Acute permethrin neurotoxicity: Variable presentations, high index of suspicion - PubMed (original) (raw)

Case Reports

Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

Bonny Drago et al. Toxicol Rep. 2014.

Abstract

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.

Keywords: Neurological presentations; Permethrin; Toxicology.

PubMed Disclaimer

Similar articles

Cited by

References

    1. Das B.K., Mukherjee S.C. Toxicity of cypermethrin in Labeo rohita fingerlings: biochemical, enzymatic and haematological consequences. Comp. Biochem. Physiol. C: Toxicol. Pharmacol. 2003;134:109–121. - PubMed
    1. Bradberry S.M., Cage S.A., Proudfoot A.T., Vale J.A. Poisoning due to pyrethroids. Toxicol. Rev. 2005;24:93–106. - PubMed
    1. Mortensen M.L. Management of acute childhood poisonings caused by selected insecticides and herbicides. Pediatr. Clin. N. Am. 1986;33:421–445. - PubMed
    1. Cantalamessa F. Acute toxicity of two pyrethroids, permethrin, and cypermethrin in neonatal and adult rats. Arch. Toxicol. 1993;67:510–513. - PubMed
    1. Morgan M.K., Sheldon L.S., Croghan C.W., Jones P.A., Chuang J.C., Wilson N.K. An observational study of 127 preschool children at their homes and daycare centers in Ohio: environmental pathways to cis- and trans-permethrin exposure. Environ. Res. 2007;104:266–274. - PubMed

Publication types

LinkOut - more resources