title: [Obstacles in the management of pesticides intoxication in Senegal: about a case of malathion autolysis].
abstract: Pesticides are widely used inSenegal as in others africans countries. This situation facilitate occurrence of intoxications, whose management is limited by unavailability of antidotes. We report a case of acute pesticide intoxication in a suicide attempt by a girl of thirteen. The clinical evaluation showed a coma with advanced muscarinic and nicotinic syndrome. The absence of antidotes in the country limited the care management to atropine administration and reanimation measures. The evolution was positive in few days and the patient referred to pediatrics in order to be clinically and psychologically managed. The positive evolution should not hide the necessity for the country to make available all antidotes of toxic substances and to implement Poison Control Centre in order to improve medical management of poisoned people.
authors.affiliation: Service de réanimation de l'hôpital Général de Grand-Yoff.
authors.forename: A
authors.initials: A
authors.lastname: Diallo
authors.forename: K
authors.initials: K
authors.lastname: Dia
authors.forename: I
authors.initials: I
authors.lastname: Mbaye
authors.forename: M F
authors.initials: MF
authors.lastname: Diouf
mesh_terms: D000293:Adolescent; D001285:Atropine / Q000627:therapeutic use; D003128:Coma / Q000209:etiology; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007306:Insecticides / Q000506:poisoning; D008294:Malathion / Q000506:poisoning; D018727:Muscarinic Antagonists / Q000627:therapeutic use; D010575:Pesticides / Q000506:poisoning*; D011039:Poison Control Centers; D011041:Poisoning / Q000628:therapy*; D012017:Referral and Consultation; D012675:Senegal
chemical_list: D007306:Insecticides; D018727:Muscarinic Antagonists; D010575:Pesticides; D001285:Atropine; D008294:Malathion