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Severe Glyphosate - Surfactant Herbicide Poisoning; Successful Treatment - Case Report (CROSBI ID 302364)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Ninčević, Željko ; Ninčević, Jasna ; Gabelica, Maja ; Šundov, Željko ; Puljiz, Željko ; Gabelica, Mirko Severe Glyphosate - Surfactant Herbicide Poisoning; Successful Treatment - Case Report // MOJ addiction medicine & therapy, 4 (2017), 1; 202-204. doi: 10.15406/mojamt.2017.04.00066

Podaci o odgovornosti

Ninčević, Željko ; Ninčević, Jasna ; Gabelica, Maja ; Šundov, Željko ; Puljiz, Željko ; Gabelica, Mirko

engleski

Severe Glyphosate - Surfactant Herbicide Poisoning; Successful Treatment - Case Report

Glyphosate-surfactant herbicide is one of the most frequently used herbicides. When large volumes of concentrates are ingested intentionally, it can generate fatal symptoms that are refractory to treatment. We present a case of a 45-year-old male who suffered from psychosis and deliberately drank a ½-liter of glyphosate-surfactant herbicide. His consciousness deteriorated into a coma, and he developed ARDS. Cardiovascular collapse developed. Acute renal failure, hyperkalemia and metabolic acidosis also developed. He was admitted to the intensive care unit. Orotracheal intubation was performed and mechanical ventilation was initiated. Infusions of dopamine and norepinephrine were also started. Continuous veno- venous hemodiafiltration was started 11 hours after ingestion and was performed for 5 days. Intermittent daily two-hour dialysis was performed for further 18 days. His renal function had fully recovered. He was mechanically ventilated for 9 days. After treatment, he was discharged to go home fully recovered with no neurological deficits. This is a case of severe glyphosate- surfactant herbicide poisoning which was successfully cured by supportive treatment and CVVHDF. According to the literature this is among the largest ingestion that patient survived.

cardiovascular collapse, anuric acute renal failure, altered consciousness, severe poisoning, supportive treatment

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Podaci o izdanju

4 (1)

2017.

202-204

objavljeno

2573-2935

10.15406/mojamt.2017.04.00066

Povezanost rada

Kliničke medicinske znanosti

Poveznice