Acute basagran poisoning mimicking neuroleptic malignant syndrome.
A 27-year-old robust man, without any medical and surgical history, attempted to commit suicide by consumption of 300 cc (44.1%, 132.3 g) basagran, a readily available herbicide. This poisoning resulted in vomiting, fever, sweating, pipe-like muscle rigidity, sinus tachycardia, drowsiness, leukocytosis, rhabdomyolysis and hepatorenal damage. Emperical treatment with bromocriptine was temporally associated with resolution of above signs and symptoms. His clinical presentations and the effect of bromocriptine may be indicative that basagran poisoning mimicks neuroleptic malignant syndrome.
Lin
T J
TJ
Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China.
Hung
D Z
DZ
Hu
W H
WH
Yang
D Y
DY
Wu
T C
TC
D000328:Adult; D001581:Benzothiadiazines / Q000506:poisoning*; D003937:Diagnosis, Differential; D006540:Herbicides / Q000506:poisoning*; D006801:Humans; D008297:Male; D009459:Neuroleptic Malignant Syndrome / Q000175:diagnosis*; D011041:Poisoning / Q000175:diagnosis* / Q000628:therapy; D013406:Suicide, Attempted
D001581:Benzothiadiazines; D006540:Herbicides; C002003:bentazone