AI Summary & Key Takeaways
AI InsightEndosulfan intoxication should be considered in patients who present to the emergency department with new and repetitive seizures even with the absence of any other signs of intoxication.
📌 3 Key Takeaways
Abstract
Endosulfan is a popular agricultural insecticide. Endosulfan is absorbed through the intact skin, by inhalation or ingestion. Endosulfan is a neurotoxic agent for insects and mammals. It can cause recurrent convulsive seizures. We report two cases with repetitive seizures associated with endosulfan poisoning. The first patient experienced four seizures and the second three. Both patients had no other signs or symptoms of intoxication. The first patient was observed for 24 hours then released from the hospital. However, the second patient was admitted for 10 days because of elevated liver enzymes. Serum toxicologic analysis detected Endosulfan in both patients. Endosulfan intoxication should be considered in patients who present to the emergency department with new and repetitive seizures even with the absence of any other signs of intoxication.
Özet
Endosülfan, tarımda yaygın olarak kullanılan organoklorlu böcek öldürücüdür. Endosülfan ağızdan, solunum, deri veya göz yoluyla alınabilir. Nörotoksik bir ajandır ve tekrarlayan konvulsif nöbetlere neden olabilir. Bu yazıda, acil servise tekrarlayan konvulsif nöbetlerle başvuran iki endosülfan zehirlenme olgusu sunuldu. Birinci olgu dört, ikinci olgu ise üç nöbet geçirmişti ve olgularda başka belirti ve bulgu yoktu. İkinci olgu 24 saat ve birinci olgu ise karaci¬ğer enzimlerinin yüksekliği nedeniyle 10 gün izlendi. Olgulardan alınan kan örneklerinin toksikolojik incelemesinde endosülfan saptandı. Sonuç olarak tekrarlayan epileptik nöbetlerle acil servise başvuran olgularda zehirlenmeye ait başka herhangi bir belirti ve bulgu olmasa bile endosülfan zehirlenmesi olasılığı akılda bulundurulmalıdır.