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- Title
Non-accidental chlorpyrifos poisoning-an unusual cause of profound unconsciousness.
- Authors
Jiun-Chang Lee; Kuang-Lin Lin; Jainn-Jim Lin; Shao-Hsuan Hsia; Chang-Teng Wu; Lee, Jiun-Chang; Lin, Kuang-Lin; Lin, Jainn-Jim; Hsia, Shao-Hsuan; Wu, Chang-Teng
- Abstract
Chlorpyrifos is an organophosphorus anticholinesterase insecticide, and organophosphate intoxication can induce symptoms such as miosis, urination, diarrhea, diaphoresis, lacrimation, excitation of central nervous system, salivation, and consciousness disturbance (MUDDLES). Although accidental poisoning of children with drugs and chemicals is a common cause for consciousness disturbance in children, the possibility of deliberate poisoning is rarely considered. We report on a healthy 5-year 6-month-old boy with recurrent organophosphate intoxication. Reports of chlorpyrifos intoxication in children are quite rare. This case report demonstrates decision-making process and how to disclose deliberate chlorpyrifos poisoning of the toddler by the stepmother, another example of Munchausen syndrome by proxy.
- Subjects
CHLORPYRIFOS; LOSS of consciousness; CHOLINESTERASES; ORGANOPHOSPHORUS compounds; CHILD abuse; MUNCHAUSEN syndrome by proxy; DIFFERENTIAL diagnosis; INSECTICIDES; ORGANOTHIOPHOSPHORUS compounds; DIAGNOSIS
- Publication
European Journal of Pediatrics, 2010, Vol 169, Issue 4, p509
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-009-1054-5