title: A case of tetramine poisoning: a lethal rodenticide.
abstract: We report a fatal case of suicide presenting with convulsions and subsequently multi-organ failure. Rodenticide poisoning was not suspected until the next day when tetramine was detected in the patient's blood, urine, and food residues. Tetramine is a potent rodenticide with a rapid action and high mortality. The poison has been banned worldwide but is still readily available in Mainland China. Outbreaks of poisoning are reported frequently and doctors should be alert for this lethal toxin.
authors.affiliation: Hospital Authority Toxicology Reference Laboratory, Princess Margaret Hospital, Laichikok, Hong Kong. poonwt@ha.org.hk
authors.forename: W T
authors.initials: WT
authors.lastname: Poon
authors.forename: K
authors.initials: K
authors.lastname: Chan
authors.forename: M H
authors.initials: MH
authors.lastname: Lo
authors.forename: K K
authors.initials: KK
authors.lastname: Yip
authors.forename: T
authors.initials: T
authors.lastname: Lee
authors.forename: A Y W
authors.initials: AY
authors.lastname: Chan
mesh_terms: D001952:Bridged-Ring Compounds / Q000506:poisoning*; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000150:complications / Q000175:diagnosis*; D012378:Rodenticides / Q000506:poisoning*; D013226:Status Epilepticus / Q000209:etiology*; D013405:Suicide
chemical_list: D001952:Bridged-Ring Compounds; D012378:Rodenticides; C010349:tetramethylenedisulfotetramine