Amitraz Poisoning - Tale of an Unusual Pesticide Poisoning: A Case Report

Authors

  • Olita Shilpakar Department of General Practice and Emergency Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
  • Bipin Karki Department of Critical Care Medicine, Om Hospital and Research Centre, Kathmandu, Nepal.
  • Bibek Rajbhandari Department of General Practice and Emergency Medicine, Nepal Police Hospital, Kathmandu, Nepal.

DOI:

https://doi.org/10.31729/jnma.4919

Keywords:

bradycardia, hypotension, poisoning, vomiting

Abstract

Amitraz is a formamidine group of compounds used in many parts of the world as an agricultural
pesticide and an ectoparasiticide. Amitraz intoxication secondary to the oral, dermal or inhalational
routes, both accidental and suicidal, has been encountered in humans leading to severe life-threatening
side effects. Only very few cases of amitraz toxicity have been reported to date. This emphasizes
the importance to ascertain amitraz intoxication from more commonly encountered pesticides like
organophosphorus poisoning to avoid erroneous management of the patient. We report a case of a
twenty-seven-year-old man who presented to the emergency room following suicidal ingestion of
amitraz with the clinical manifestations of vomiting, altered sensorium, bradycardia and hypotension
and complete recovery following supportive management.

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Published

2020-05-30

How to Cite

Shilpakar , O. ., Karki, B., & Rajbhandari, B. . (2020). Amitraz Poisoning - Tale of an Unusual Pesticide Poisoning: A Case Report. Journal of Nepal Medical Association, 58(225), 338–340. https://doi.org/10.31729/jnma.4919

Issue

Vol. 58 No. 225 (2020): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2020 Olita Shilpakar , Bipin Karki, Bibek Rajbhandari

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