title: A 2,4-dichlorophenoxyacetic acid induced fatality.
abstract: This paper reports on a fatal intoxication by oral ingestion of the herbicide 2,4-dichlorophenoxyacetic acid (2,4-D). At admission, the victim was unconscious. His condition deteroriated rapidly with blood loss from his mouth and nose. Since the cause of this condition was not known, gastroscopy was performed and haemorrhagic mucosa was observed in the mouth, oesophagus and stomach. Gastric contents (removed by lavage), urine and blood were submitted for toxicological analysis. Unfortunately, within 3 h of admission (about 5 h following ingestion of the toxin) profound cardiogenic shock developed and the patient died. The identity of the toxic xenobiotic was revealed by gas chromatography-mass spectrometry. Analytical quantification of the herbicide was performed by acid extraction prior to gas chromatographic examination using electron capture detection. His blood level of 2,4-D was 192 mg l-1.
authors.affiliation: Department of Intensive Care Medicine, University Hospital of Antwerp, Edegem, Belgium.
authors.forename: P G
authors.initials: PG
authors.lastname: Jorens
authors.forename: L
authors.initials: L
authors.lastname: Heytens
authors.forename: R J
authors.initials: RJ
authors.lastname: De Paep
authors.forename: L
authors.initials: L
authors.lastname: Bossaert
authors.forename: M I
authors.initials: MI
authors.lastname: Selala
authors.forename: P J
authors.initials: PJ
authors.lastname: Schepens
mesh_terms: D015084:2,4-Dichlorophenoxyacetic Acid / Q000506:poisoning*; D000931:Antidotes / Q000627:therapeutic use; D017809:Fatal Outcome; D006540:Herbicides / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy; D013405:Suicide
chemical_list: D000931:Antidotes; D006540:Herbicides; D015084:2,4-Dichlorophenoxyacetic Acid