Calypso's spell: accidental near‐fatal thiacloprid intoxication. Issue 10 (5th September 2017)

• Record Type: Journal Article
• Authors: Zuercher, Patrick; Gerber, Daniel; Schai, Nadia; Nebiker, Matthias; König, Stefan; Schefold, Joerg C.
• Is Part Of: Clinical case reports. Volume 5:Issue 10(2017)
• Page Start: 1672
• Page End: 1675
• Publication Date: 2017-09-05
• Subjects: Hemodialysis -- ICU -- insecticide -- intoxication -- nicotinamide -- thiacloprid; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.1146
• Languages: English
• ISSNs: 2050-0904

Abstract

Key Clinical Message: Acute life‐threatening intoxications with insecticides are rare. We report a case of accidental near‐fatal thiacloprid intoxication with mass spectrometry‐based analytical confirmation. The initial clinical presentation resembled imminent brain death and/or severe postanoxic encephalopathy. Prolonged supportive treatment resulted in full recovery underlining intoxication as an important differential diagnosis in unclear coma. Abstract : Acute life‐threatening intoxications with insecticides are rare. We report a case of accidental near‐fatal thiacloprid intoxication with mass spectrometry‐based analytical confirmation. The initial clinical presentation resembled imminent brain death and/or severe postanoxic encephalopathy. Prolonged supportive treatment resulted in full recovery underlining intoxication as an important differential diagnosis in unclear coma.