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Revista Médica La Paz

versión On-line ISSN 1726-8958

Resumen

TORREZ CRUZ, Karen Mabel; VIRUEZ SOTO, José Luis; VILLAFUERTE MOLLINEDO, Priscila  y  ILAYA GARAVITO, Pamela. ACUTE PYRETHROIDS POISONING: CASE REPORT. Rev. Méd. La Paz [online]. 2020, vol.26, n.1, pp. 42-45. ISSN 1726-8958.

A 21-years-old male patient, dweller from Chulumani province, went to the Hospital of Chulumani Emergency Service after accidental intake of cypermethrin which is a synthetic pyrethroid insecticide. Patient presented respiratory arrest associated to deterioration of his state of consciousness, intubation and mechanical ventilation was performed. Subsequently, patient was transferred to the intensive care unit of Hospital Juan XXIII in La Paz city. After hospital admission, clinical proper characteristics of a pyrethroid intoxication, which is not a common entity in our environment, were observed. Signs such as deterioration in the state of consciousness, pinpoint pupils, fascial fasciculation, tremors and hyperexcitability in upper and lower limbs to external stimuli, hypothermia, sialorrhea, profuse and persistent diaphoresis, bradycardia, diarrhea and proximal weakness of limbs with loss of muscle strength were evidenced. This leaded to patient's prolonged staying in ICU and weaning as well as extubation failure at an opportunity. Definitive removal of mechanical ventilator was achieved after 20 days of hospitalization and intubation. Given symptoms similar to organophosphate poisoning patient received a treatment based on atropine and life support measures of the Intensive Care Unit, optimizing in this way patient's respiratory and integral rehabilitation.

Palabras clave : toxic; pesticide; coca.

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