony Brook, New York, NY 11790, USADepartment of Pediatric Neurology, Le Bonheur Children's Hospital and The University of Tennessee Health Science Center, Memphis, TN 38103, USADepartment of Pediatric Critical Care Medicine, Le Bonheur Children's Hospital and The University of Tennessee Health Science Center, Memphis, TN 38103, USAPermethrin is a synthetic Type I pyrethroidal neurotoxic pesticide that has been responsible for accidental animal deaths. Despite its widespread use, there are no published case reports on pediatric intensive care unit admissions due to permethrin exposure. We report the unusual and varied presentations of permethrin toxicity in three siblings presenting to a tertiary care pediatric intensive care unit (PICU). While there is no standard clinical diagnostic test for permethrin, accurate diagnosis was obtained by rapidly analyzing the offending agent. In the absence of a known antidote for permethrin, supportive management was initiated and resulted in a favorable outcome for all three siblings.http://www.sciencedirect.com/science/article/pii/S2214750014000882PermethrinToxicologyNeurological presentations
spellingShingle Bonny Drago
Namrata S. Shah
Samir H. Shah
Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
Toxicology Reports
Permethrin
Toxicology
Neurological presentations
title Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
title_full Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
title_fullStr Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
title_full_unstemmed Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
title_short Acute permethrin neurotoxicity: Variable presentations, high index of suspicion
title_sort acute permethrin neurotoxicity variable presentations high index of suspicion
topic Permethrin
Toxicology
Neurological presentations
url http://www.sciencedirect.com/science/article/pii/S2214750014000882
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