title: [Severe poisoning with a cholinesterase inhibitor].
abstract: We report on a case of severe intoxication in an 18-year-old female who had ingested an insecticide with suicidal intent. The insecticide (thionacine) is a cholinesterase inhibitor used in gardening and agriculture. The resources of modern intensive care permitted successful treatment with artificial respiration and atropine. Treatment with oximes is controversial and may be dangerous. We suggest hospitalization even in mild cases of intoxication, in view of danger of changes in the course of the illness.
mesh_terms: D000328:Adult; D002800:Cholinesterase Inhibitors / Q000506:poisoning*; D003128:Coma / Q000139:chemically induced / Q000628:therapy; D003422:Critical Care; D005260:Female; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D009946:Organothiophosphorus Compounds / Q000506:poisoning*; D013406:Suicide, Attempted
chemical_list: D002800:Cholinesterase Inhibitors; D007306:Insecticides; D009946:Organothiophosphorus Compounds; C005896:thionazin
vernacular_title: Schwere Intoxikation mit einem Cholinesterasehemmer.